CHRU de Nancy
Nancy, 54000, France
NCT Number: NCT02976545
Currently, hypothetical models of understanding Psychogenic Non-epileptic Seizures (PNES) involve emotional dysregulation.
The hypothesis of a disorder of emotional experience is mainly based on behavioral data and disturbance of autonomic responses in response to images in emotional content (Mignot et al 2015, in submission; Bakvis et al 2013). Various imaging studies have identified brain structures belonging to the limbic system in particular that seem functionally impaired in this population. These functional connectivity abnormalities are correlated with dissociation scores in PNES patients (Van der Kruijs et al 2012 and 2014).
Investigators propose to specifically study the brain activity of PNES patients during tasks emotional content to identify the mechanisms involved in this emotional dysregulation. This work is essential to understanding the mechanisms and the development of new therapeutic strategies
Looking for future studies?
Notify Me18 year and older
Female
Interventional
Not applicable
Nancy, 54000, France
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Common Inclusion Criteria:
Specific Inclusion Criteria for PNES group :
Specific Inclusion Criteria for PTSD group : PTSD diagnosed by a psychiatrist, based on clinical symptoms as recorded in DSM5 (Diagnostic and Statistical Manual of Mental Disorders).
Specific Inclusion Criteria for healthy controls : Healthy controls will be paired up with patients on age and level of schooling criteria.
Exclusion criteria
common criteria for all groups:
Specific exclusion Criteria for PNES group : Diagnosis of PNES challenged or denied by the patient.
Specific exclusion Criteria for PTSD group :
Specific exclusion Criteria for healthy controls :
fMRI examination
psychiatric evaluation
Time frame: 6 months after the last inclusion
To compare brain activity during emotional tasks in fMRI (Blood-Oxygen-Level-Dependent contrast sequences) between: patients suffering from PNES, patients suffering from PTSD and healthy controls, with age and education level matching.
Time frame: 6 months after the last inclusion
To compare subjective experience rating across the three groups, during emotional pictures watching task;
Time frame: 6 months after the last inclusion
To compare differences of cerebral functional connectivity (main physiological brain networks) in resting state fMRI across the tree groups
Time frame: 6 months after the last inclusion
To study the correlation between cerebral activity and level of dissociation (DES) and alexithymia (TAS20) in PNES and PTSD groups
Central Hospital, Nancy, France
Other
VECU EMOTIONNEL CHEZ LES PATIENTES SOUFFRANT DE CRISES NON EPILEPTIQUES PSYCHOGENES : ETUDE EN IMAGERIE PAR RESONANCE MAGNETIQUE FONCTIONNELLE-ETUDE EMOCRISES
Acronym: EMOCRISES
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