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Avoidance in nonepileptic attack disorder: A systematic review and meta-analyses.

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Individuals with nonepileptic attack disorder (NEAD) use experiential avoidance (EA) more than healthy individuals or those with epilepsy. This review explores EA

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Area of Science:

  • Psychiatry
  • Neurology
  • Psychology

Background:

  • Experiential avoidance (EA) involves active strategies to disengage from private experiences.
  • EA is implicated in the development and maintenance of nonepileptic attack disorder (NEAD).

Purpose of the Study:

  • To understand the role of avoidance in NEAD.
  • To evaluate experiential avoidance as a contributory factor in NEAD.

Main Methods:

  • A narrative synthesis of 14 articles identified from CINAHL, MEDLINE Complete, PsycINFO, and EMBASE.
  • Two meta-analyses were conducted: NEAD vs. healthy controls (HC) and NEAD vs. epilepsy comparisons (EC) regarding EA levels.

Main Results:

  • Experiential avoidance is a strategy used by a significant proportion of individuals with NEAD.
  • Individuals with NEAD demonstrated significantly higher levels of EA compared to both HC and EC groups.

Conclusions:

  • Experiential avoidance is prevalent in NEAD.
  • Further research is necessary to elucidate the specific types and extent of avoidance relevant to NEAD.