112 results match your criteria: "Mara Hospital[Affiliation]"

Detection of ictal apnea refines the clinical spectrum of ATRX syndrome.

Epilepsy Behav Rep

October 2024

Bielefeld University, Medical School and University Medical Center OWL, Mara Hospital, Department of Epileptology, Maraweg 21, Bielefeld, Germany.

Article Synopsis
  • Alpha-thalassemia X-linked intellectual disability syndrome (ATRX) is a genetic disorder caused by mutations in the ATRX gene, leading to distinct physical features, alpha thalassemia, intellectual disability, and epilepsy in about 30% of cases.
  • A case study of a 36-year-old patient highlights severe intellectual disability and epilepsy linked to a specific pathogenic variant in the ATRX gene.
  • This report contributes to existing knowledge by documenting the simultaneous occurrence of seizure-related and non-seizure related apnea, enhancing the understanding of respiratory issues in ATRX syndrome.
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Validation of the Scale of Emotional Development-Short (SED-S) in Healthy Adults with an Intellectual Disability.

J Clin Med

August 2024

Medical School and University Medical Center OWL, Mara Hospital, University Clinic for People with Neurodevelopmental Disorders, Bielefeld University, 33617 Bielefeld, Germany.

The Scale of Emotional Development-Short (SED-S) assesses the level of emotional development (ED) of persons with intellectual disability (ID) in eight domains across five stages with reference ages from 0 to 12 years. The aim of this study was to apply and validate the SED-S in a sample of healthy adults with ID. Eighty-three mentally healthy adults with ID were assessed using the SED-S.

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Item-validity analysis of the SED-S in a multicentre study of adults with intellectual disabilities.

J Appl Res Intellect Disabil

September 2024

Medical School and University Medical Center OWL, Mara Hospital, University Clinic for People with Neurodevelopmental Disorders, Bielefeld University, Bielefeld, Germany.

Background: Valid and reliable instruments for measuring emotional development are critical for a proper diagnostic assignment in individuals with intellectual disabilities. This exploratory study examined the psychometric properties of the items on the Scale of Emotional Development-Short (SED-S).

Method: The sample included 612 adults with intellectual disabilities (M = 37.

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Validation of the German version of the DSQIID in adults with intellectual disabilities.

Res Dev Disabil

May 2024

Bielefeld University, Medical School and University Medical Center OWL, Mara Hospital, University Clinic for People with Neurodevelopmental Disorders, Maraweg 17-21, D-33617 Bielefeld, Germany. Electronic address:

Background: An observer-rated screening questionnaire for dementia for people with intellectual disabilities (ID), DSQIID, was developed in the UK. So far, the German version has not yet been validated in adults with ID.

Aims/methods: We validated a German version of DSQIID (DSQIID-G) among adults with ID attending a German clinic.

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Panic disorder in epilepsy.

Epilepsy Behav Rep

January 2024

Bielefeld University, Medical School and University Medical Center OWL, Mara Hospital, Department of Epileptology, Maraweg 21, 33617 Bielefeld, Germany.

A 51-year-old woman showed structural epilepsy following an atypical, nontraumatic intracranial hemorrhage in the right frontal area. Despite successful seizure control with lamotrigine, she developed severe morning anxiety and panic attacks, leading to agoraphobia, social withdrawal, and psychogenic nonepileptic seizures. Neuropsychiatric and psychological assessments confirmed an anxiety disorder with no significant symptoms of depression.

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German questionnaires assessing quality of life and psycho-social status in people with epilepsy: Reliable change and intercorrelations.

Epilepsy Behav

January 2024

Department of Epileptology, Mara Hospital (Bethel Epilepsy Center), Medical School OWL, Bielefeld University, Bielefeld, Germany; Neuropsychology and Epilepsy Research, Medical School OWL, Bielefeld University, Bielefeld, Germany.

