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Psychopathology of People with Mental Handicap and Epilepsy III: Personality Disorder

Published online by Cambridge University Press:  02 January 2018

S. Deb  and
David Hunter
S. Deb*
Affiliation:
Department of Mental Health, University of Aberdeen, Woodlands Hospital, Craigton Road, Aberdeen AB1 9PR
David Hunter
Affiliation:
Department of Mental Health, University of Aberdeen
*
∗Correspondence
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Abstract

A group of 75 mildly to moderately mentally handicapped people with epilepsy, resident in both a hospital and the community, were studied together with an individually matched control group of non-epileptic patients. Their carers were interviewed to gather information for two observer-rated personality questionnaires, the Standardised Assessment of Personality (SAP) and the T-L Personality Behaviour Inventory. The two groups were compared with respect to the prevalence rates of various personalities. An abnormal personality score according to the SAP schedule was reported in 26% (n = 39) of the cohort, of which 28 (18.6% of the cohort) were personality disorders. A diagnosis of SAP abnormal personality was made in 46% of the in-patients and 6.5% of the community-based population. Of the cohort, 15% had an abnormal personality score according to the T-L schedule. No statistically significant difference emerged between the epileptic and the non-epileptic groups in the prevalence of either the SAP or T-L personality.

Type
Papers
Information
The British Journal of Psychiatry , Volume 159 , Issue 6 , December 1991 , pp. 830 - 834
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Ballinger, B. R. & Reid, A. H. (1987) A standardised assessment of personality disorder in mental handicap. British Journal of Psychiatry, 150, 108–109.CrossRefGoogle ScholarPubMed
Bear, D. M. & Fedio, P. (1977) Quantitative analysis of interictal behaviour in temporal lobe epilepsy. Archives of Neurology, 34, 454–467.CrossRefGoogle ScholarPubMed
Bruens, J. H. (1971) Psychoses in epilepsy. Psychiatria, Neurologic Neurochirurgia, 74, 175–192.Google ScholarPubMed
Capes, L. & Moore, B. C. (1970) Behaviour differences between seizure and non-seizure retardates. Arizona Medicine, 27, 74–76.Google ScholarPubMed
Collacott, R. A. & Deb, S. (1989) Autoscopy, mental handicap and epilepsy. British Journal of Psychiatry, 153, 825–827.CrossRefGoogle Scholar
Commission on Classification and Terminology of the International League Against Epilepsy (1981) Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia, 22, 489–501.CrossRefGoogle Scholar
Corbett, J. A. (1981) Epilepsy and mental retardation. In Epilepsy and Psychiatry (eds Reynolds, E. H. & Trimble, M. R.), pp. 138–146. Edinburgh: Churchill Livingstone.Google Scholar
Craft, M. (1959) Mental disorder in the defective. American Journal of Mental Deficiency, 63, 829–834.Google ScholarPubMed
Deb, S., Cowie, V. A. & Richens, A. (1987) Folate metabolism and problem behaviour in mentally handicapped epileptics. Journal of Mental Deficiency Research, 31, 163–168.Google ScholarPubMed
Espie, C. A., Pashley, A. S., Bonham, K. G., et al (1989) The mentally handicapped person with epilepsy: a comparative study investigating psychosocial functioning. Journal of Mental Deficiency Research, 33, 123–135.Google ScholarPubMed
Eyman, R. K., Capes, L., Moore, B. C., et al (1969) Retardates with seizures. American Journal of Mental Deficiency, 74, 651–659.Google Scholar
