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Assessing physiological autonomic reactivity and appraisal in psychogenic pseudosyncope: Preliminary evidence from a pilot study with two single-cases
Journal Title: MALTRATTAMENTO E ABUSO ALL’INFANZIA 
Author/s: Davide Crivelli, Michela Balconi 
Year:  2020 Issue: Language: English 
Pages:  11 Pg. 55-65 FullText PDF:  183 KB
DOI:  10.3280/MAL2020-001005
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Psychogenic pseudosyncope (PPS) represents a peculiar diagnostic challenge. Investigating the link between dysregulated appraisal and altered affective reactivity in people with suspected PPS might provide novel clinical insights and valuable diagnostic data. This pilot study aimed at testing the potential of a structured protocol based on a standardized emotion induction task for the assessment of affective appraisal and autonomic reactivity in individuals suffering from PPS episodes. The comparison of psychometric, explicit appraisal, and implicit autonomic data from two individuals with suspected PPS and a group of control participants has highlighted peculiar clinical profiles connoted by: altered appraisal of affective stimuli, parallel differences in motivational-affective traits, and generalized modulation of cardiovascular activity in response to emotion-laden images.
Keywords: Assessment; emotional reactivity; appraisal; psychogenic pseudosyncope; autonomic measures

  1. Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77-100., DOI: 10.1016/0272-7358(88)90050-5
  2. Benbadis, S. R., & Chichkova, R. (2006). Psychogenic pseudosyncope: an underestimated and provable diagnosis. Epilepsy & Behavior, 9(1), 106-110.
  3. Berntson, G. G., Quigley, K. S., & Lozano, D. (2007). Cardiovascular psychophysiology. In J. T. Cacioppo, L. G. Tassinary, & G. G. Berntson (Eds.), Handbook of Psychophysiology (3rd ed., pp. 182-210). New York: Cambridge University Press.
  4. Bifulco, A., Jacobs, C., Oskis, A., Cavana, F., & Spence, R. (2019). Lifetime trauma, adversity and emotional disorder in older age women. Maltrattamento e abuso all’infanzia, 2, 29-43., DOI: 10.3280/MAL2019-002003
  5. Bradley, M. M., & Lang, P. J. (2007). The International Affective Picture System (IAPS) in the study of emotion and attention. In J. A. Coan & J. J. B. Allen (Eds.), Handbook of emotion elicitation and assessment (pp. 29-46). New York: Oxford University Press.
  6. Brignole, M., Moya, A., de Lange, F. J., Deharo, J.-C., Elliott, P. M., Fanciulli, A., … Lim, P. B. (2018). 2018 ESC Guidelines for the diagnosis and management of syncope. European Heart Journal, 39(21), 1883-1948.
  7. Buodo, G., Sarlo, M., Poli, S., Giada, F., Madalosso, M., Rossi, C., & Palomba, D. (2012). Emotional anticipation rather than processing is altered in patients with vasovagal syncope. Clinical Neurophysiology, 123(7), 1319-1327.
  8. Camisasca, E., & Di Blasio, P. (2019). Stress genitoriale materno e sintomatologia post-traumatica in bambini esposti al conflitto genitoriale: un modello di mediazione. Maltrattamento e abuso all’infanzia, 21(2), 79-94., DOI: 10.3280/MAL2019-002006
  9. Crawford, J. R., & Garthwaite, P. H. (2012). Single-case research in neuropsychology: a comparison of five forms of t-test for comparing a case to controls. Cortex, 48(8), 1009-1016.
  10. Donadio, V., Liguori, R., Elam, M., Karlsson, T., Montagna, P., Cortelli, P., … Wallin, B. G. (2007). Arousal elicits exaggerated inhibition of sympathetic nerve activity in phobic syncope patients. Brain, 130(6), 1653–1662.
