Perceived stress, resilience, and stress coping in patients with drug resistant epilepsy and functional dissociative seizures

Epilepsy is a common disorder of the brain characterized by unprovoked and recurrent seizures due to abnormal neuronal activity (1). Functional dissociative seizures (FDS) are diagnosed in the presence of disturbing changes in behavior, cognition, or emotion that resemble epileptic seizures but lack the electrophysiological correlates or clinical evidence for epilepsy (2). This condition, also known in the literature as psychogenic nonepileptic seizures, is poorly recognized among clinicians and is diagnosed between 20% and 30% of patients referred to specialized epilepsy centers, often considered by mistake as having resistant epilepsy (3,4).

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