- 作者：A. del Barrio ; adbarrio@ruberinternacional.es" class="auth_mail" title="E-mail the corresponding author ; A. Jimé ; nez-Huete ; R. Toledano ; I. Garcí ; a-Morales ; A. Gil-Nagel
- 关键词：Multiphasic Personality Inventory Minnesota 2 ; Basic scales ; Content scales ; Psychogenic non-epileptic seizures ; Seizures
- 刊名：Neurología (English Edition)
- 出版年：2016
- 出版时间：March 2016
- 年：2016
- 卷：31
- 期：2
- 页码：106-112
- 全文大小：610 K
Methods
r0010">Cross-sectional study of 209 patients treated in the epilepsy unit. We performed a logistic regression analysis, taking video-electroencephalography as the reference test, and as predictor variables age, sex, IQ and clinical (model A) or content scales (model B) of the MMPI-2. The models were selected according to the Aikake index and compared using the DeLong test.
Results
r0015">We analysed 37 patients with PNES alone, or combined with seizures, and 172 patients with seizures only. The model consisting of sex, Hs (hypochondriasis) and Pa (paranoia) showed a sensitivity of 77.1%, a specificity of 76.8%, a percentage of correct classification of 76.8%, and an area under the curve (AUC) of 0.836 for diagnosing CNEP. Model B, consisting of sex, HEA (health concerns) and FRS (fears), showed a sensitivity of 65.7%, a specificity of 78.0%, a percentage of correct classification of 75.9% and an AUC of 0.840. DeLong's test did not detect significant differences.
Conclusions
r0020">The MMPI-2 has a moderate validity for the diagnosis of PNES in patients referred to an epilepsy unit. Using content scales does not significantly improve results from the clinical scales.