Fenwick, P. (1986) Is dyscontrol epilepsy? In What is Epilepsy? (eds Trimble, M. R. & Reynolds, E. H.), pp. 161–182. London: Churchill Livingstone.Google Scholar
Flor-Henry, P. (1969) Psychosis and temporal lobe epilepsy. Epilepsia, 10, 363–395.CrossRefGoogle ScholarPubMed
Geschwind, N. (1979) Behavioural changes in temporal lobe epilepsy. Psychological Medicine, 9, 217–219.CrossRefGoogle ScholarPubMed
Gibbs, F. A. (1951) Ictal and non-ictal psychiatric disorders in temporal lobe epilepsy. Journal of Nervous and Mental Disease, 113, 522–528.Google ScholarPubMed
Gilles, J. G., Espie, C. A. & Montgomery, J. M. (1989) The social and behavioural functioning of people with mental handicap attending adult training centres: comparison of those with and without epilepsy. Mental Handicap – Research, 2, 129–136.CrossRefGoogle Scholar
Guerrant, J., Anderson, W. W., Fischer, A., et al (eds) (1962) Personality in Epilepsy. Springfield: C. C. Thomas.CrossRefGoogle Scholar
Gunn, J. (1977) Epileptics in Prison. New York: Academic Press.Google Scholar
Gunn, J. & Fenton, G. (1969) Epilepsy in prisons: a diagnostic survey. British Medical Journal, iv, 326–328.CrossRefGoogle Scholar
Hermann, B. P. & Reil, P. (1981) Interictal personality and behavioural traits in temporal lobe and generalized epilepsy. Cortex, 17, 125–128.CrossRefGoogle ScholarPubMed
Hermann, B. P., Schwartz, M. S., Whitman, S., et al (1981) Psychosis and epilepsy: seizure type comparisons and high risk variables. Journal of Clinical Psychology, 37, 714–721.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Hermann, B. P. & Whitman, S. (1984) Behaviour and personality correlates of epilepsy: a review, methodological critique, and conceptual model. Psychological Bulletin, 95, 451–497.CrossRefGoogle ScholarPubMed
Himmelhoch, J. M. (1979) Mixed states, manic-depressive illness, and the nature of mood. Psychiatric Clinic of North America, 2, 449–459.CrossRefGoogle Scholar
Holmes, N., Shah, A. & Wing, L. (1982) The disability assessment schedule: a brief screening device for use with the mentally retarded. Psychological Medicine, 12, 879–890.CrossRefGoogle ScholarPubMed
Kligman, D. & Goldberg, D. A. (1975) Temporal lobe epilepsy and aggression: problems in clinical research. Journal of Nervous and Mental Disease, 160, 324–341.CrossRefGoogle Scholar
Klove, H. & Doehring, H. (1962) MMPI in epileptic groups with differential aetiology. Journal of Clinical Psychology, 18, 149–153.3.0.CO;2-S>CrossRefGoogle Scholar
Kogeorgos, J., Fonangy, P. & Scott, D. F. (1982) Psychiatric symptom profiles of chronic epileptics attending a neurologic clinic: a controlled investigation. British Journal of Psychiatry, 140, 236–243.CrossRefGoogle Scholar
Lennox, W. G. (1960) Epilepsy and Related Disorder. Boston: Little, Brown.Google Scholar
Lund, J. (1985) Epilepsy and psychiatric disorder in the mentally retarded adult. Acta Psychiatrica Scandinavica, 72, 557–562.CrossRefGoogle ScholarPubMed
Mann, A. H., Jenkins, R., Cutting, J. C., et al (1981) The development and use of a standardised assessment of abnormal personality. Psychological Medicine, 11, 839–847.CrossRefGoogle ScholarPubMed
Menolascino, F. J. (1970) Psychiatric Approaches to Mental Retardation. New York: Basic Books.Google Scholar
Mungas, D. (1982) Interictal behaviour abnormality in temporal lobe epilepsy: a specific syndrome or non-specific psychopathology? Archives of General Psychiatry, 39, 108–111.CrossRefGoogle ScholarPubMed
