Personality disorders in individuals with functional seizures: a systematic review
Ilaria Sammarra, Iolanda Martino, Laura Marino, Francesco Fortunato, Antonio Gambardella

TL;DR
This review explores the link between functional seizures and personality disorders, focusing on how these disorders may influence treatment approaches like cognitive-behavioral therapy.
Contribution
The paper systematically reviews the relationship between functional seizures and personality disorders, emphasizing the potential for targeted therapies like dialectical behavior therapy.
Findings
Borderline personality disorder and traits are most commonly associated with functional seizures.
Cluster C personality disorders, such as avoidant or obsessive-compulsive, are also reported in individuals with functional seizures.
Cognitive-behavioral therapy, particularly dialectical behavior therapy, may be beneficial for treating functional seizures linked to personality disorders.
Abstract
Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral…
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Taxonomy
TopicsMerger and Competition Analysis · Business Strategy and Innovation · Aquatic and Environmental Studies
