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Chapter 22 - Posttraumatic Stress Disorder, Abuse, and Trauma

Relationships to Psychogenic Nonepileptic Seizures

from Section 4 - Psychiatric and Neuropsychological Considerations in Adults with Psychogenic Nonepileptic Seizures

Published online by Cambridge University Press:  18 May 2018

W. Curt LaFrance, Jr
Affiliation:
Brown Medical School, Providence
Steven C. Schachter
Affiliation:
Beth Israel Deaconess Medical Center, Boston
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Print publication year: 2018

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References

References

Hysteria, Veith I.. The History of a Disease. Chicago: University of Chicago; 1965.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. (DSM-III). Washington, DC: American Psychiatric Association; 1980.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. (DSM-IV). Washington, DC: American Psychiatric Association; 1994.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edn. (DSM-5). Washington, DC: American Psychiatric Association; 2013.Google Scholar
World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. Clinical Descriptions and Diagnostic Guidelines. Geneva: World Psychiatric Publishing; 1992;151:737739.Google Scholar
Ellenberger, HF. The discovery of the unconscious. The History and Evolution of Dynamic Psychiatry. New York: Harper Basic Books; 1970.Google Scholar
Janet, P. L'Automatisme Psychologique. Paris: Alcan; 1889.Google Scholar
Janet, P. The Major Symptoms of Hysteria. London: Macmillan; 1907.Google Scholar
Briquet, P. Traité d'hysterie. Paris: Ballière et Fils; 1859.Google Scholar
Fiszman, A, Alves-Leon, SV, Nunes, RG, D'Andea, I, Figueira, I. Traumatic events and posttraumatic stress disorder in patients with psychogenic nonepileptic seizures: a critical review. Epilepsy Behav 2004;5:818825.CrossRefGoogle ScholarPubMed
Goodwin, J, Simms, M, Bergman, R. Hysterical seizures: a sequel to incest. Am J Orthopsychiatry 1979;49:698.Google Scholar
LaBarbera, JK, Dozier, JR. Psychologic responses of incestuous daughters: emerging patterns. South Med J 1981;74:1478.CrossRefGoogle ScholarPubMed
Gross, M. Incestuous rape: a cause for hysterical seizures in our adolescent girls. Am J Orthopsychiatry 1979;49:704.Google Scholar
Betts, T, Boden, S. Diagnosis, management and prognosis of a group of 128 patients in non-epileptic attack disorder. Part II. Previous childhood sexual abuse in the etiology of these disorders. Seizure 1992:1:27.CrossRefGoogle ScholarPubMed
Proenca, IC, Castro, LH, Jorge, CL, Marchetti, RL. Emotional trauma and abuse in patients with psychogenic nonepileptic seizures. Epilepsy Behav 2011;20:331333.Google Scholar
Ozcetin, A, Belli, H, Ertem, U, et al. Childhood trauma and dissociation in women with pseudoseizure-type conversion disorder. Nordic J Psychiatry 2009;63:462468.CrossRefGoogle ScholarPubMed
Bowman, ES, Markand, ON. The contribution of life events to pseudoseizure occurrence in adults. Bull Menninger Clin 1999;63:7088.Google ScholarPubMed
Binzer, M, Stone, J, Sharpe, M. Recent onset pseudoseizures – clues to aetiology. Seizure 2004;13:146155.CrossRefGoogle ScholarPubMed
Krawetz, P, Fleisher, W, Pillay, N, et al. Family functioning in subjects with pseudoseizures and epilepsy. J Nerv Ment Dis 2001;189:3843.Google Scholar
Griffith, JJ, Polles, A, Griffith, ME. Pseudoseizures, families and unspeakable dilemmas. Psychosomatics 1998;39:144153.CrossRefGoogle ScholarPubMed
