Rumination and Cognitive Distortion Levels in Temporal Lobe Epilepsy, Psychogenic Non-epileptic Seizures and Healthy Control Groups


BOZKURT Y., Erdoğan F. F., GOK D.

Archives of epilepsy (Online), cilt.31, sa.4, ss.127-133, 2025 (ESCI, Scopus, TRDizin) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 4
  • Basım Tarihi: 2025
  • Doi Numarası: 10.4274/archepilepsy.2025.24150
  • Dergi Adı: Archives of epilepsy (Online)
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.127-133
  • Anahtar Kelimeler: Anxiety, cognitive distortions, depression, psychogenic non-epileptic seizures, rumination, temporal lobe epilepsy
  • Erciyes Üniversitesi Adresli: Evet

Özet

Objective: It is known that various psychopathologies, as well as the current neurological conditions of patients with epilepsy and psychogenic non-epileptic seizures (PNES), affect the disease process. In this study, we aimed to investigate the relationship between cognitive distortions, ruminative thinking, anxiety, and depression in patients with temporal lobe epilepsy (TLE) and compare them with PNES and healthy control groups. Methods: Between September 2021 and April 2022, 300 volunteers were randomly sampled among individuals who applied to the Department of Neurology, Erciyes University Gevher Nesibe Faculty of Medicine and were included in the research process. The 300 volunteers in the research sample were assigned to 100 volunteers for each group. The self-assessment scales used in the research were personal information form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Ruminative Thought Style Questionnaire (RTSQ), and Cognitive Distortion Inventory (CDI). Results: BDI, BAI, RTSQ, and CDI values were found to be lowest in the control group and highest in the TLE patient group. BDI scores were found to be higher in the TLE group than in both PNES and the control groups (p<0.001), while BAI, RTSQ, and CDI scores were similar in the TLE and PNES groups (p>0.05), but higher than in the control group. Conclusion: Our study found that the scores of all scale types in the TLE group were higher than in the PNES patients. We think that this situation is due to neural dysfunctions related to epilepsy, the recurrent seizures experienced by TLE patients, and the neurological, psychological, and social devastation caused by seizure anticipation.