  11. Emiroglu, F. N. I., Kurul, S., Akay, A., Miral, S., & Dirik, E. (2004). Assessment of child neurology outpatients with headache, dizziness, and fainting. Journal of Child Neurology, 19(5), 332-336., DOI: 10.1177/088307380401900505
  12. Galli, F., Vegni, E. M., & Carugo, S. (2018). Eventi traumatici precoci e rischio cardiovascolare: una revisione della letteratura. Maltrattamento e Abuso all’Infanzia, 3, 31-46., DOI: 10.3280/MAL2018-003003
  13. Ghisi, M., Flebus, G. B., Montano, A., Sanavio, E., & Sica, C. (Eds.). (2006). Beck Depression Inventory - II. Firenze: Giunti OS.
  14. Giada, F., Silvestri, I., Rossillo, A., Nicotera, P. G., Manzillo, G. F., & Raviele, A. (2005). Psychiatric profile, quality of life and risk of syncopal recurrence in patients with tilt-induced vasovagal syncope. Europace, 7(5), 465-471.
  15. Knight, R. G., Waal-Manning, H. J., & Spears, G. F. (1983). Some norms and reliability data for the State-Trait Anxiety Inventory and the Zung Self-Rating Depression scale. British Journal of Clinical Psychology, 22(4), 245-249.
  16. Leftheriotis, D., Michopoulos, I., Flevari, P., Douzenis, A., Koborozos, C., Kostopoulou, A., … Kremastinos, D. T. (2008). Minor psychiatric disorders and syncope: the role of psychopathology in the expression of vasovagal reflex. Psychotherapy and Psychosomatics, 77(6), 372-376., DOI: 10.1159/000151517
  17. Leone, L., Pierro, A., & Mannetti, L. (2002). Validità della versione Italiana delle Scale BIS/BAS di Carver e White (1994): generalizzabilità della struttura e relazioni con costrutti affini. Giornale Italiano Di Psicologia, 29, 413-434.
  18. McCrory, C., Dooley, C., Layte, R., & Kenny, R. A. (2015). The lasting legacy of childhood adversity for disease risk in later life. Health Psychology, 34(7), 687-696.
  19. O’Hare, C., McCrory, C., O’Leary, N., O’Brien, H., & Kenny, R. A. (2017). Childhood trauma and lifetime syncope burden among older adults. Journal of Psychosomatic Research, 97, 63-69.
  20. Pedrabissi, L., & Santinello, M. (Eds.). (1989). State-Trait Anxiety Inventory - Forma Y. Firenze: Giunti OS.
  21. Raj, V., Rowe, A. A., Fleisch, S. B., Paranjape, S. Y., Arain, A. M., & Nicolson, S. E. (2014). Psychogenic pseudosyncope: diagnosis and management. Autonomic Neuroscience, 184, 66-72.
  22. Reuber, M., Jamnadas-Khoda, J., Broadhurst, M., Grunewald, R., Howell, S., Koepp, M., … Walker, M. (2011). Psychogenic nonepileptic seizure manifestations reported by patients and witnesses. Epilepsia, 52(11), 2028-2035.
  23. Tannemaat, M. R., van Niekerk, J., Reijntjes, R. H., Thijs, R. D., Sutton, R., & van Dijk, J. G. (2013). The semiology of tilt-induced psychogenic pseudosyncope. Neurology, 81(8), 752-758.
  24. van Dijk, J. G., & Wieling, W. (2013). Pathophysiological basis of syncope and neurological conditions that mimic syncope. Progress in Cardiovascular Diseases, 55(4), 345-356.
  25. Ventura, R. (2001). Psychiatric conditions in patients with recurrent unexplained syncope. Europace, 3(4), 311-316.
  26. Wiener, Z., Shapiro, N. I., Chiu, D. T.-W., & Grossman, S. A. (2013). The prevalence of psychiatric disease in emergency department patients with unexplained syncope. Internal and Emergency Medicine, 8(5), 427-430.

Davide Crivelli, Michela Balconi, in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 1/2020, pp. 55-65, DOI:10.3280/MAL2020-001005

   

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