Cognitive impairment and social functioning in organic personality disorder due to epilepsy

Usykina M.V.; Kornilova S.V.; Lavrushchik M.V.

doi:https://doi.org/10.17116/jnevro202112106121

Usykina M.V.

Serbsky National Medical Research Center for Psychiatry and Narcology

Kornilova S.V.

Serbsky National Medical Research Center for Psychiatry and Narcology

Lavrushchik M.V.

Serbsky National Medical Research Center for Psychiatry and Narcology

Cognitive impairment and social functioning in organic personality disorder due to epilepsy

Authors:

Usykina M.V., Kornilova S.V., Lavrushchik M.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(6): 21‑26

DOI: 10.17116/jnevro202112106121

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To cite this article:

Usykina MV, Kornilova SV, Lavrushchik MV. Cognitive impairment and social functioning in organic personality disorder due to epilepsy. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(6):21‑26. (In Russ.)
https://doi.org/10.17116/jnevro202112106121

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)

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OBJECTIVE

To develop criteria for the diagnosis of cognitive impairment (CI) and to determine the degree of social functioning in organic personality disorder due to epilepsy.

MATERIAL AND METHODS

One hundred and twenty-six patients with epilepsy, aged 18 to 65 years, with disease duration of 11 to 20 years, were examined. The main research method is clinical-psychopathological. The Mini-mental state examination (MMSE) was administered to assess the severity of CI. The Global Assessment of Functioning (GAF) scale was used to assess social functioning.

RESULTS AND CONCLUSION

The structure of organic personality disorder due to epilepsy is determined by a combination of CI and personality changes with a predominance of explosive (short temper, irritability, brutality, explosiveness) or defensive (passivity, suggestibility, vulnerability, suspiciousness, sensitivity, subordination) traits. CI includes impaired thinking, attention, and memory and is manifested by inertia, stiffness, toughness, rigidity, slowing down the pace of thought processes, as well as difficulty in concentrating, impaired direct and indirect memory. Three groups of patients with mild, moderate and severe CI are isolated. In the group with mild CI, thorough thinking with a slow pace and a decrease in the ability to learn new things, which was com. When assessing impairment of social functioning fa moderate and severe of maladaptation with impairments in all areas of activity is revealed in people with explosive personality characteristics and a mild degree — in people with defensive features. It has been shown that the analysis of cognitive impairment is critical in the diagnosis of organic personality disorder due to epilepsy.

Keywords:

epilepsy

organic personality disorder

cognitive impairment

social functioning

Authors:

Usykina M.V.

Serbsky National Medical Research Center for Psychiatry and Narcology

Kornilova S.V.

Serbsky National Medical Research Center for Psychiatry and Narcology

Lavrushchik M.V.

Serbsky National Medical Research Center for Psychiatry and Narcology

Received:

30.03.2020

Accepted:

30.10.2020

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