Bowman, ES, Markand, ON. Psychodynamics and psychiatric diagnoses of pseudoseizure subjects. Am J Psychiatry 1996;153:5763.Google Scholar
Salmon, P, Al-Marzooqi, SM, Baker, G, Reilly, J. Childhood family dysfunction and associated abuse in patients with nonepileptic seizures: toward a causal model. Psychosom Med 2003;65:695700.CrossRefGoogle Scholar
Tojek, TM, Lumley, M, Barkley, G, Mahr, G, Thomas, A. Stress and other psychosocial characteristics of patients with psychogenic nonepileptic seizures. Psychosomatics 2000;41:221226.Google Scholar
Wyllie, E, Glazer, JP, Benbadis, S, et al. Psychiatric features of children and adolescents with pseudoseizures. Arch Pediatr Med 1999;153:244248.Google Scholar
Alper, K, Devinsky, O, Perrine, K, Vazquez, B, Luciano, D. Nonepileptic seizures and childhood sexual and physical abuse. Neurology 1993;43:19501953.Google Scholar
Alper, K, Devinsky, O, Perrine, K, et al. Dissociation in epilepsy and conversion nonepileptic seizures. Epilepsia 1997;38:991997.Google Scholar
Dikel, TN, Fennell, EB, Gilmore, RL. Posttraumatic stress disorder, dissociation, and sexual abuse history in epileptic and nonepileptic seizure patients. Epilepsy Behav 2003;4:644650.Google Scholar
Arnold, LM, Privitera, MD. Psychopathology and trauma in epileptic and psychogenic seizure patients. Psychosomatics 1996;37:438443.Google Scholar
Quinn, M, Schofield, M, Middleton, W. Conceptualization and treatment of psychogenic non-epileptic seizures. J Trauma Dissoc 2008;9:6384.Google Scholar
Reuber, M, Howlett, S, Khan, A, Grünewald, RA. Non-epileptic seizures and other functional neurological symptoms: predisposing, precipitating, and perpetuating factors. Psychosomatics 2007;48:230238.Google Scholar
Bernstein, DP, Ahluvalia, T, Pogge, D, Handelsman, L. Validity of the childhood trauma questionnaire in an adolescent psychiatric population. J Am Acad Child Adolesc Psychiatry 1997;36:340348.Google Scholar
Ogawa, JR, Sroufe, LA, Weinfeld, NS, et al. Development and the fragmented self: longitudinal study of dissociative symptomatology in a nonclinical sample. Dev Psychopathol 1997;9:855879.Google Scholar
van Ijzendoorn, M, Schuengel, C, Bakermans-Krananburg, MJ. Disorganized attachment in early childhood: meta-analysis of precursors, concomitants, and sequelae. Dev Psychopathol 1999;11:225249.Google Scholar
Harari, D, Bkersman-Kranenburg, MJ, van Ijzendoorn, MJ. Attachment, disorganization, and dissociation. In: Vermetten, E, Dorahy, MJ, Spiegel, D, eds. Traumatic Dissociation: Neurobiology and Treatment. Washington, DC: American Psychiatric Publishing; 2007:3154.Google Scholar
van der Kolk, BA, Leisaeth, L, van der Hart, O. History of trauma in psychiatry. In: Van der Kolk, BA, McFarlane, AC, Weisaeth, L, eds. Traumatic Stress. New York: Guilford; 1996:4774.Google Scholar
Bowman, ES. Why conversion seizures should be classified as a dissociative disorder. Psychiatr Clin North Am 2006;19:185211.CrossRefGoogle Scholar
Harden, CL. Pseudoseizures and dissociative disorder: a common mechanism involving traumatic experience. Seizure 1997;6:151155.Google Scholar
Spitzer, C, Spelsberg, B, Grabe, H-J, Mundt, B, Freyberger, HJ. Dissociative experiences and psychopathology in conversion disorders. J Psychosom Res 1999;46:291294.Google Scholar
Kuyk, J, Van Dyck, RV, Spinhoven, P. The case for a dissociative interpretation of pseudoepileptic seizures. J Nerv Ment Dis 1996;184:408474.Google Scholar
Tezcan, E, Atmaca, M, Kuloglu, M, et al. Dissociative disorders in Turkish inpatients with conversion disorder. Compr Psychiatry 2003;44:324330.Google Scholar
