Illness beliefs and locus of control: a comparison of patients with pseudoseizures and epilepsy

Jon Stone, Michael Binzer, Michael Sharpe, Jon Stone

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

PURPOSE: The aim of this study was to examine the illness beliefs and locus of control of patients with recent onset pseudoseizures and to compare these with patients with recent onset epilepsy.

METHODS: Twenty consecutive patients with pseudoseizures of recent onset (mean duration 5.4 months) were compared with 20 consecutive patients with recent onset epilepsy on their responses to (a) the Illness Behaviour Questionnaire (IBQ) and (b) a measure of locus of control, a dimension of the tendency to attribute events to internal or external factors.

RESULTS: In comparison with patients with epilepsy, patients with recent onset pseudoseizures believed that psychological factors were less important than somatic ones were (P < .005) and had a greater tendency to deny nonhealth life stresses (P < .0001). No significant differences were detected in disease conviction or illness worry. Patients with pseudoseizures had a more external locus of control (P < .001),

CONCLUSIONS: Patients with pseudoseizures are less likely than those with epilepsy to see psychological factors as relevant to their symptoms, more likely to deny that they have suffered from life stress and also to have a more external locus of control. The implications for treatment are discussed.

Original languageEnglish
Pages (from-to)541-7
Number of pages7
JournalJournal of Psychosomatic Research
Volume57
Issue number6
DOIs
Publication statusPublished - Dec 2004

Keywords / Materials (for Non-textual outputs)

  • Adolescent
  • Adult
  • Attitude to Health
  • Case-Control Studies
  • Epilepsy
  • Female
  • Humans
  • Internal-External Control
  • Male
  • Middle Aged
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Seizures

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