Objectives: People with epilepsy (PWE) not only suffer from seizures but also from various psycho-social issues containing facets such as social functioning, anxiety, depression or stigmatization, and consequently quality of life. (1) Assessing reliable change of these issues is crucial to evaluate their course and potential treatment effects. As most psycho-social self-report questionnaires have been validated in separate samples, their clinical-socio-demographic differences may limit the comparability and generalizability of the scales' internal consistency, which is important for the reliable change index (RCI).

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Background: Different instruments were devised for assessing emotional development (ED) level in persons with an intellectual disability (ID), that is, the Scale of Emotional Development - Short (SED-S), the Scheme for Appraisal of Emotional Development (SAED), the Scale for Emotional Development - Second Revision (SED-R ) and the Schaal voor Emotionele Ontwikkeling - Lukas (SEO-Lukas). The aim of this study was to compare the level of emotional functioning as assessed with the SED-S with the SAED, SED-R and SEO-Lukas.

Methods: Emotional development was measured in adults with ID with the SED-S (N = 186) and the SAED (n = 85), the SED-R (n = 50) and the SEO-Lukas (n = 51).

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Scale of Emotional Development - Short: reliability and validity in adults with intellectual disability.

J Intellect Disabil Res

October 2023

Bielefeld University, Medical School and University Medical Center OWL, Mara Hospital, University Clinic for People with Neurodevelopmental Disorders, Bielefeld, Germany.

Background: Intellectual disability (ID) is often associated with delays in emotional development (ED). The Scale of Emotional Development - Short (SED-S) was developed to assess the level of ED and to adapt treatment and care accordingly.

Methods: In a sample of 724 adults from five study sites in three countries, a confirmatory factor analysis with a one-factor model was conducted on the entire dataset as well as in different subgroups.

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Psychosocial education programs for people with epilepsy (PWE) can improve epilepsy knowledge and quality of life (QOL), whereas the availability of these programs is limited in Japan compared to other developed countries. This study evaluated the feasibility and effectiveness of a one-day group psychosocial education program named the "one-day Epi-school" for PWE and their relatives. The previous program (Epi-school) required consistent participation in three sessions, resulting in problems with program continuation rates, with 45.

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Overestimation of on-road driving performance is associated with reduced driving safety in older drivers.

Accid Anal Prev

July 2023

University Hospital OWL, Bielefeld University, Evangelisches Klinikum Bethel, Department of Psychiatry and Psychotherapy, Remterweg 69-71, D-33617 Bielefeld, Germany.

Objectives: Older drivers often show less precise self-ratings with a tendency to overestimate themselves. It is unclear, however, how overestimators differ from underestimators or drivers with adequate self-ratings.

Methods: 59 healthy older drivers participated in this on-road study.

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Neural correlates of emotion acceptance and suppression in borderline personality disorder.

Front Psychiatry

January 2023

Department of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel, University of Bielefeld, Bielefeld, Germany.

Background: Emotion dysregulation is a central feature of borderline personality disorder (BPD). Since impaired emotion regulation contributes to disturbed emotion functioning in BPD, it is crucial to study underlying neural activity. The current study aimed at investigating the neural correlates of two emotion regulation strategies, namely emotion acceptance and suppression, which are both important treatment targets in BPD.

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How patients' psycho-social profiles contribute to decision-making in epilepsy surgery: A prospective study.

Epilepsia

March 2023

Department of Epileptology, Mara Hospital (Bethel Epilepsy Center), Medical School, Bielefeld University, Bielefeld, Germany.