Nijenhuis, ERS. Somatoform Dissociation. Assen, The Netherlands: Van Gorcum; 1999.Google Scholar
Tomb, DA. Psychogenic seizures. Neurology 1992;42:18481849.CrossRefGoogle ScholarPubMed
Wyllie, E, Glazer, JP, Benbadis, S, Kotagal, P, Wolgamuth, B. Psychiatric features of children and adolescents with pseudoseizures. Arch Pediatr Adolesc Med 1999;153:244248.Google Scholar
Breslau, N, Davis, GC, Andreski, P, Peterson, E. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry 1991;48:216222.Google Scholar
Kulka, RA, Schlenger, WE, Fairbank, JA, et al. Trauma and the Vietnam War Generation: Report of Findings from the National Vietnam Veterans’ Readjustment Study. New York: Brunner Mazel; 1990.Google Scholar
Bremner, JD, Narayan, M, Staib, LH, et al. Neural correlates of memories of childhood sexual abuse in women with and without posttraumatic stress disorder Am J Psychiatry 1999;156;17871795.Google Scholar
Bremner, JD, Staib, LH, Kaloupek, D, et al. Neural correlates of exposure to traumatic pictures and sound in Vietnam combat veterans with and without posttraumatic stress disorder: a positron emission tomography study. Biol Psychiatry 1999;45:806816.Google Scholar
Lanius, RA, Williamson, PC, Densmore, M, et al. Neural correlates of traumatic memories in posttraumatic stress disorder: a functional MRI investigation. Am J Psychiatry 2001;158:19201922.Google Scholar
Lanius, RA, Bluhm, R, Lanius, U. Posttraumatic stress disorder symptom provocation and neuroimaging. In: Vermetten, E, Dorahy, MJ, Spiegel, D, eds. Traumatic Dissociation. Neurobiology and Treatment. Washington, DC: American Psychiatric Press; 2007:191217.Google Scholar
Alper, K. Nonepileptic seizures. Neurol Clin 1994;12:153173.Google Scholar
Koopman, C, Classen, C, Spiegel, D. Predictors of posttraumatic stress symptoms among survivors of the Oakland-Berkeley, California firestorm. Am J Psychiatry 1994;151:888894.Google ScholarPubMed
Brewin, CR, Andrews, B, Rose, S, Kirk, M. Acute stress disorder and posttraumatic stress disorder in victims of violent crime. Am J Psychiatry 1999;156:360366.CrossRefGoogle ScholarPubMed
Nemiah, JC. Dissociation, conversion, and somatization. In: Tasman, A, Goldfinger, SM, eds. Review of Psychiatry, Volume 10. Washington, DC: American Psychiatric Press; 1991:249260.Google Scholar
Alexander, PJ, Joseph, S, Das, A. Limited utility of ICD-10 and DSM-IV classification of dissociative and conversion disorders in India. Acta Psychiatr Scand 1997;95:177192.CrossRefGoogle ScholarPubMed
Nijenhuis, ERS, Spinhoven, P, van Dyck, R, van der Hart, O, Vanderlinden, J. Degree of somatoform and psychological dissociation in dissociative disorder is correlated with reported trauma. J Trauma Stress 1998;11:711730.Google Scholar
van der Hart, O, Horst, R. The dissociation theory of Pierre Janet. J Trauma Stress 1989;2:397412.CrossRefGoogle Scholar
Ross, CA, Anderson, G, Fleisher, WP, Norton, GR. The frequency of multiple personality disorder among psychiatric inpatients. Am J Psychiatry 1991;148:17171720.Google ScholarPubMed
Coons, PM. Dissociative disorders not otherwise specified: a clinical investigation of 50 cases with suggestions for treatment. Dissociation 1992;5:187195.Google Scholar
Coons, PM, Bowman, ES, Milstein, V. Multiple personality disorder: a clinical investigation of 50 cases. J Nerv Ment Dis 1988;176:519527.Google Scholar
Ross, CA, Miller, SD, Reagor, P, et al. Structured interview data on 102 cases of multiple personality disorder from four centers. Am J Psychiatry 1990;147:596601.Google Scholar