Nielsen, H. & Kristensen, O. (1981) Personality correlates of sphenoidal EEG foci in temporal lobe epilepsy. Acta Neurologica Scandinavica, 64, 289–300.CrossRefGoogle ScholarPubMed
Parsons, J. A., Jack, G. M. Jr & Menolascino, F. J. (1984) The nature and incidence of mental illness in mentally retarded individuals. In Handbook of Mental Illness in the Mentally Retarded (eds Menolascino, F. J. & Stark, J. A.), pp. 3–43. New York: Plenum Press.CrossRefGoogle Scholar
Perez, M. M. & Trimble, M. R. (1980) Epileptic psychoses: diagnostic comparisons with process schizophrenia. British Journal of Psychiatry, 137, 245–249.CrossRefGoogle ScholarPubMed
Ramani, V. & Gumnit, R. J. (1981) Intensive monitoring of epileptic patients with a history of episodic aggression. Archives of Neurology, 38, 570–571.CrossRefGoogle ScholarPubMed
Reid, A. H. & Ballinger, B. R. (1987) Personality disorder in mental handicap. Psychological Medicine, 17, 983–987.CrossRefGoogle ScholarPubMed
Robertson, M. M. & Trimble, M. R. (1983) Depressive illness in patients with epilepsy: a review. Epilepsia, 234 (suppl. 2), 109–116.Google Scholar
Rutter, M. & Graham, P. (1968) The reliability and validity of the psychiatric assessment of the child. British Journal of Psychiatry, 114, 563–579.CrossRefGoogle ScholarPubMed
Shukla, G. D., Srivastava, O. N., Yoshi, , et al (1979) Sexual disturbances in temporal lobe epilepsy: a controlled study. British Journal of Psychiatry, 134, 288–292.CrossRefGoogle ScholarPubMed
Slater, E., Beard, A. W. & Glithero, E. (1963) The schizophrenialike psychoses of epilepsy. British Journal of Psychiatry, 109, 95–150.CrossRefGoogle ScholarPubMed
Small, J. G., Milstein, V. & Stevens, J. R. (1962) Are psychomotor epileptics different? A controlled study. Archives of Neurology, 7, 187–194.CrossRefGoogle ScholarPubMed
Standage, K. F. & Fenton, G. W. (1975) Psychiatric symptom profiles of patients with epilepsy: a controlled investigation. Psychological Medicine, 5, 152–160.CrossRefGoogle ScholarPubMed
Stevens, J. R. (1966) Psychiatric implications of psychomotor epilepsy. Archives of General Psychiatry, 14, 461–471.CrossRefGoogle ScholarPubMed
Stevens, J. R. (1980) Biologic background of psychosis in epilepsy. In Advances in Epileptology: XIth International Epilepsy Symposium (eds Conger, R., Angeleri, F. & Penry, J. K.), pp. 167–172. New York: Raven Press.Google Scholar
Stevens, J. R. & Hermann, B. P. (1981) Temporal lobe epilepsy, psychopathology, and violence: The state of the evidence. Neurology, 31, 1127–1132.CrossRefGoogle ScholarPubMed
Toone, B. K., Garralda, M. E. & Ron, M. A. (1982) The psychoses of epilepsy and the functional psychoses: a clinical and phenomenological comparison. British Journal of Psychiatry, 141, 256–261.CrossRefGoogle ScholarPubMed
Trimble, M. R. (1983) Personality disturbances in epilepsy. Neurology, 33, 1332–1334.CrossRefGoogle ScholarPubMed
Trimble, M. R. & Corbett, J. A. (1980) Behaviour and cognitive disturbance in epileptic children. Irish Medical Journal, 73, 21–28.Google Scholar
Von Meduna, L. (1935) Versuche uber die biologische Beeinflussung des Ablaufes der Schizophrenia. I: Campher-und Cardiazolkrampfe. Zeitschrift fur die gesamte Neurologie und Psychiatrie, 152, 235–262.CrossRefGoogle Scholar
Whitman, S., Hermann, B. P. & Gordon, A. (1984) Psychopathology in epilepsy: how great is the risk? Biological Psychiatry, 19, 213–236.Google ScholarPubMed
Williams, C. (1982) The Star Profile: Social Training Achievement Record. Kidderminster: BIMH.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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