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Dissertation

Discrimination of psychiatric and physiological manifestations in partial complex seizure disorder for differential diagnosis: An analysis model

31 July 1996

Abstract

The Diagnostic Evaluation and Analysis Model for Psychiatric and Epileptic Disorders is designed to assist in the differential diagnosis of psychiatric disorders which are independent of the physiological based manifestations of Partial Complex Seizure Disorder. The primary focus concerns the difficulty of separating the etiology and manifestations of purely physiologic presentation of PCSD from pure psychiatric phenomena, primarily psychotic and affective disorders including the Interictal Behavioral Syndrome. The DEAM provides an organized method of data collection and analysis to discriminate PCSD features from psychiatric features. Because the symptoms often appear as part of the epileptic phenomena the DEAM provides a format to highlight key risk factors and compare salient symptoms to the DSM-IV criteria. The DEAM utilizes historical data, and also objective assessment instruments as part of the differential diagnostic model. This appears to be a comprehensive viable analysis model which still requires evaluation of its' reliability, and validity. It is possible this model may generalize as a diagnostic tool to other disorders where the psychiatric and physiological symptoms are confounding making diagnosis unclear.


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