Dell, PF, Eisenhower, JW. Adolescent multiple personality disorder: a preliminary study of eleven cases. J Am Acad Child Adolesc Psychiatry 1990;29:359366.Google Scholar
Putnam, FW, Guroff, JJ, Silberman, EK, et al. The clinical phenomenology of multiple personality disorder: review of 100 recent cases. J Clin Psychiatry 1986;47:285293.Google Scholar
Loewenstein, RJ. Somatoform disorders in victims of incest and child abuse. In: Kluft, RP, ed. Incest-Related Syndromes of Adult Psychopathology. Washington, DC: American Psychiatric Press; 1990:75107.Google Scholar
Felitti, VJ. Long-term medical consequences of incest, rape, and molestation. South Med J 1991;84:328331.Google Scholar
Glod, CA. Long-term consequences of childhood physical and sexual abuse. Arch Psychiatr Nurs 1993;7:163173.Google Scholar
Kanner, AM, Parra, J, Frey, M, et al. Psychiatric and neurologic predictor of psychogenic pseudoseizure outcome. Neurology 1999;53:933938.CrossRefGoogle ScholarPubMed
Litwin, R, Cardeňa, E. Demographic and seizure variables but not hypnotizability or dissociation differentiated psychogenic from organic seizures. J Trauma Dissoc 2000;1:99122.Google Scholar
Bowman, ES, Kanner, AM. Psychopathology and outcome in psychogenic nonepileptic seizures. In: Ettinger, AB, Kanner, AM, eds. Psychiatric Issues in Epilepsy: A Practical Guide to Diagnosis and Treatment. Philadelphia: Lippincott William & Wilkins; 2007:432460.Google Scholar
Ramchandani, D, Schindler, B. Evaluation of pseudoseizures. A psychiatric perspective. Psychosomatics 1993;34:7079.Google Scholar
Stefánsson, JG, Messina, JA, Meyerowitz, S. Hysterical neurosis, conversion type: clinical and epidemiological considerations. Acta Psychiatr Scand 1976;53:119138.Google Scholar
Tietjen, GE, Brandes, JL, Digre, KB, et al. History of childhood maltreatment is associated with comorbid depression in women with migraine. Neurology 2007;69:959968.Google Scholar
Sack, M, Lahmann, C, Jaeger, B, Henningsen, P. Trauma prevalence and somatoform symptoms. Are there specific somatoform symptoms related to traumatic experiences? J Nerv Ment Dis 2007;195:928933.Google Scholar
Blumer, D. The paroxysmal somatoform disorder: a series of patients with non-epileptic seizures. In: Rowan, AJ, Gates, JR, eds. Non-Epileptic Seizures 1st edn. Boston: Butterworth-Heinemann; 1993:165172.Google Scholar
Ettinger, AB, Devinsky, O, Weisbrot, DM, Goyal, A, Shashikumar, S. Headaches and other pain symptoms among patients with psychogenic non-epileptic seizures. Seizure 1999;8:424426.Google Scholar
Heim, C, Ehlert, U, Hanker, JP, Hellhammer, DH. Abuse-related posttraumatic stress disorder and alterations of the hypothalamic-pituitary-adrenal axis in women with chronic pelvic pain. Psychosom Med 1998;6;309318.CrossRefGoogle Scholar
Ehlert, U, Heim, C, Hellhammer, DH. Chronic pelvic pain as a somatoform disorder. Psychother Psychosom 1999;68:8794.CrossRefGoogle ScholarPubMed
Walker, E, Katon, W, Harrop-Griffiths, J, et al. Relationship of chronic pelvic pain to psychiatric diagnoses and childhood sexual abuse. Am J Psychiatry 1988;145:7580.Google Scholar
Reiter, RC, Shakerin, LR, Gambone, JC, Milburn, AK. Correlation between sexual abuse and somatization in women with somatic and nonsomatic chronic pelvic pain. Am J Obstet Gynecol 1991:165:104109.Google Scholar
Draijer, N. Long-term psychosomatic consequences of child sexual abuse. In: van Hall, EV, Everaerd, W, eds. The Free Woman: Women's Health in the 1990s. Cornforth, UK: Parthenon Publishing Group;1989:969709.Google Scholar
Irwin, C, Falsetti, SA, Lydiard, RB, et al. Comorbidity of posttraumatic stress disorder and irritable bowel syndrome. J Clin Psychiatry 1996;57:576578.CrossRefGoogle ScholarPubMed
