Emotional recognition in patients with resistant temporal lobe epilepsy with and without psychiatric comorbidity: A comparative study

FERNÁNDEZ LIMA, MÓNICA ; ODDO, SILVIA ; KOCHEN, SILVIA ; D`ALESSIO, LUCIANA .

Cancun

Congreso; IX Congreso Latinoamericano de Epilepsia; 2016

Objectives.Resistant temporal lobe epilepsy (RTLE) is associated with a high frequency of psychiatric comorbidity (PC) such as depression, psychosis and personality disorders. It is known that both, these psychiatric conditionsand the RTLE cause alterations in emotional recognition (ER). The aim of this study is to compare the performance in the ER inRTLE patients with and without PC.Methodology.77 subjects were included: 21 controls and 56 patients with RTLE diagnosed by epilepsy protocol (neurological and neuropsychological examination, EEG, VEEG and MRI studies).Psychiatric evaluationconsist of SCID I and SCID II questionnaires, EAAG scale from IV-DSM; Beck scale (BDI-II). The ER was determined by stimuli from the set "pictures of facial emotions" (POFA, Ekman and Friesen, 1976). Three groups were compared: 1- Controls (n = 21), 2-RTLE patients without PC (n = 25) and 3-RTLE patients with PC (n = 31) the ANOVA test and the Bonferronicorrection were used to analyze the results.Results. Both groups of patients with RTLE had a lower recognition of fear in relation to controls (p