Drossman, DA, Leserman, J, Nachman, G, et al. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med 1990;113:828833.Google Scholar
Imbierowicz, K, Egle, UT. Childhood adversities in patients with fibromyalgia and somatoform pain disorder. Eur J Pain 2003;7:113119.Google Scholar
Alexander, RW, Bradley, LA, Alarcon, GS, et al. Sexual and physical abuse in women with fibromyalgia: association with outpatient health care utilization and pain medication usage. Arthritis Care Res 1998;11:102115.Google Scholar
Walker, EA, Keegan, D, Gardner, G, et al. Psychosocial factors in fibromyalgia compared with rheumatoid arthritis: II. Sexual, physical and emotional abuse and neglect. Psychosom Med 1997;59:572577.Google Scholar
Voisset-Pioro, MH, Esdaile, JM, Fitzcharles, M. Sexual and physical abuse in women with fibromyalgia syndrome. Arthritis Rheum 1995;38:235241.CrossRefGoogle Scholar
Ciccone, DS, Elliott, DK, Chandler, HK, Nayak, S, Raphael, KG. Sexual and physical abuse in women with fibromyalgia syndrome: a test of the trauma hypothesis. Clin J Pain 2005;21:378386.Google Scholar
Benbadis, SR. A spell in the epilepsy clinic and a history of “chronic pain” or “fibromyalgia” independently predict a diagnosis of psychogenic seizures. Epilepsy Behav 2005;6:264265.Google Scholar
Schur, EA, Afari, N, Furberg, H, et al. Feeling bias in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. J Gen Intern Med 2007;22:818821.Google Scholar
Amital, D, Fostick, L, Polliack, ML, et al. Posttraumatic stress disorder, tenderness and fibromyalgia syndrome: are they different entities? J Psychosom Res 2006;61:663669.Google Scholar
Seng, JS, Clark, MK, McCarthy, AM, Ronis, DL. PTSD and physical comorbidity among women receiving Medicaid: results from service-use data. J Trauma Stress 2006;19:4556.Google Scholar
Briere, J, Runtz, M. Symptomatology associated with childhood sexual victimization in a nonclinical adult sample. Child Abuse Neglect 1988;12:5159.Google Scholar
Polusny, MA, Follette, VM. Long-term correlates of child sexual abuse: theory and review of the empirical literature. Appl Prevent Psychol 1995;4:143166.CrossRefGoogle Scholar
Morrison, J. Childhood sexual histories in women with somatization disorder. Am J Psychiatry 1989;146:239241.Google ScholarPubMed
Swartz, M, Blazer, D, George, L, Landerman, R. Somatization disorder in a community population. Am J Psychiatry 1986;143:14031408.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. Text Revision (DSM-III-R). Washington, DC: American Psychiatric Association; 1987.Google Scholar
Escobar, JI, Burnam, MA, Karno, M, Forsythe, A, Golding, JM. Somatization in the community. Arch Gen Psychiatry 1987;44:713718.Google Scholar
Wittchen, H, Essau, C, van Zerssen, D, Kreig, JC, Zaudig, M. Lifetime and six-month prevalence of mental disorders in the Munich follow-up study. Eur Arch Psychiatry Clin Neurosci 1992;241:247258.CrossRefGoogle ScholarPubMed
Watson, CG, Telliskjor, C. Interrelationships of conversion, psychogenic pain, and dissociative disorder symptoms. J Consult Clin Psychol 1982;17881789.Google Scholar
Kihlstrom, JF. One hundred years of hysteria. In: Lynn, SJ, Rhue, JW, eds. Dissociation: Clinical and Theoretical Perspectives. New York: Guildford Press; 1994:365394.Google Scholar
Bowman, ES. The etiology and clinical course of pseudoseizures: relationship to trauma, depression and dissociation. Psychosomatics 1993;34:333342.Google Scholar
Kuyk, J, Spinhoven, P, Van Emde Boas, MD, Van Dyck, R. Dissociation in temporal lobe epilepsy and pseudo-epileptic seizure patients. J Nerv Ment Dis 1999;187:713720.Google Scholar
Nijenhuis, ERS, Spinhoven, P, van Dyck, R, van der Hart, O, Vanderlinden, J. The development of the somatoform dissociation questionnaire (SDQ-5) as a screening instrument for dissociative disorders. Acta Psychiatr Scand 1997;96:311318.Google Scholar
Rauch, SL, van der Kolk, BA, Fisler, RE, et al. A symptom provocation study of posttraumatic stress disorder using positron emission tomography and script-driven imagery. Arch Gen Psychiatry 1996;53:380387.Google Scholar
Schiffer, F, Teicher, MH, Papanicolou, AC. Evoked potential evidence for right brain activity during the recall of traumatic memories. J Neuropsychiatry 1995;7:169175.Google Scholar
Aybek, S, Nicholson, TJ, Zelaya, F, et al. Neural correlates of recall of life events in conversion disorder. JAMA Psychiatry 2014;71:5260.Google Scholar
Waldinger, RJ, Schulz, MS, Barsky, AJ, Ahern, DK. Mapping the road from childhood trauma to adult somatization: the role of attachment. Psychosom Med 2006;68:129135.Google Scholar
Bryant, RA, Harvey, AG. New DSM-IV diagnosis of acute stress disorder. Am J Psychiatry 2000;157:18891891.Google Scholar
Vein, AM, Djukova, GM, Vorobieva, OV. Is panic attack a mask of psychogenic seizures? A comparative analysis of phenomenology of psychogenic seizures and panic attacks. Funct Neurol 1994;9:153159.Google Scholar
Snyder, SI, Rosenbaum, DH, Rowan, AJ, et al. SCID diagnosis of panic disorder in psychogenic seizure patients. J Neuropsychiatry Clin Neurosci 1994;6:261266.Google Scholar
Russell, JL, Kushner, MG, Beitman, BD, Bartels, KM. Nonfearful panic disorder in neurology patients validated by lactate challenge. Am J Psychiatry 1991;148:361364.Google Scholar
Cunningham, J, Pearce, T, Pearce, P. Childhood sexual abuse and medical complaints in adult women. J Interpers Violence 1988;3:131144.Google Scholar
LaFrance, WC Jr., Deluca, M, Machan, JT, Fava, JL. Traumatic brain injury and psychogenic nonepileptic seizures yield worse outcomes. Epilepsia 2013;54:718725.CrossRefGoogle ScholarPubMed
Van der Kolk, BA, McFarlane, AC, Weisaeth, L. Traumatic Stress. New York, London: Guilford Press; 1996:214241, 279302.Google Scholar
Van der Kolk, BA. The Body Keeps the Score: Brain, Mind and Body in the Healing of Trauma. New York, NY: Viking Penguin; 2014.Google Scholar
Bracha, HS. Freeze–flight–fight–fright–faint: adaptationist perspective on the acute stress response spectrum. CNS Spectr 2004;9:679685.Google Scholar
Bracha, HS, Yoshioka, DT, Masukawa, NK, Stockman, DJJ. Evolution of the human fear-circuitry and acute sociogenic pseudoneurological symptoms: the neolithic balanced-polymorphism hypothesis. J Affect Disord 2005;88:119129.Google Scholar
Bracha, HS, Bracha, AS, Williams, AE, Ralston, TC, Matsukawa, JM. The human fear-circuitry and fear-induced fainting in healthy individuals – the paleolithic-threat hypothesis. Clin Auton Res 2005;15:238241.Google Scholar
Perry, BD, Pollard, RA, Blakley, TL, Bakr, WL, Vigilante, D. Childhood trauma, the neurobiology of adaptation, and “use-dependent” development of the brain: how “states” become “traits.” Infant Ment Health J 1995;16:271291.Google Scholar
Porges, SW. The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation. New York, NY: WW Norton Company; 2011.Google Scholar
Şar, V. The scope of dissociative disorders: an international perspective. Psychiatr Clin North Am 2006;29:227245.Google Scholar

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