Article Synopsis
  • The study examines factors influencing surgical decision-making for epilepsy, focusing on neurologists' recommendations and patients' acceptance of surgery based on clinical and psycho-social factors.
  • A total of 296 patients from two German epilepsy centers were analyzed using logistic regression to identify key predictors related to surgical decisions, emphasizing the importance of both clinical data and psycho-social profiles.
  • Results showed that while clinical factors were crucial for neurologists' recommendations, psycho-social factors such as perceived medication side effects and seizure severity significantly impacted patients' acceptance of surgery.
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Article Synopsis
  • - The study aims to enhance the quality of life for individuals with epilepsy by providing better care and accurate public information in Japan, particularly after concerns about traffic accidents involving people with epilepsy arose in the media around 2011.
  • - An online survey was conducted in 2021 with 213 participants to assess the general public's knowledge and perceptions of epilepsy, excluding those with the condition, and used various analytical methods to evaluate responses.
  • - Results showed that while 92% of respondents had heard of epilepsy, their overall knowledge was limited, with only 51.64% recognizing that people with epilepsy are as capable as others, and just 9.85% knowing the rules about driving for those who have seizures only during sleep
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Objective: To evaluate long-term retention, reasons for discontinuation, efficacy, tolerability, and health-related quality of life (HRQOL) during adjunctive brivaracetam (BRV) treatment in adults with focal seizures by number of lifetime antiseizure medications (ASMs).

Methods: Post hoc analyses of a randomized, double-blind, placebo-controlled trial (N01358; NCT01261325) and corresponding open-label extension (OLE) (N01379; NCT01339559) of adjunctive BRV in adults (16-80 years of age) with focal seizures. Outcomes were assessed from the first day of BRV treatment in the double-blind (patients randomized to BRV) or open-label trial (patients randomized to placebo) by number of lifetime ASMs (1-2, 3-4, 5-6, or ≥ 7).

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The ability to regulate emotions is indispensable for maintaining psychological health. It heavily relies on frontal lobe functions which are disrupted in frontal lobe epilepsy. Accordingly, emotional dysregulation and use of maladaptive emotion regulation strategies have been reported in frontal lobe epilepsy patients.

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Article Synopsis
  • * An online survey completed by 310 participants revealed moderate negative correlation between self-esteem and self-stigma, and weak correlations with knowledge and seizure frequency.
  • * Half of the respondents who work or study reported experiencing discrimination due to epilepsy, while only a small percentage utilized psychosocial support resources like self-help groups.
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Onset of efficacy and adverse events during Cenobamate titration period.

Acta Neurol Scand

September 2022

Epilepsy Unit, Department of Neurology, Fundación Jiménez Díaz, Madrid, Spain.

Objectives: Cenobamate is an antiseizure medication (ASM) approved in Europe as adjunctive therapy for adults with inadequately controlled focal seizures. This post hoc analysis reports onset of efficacy and characterizes time to onset, duration, and severity of the most common treatment-emergent adverse events (TEAEs) during cenobamate titration.

Materials & Methods: Adult patients with uncontrolled focal seizures taking 1 to 3 concomitant ASMs were randomized to receive adjunctive cenobamate or placebo (double-blind studies C013 and C017) or cenobamate (open-label study C021).

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Long-term Efficacy and Safety From an Open-Label Extension of Adjunctive Cenobamate in Patients With Uncontrolled Focal Seizures.

Neurology

September 2022

From the Mid-Atlantic Epilepsy and Sleep Center (P.K.), Bethesda, MD; Austin Epilepsy Care Center (S.A.), Austin, TX; Bethel Epilepsy Centre (C.B.), Mara Hospital, Bielefeld, Germany; SK Life Science, Inc. (F.D.), Paramus, NJ; Johns Hopkins University School of Medicine (G.L.K.), Baltimore, MD; MedVal Scientific Information Services (S.M.), Princeton, NJ; Unidad de Epilepsia (J.C.S.-A.), Hospital Vithas la Salud, Granada, Spain; Kork Epilepsy Center (B.J.S.), Kehl-Kork, Germany; Department of Neurology and Neurophysiology (B.J.S.), University of Freiburg, Germany; and Refractory Epilepsy Unit (V.V.), Hospital Universitari i Politècnic La Fe, Valencia, Spain.

Background And Objectives: To evaluate long-term efficacy (percent seizure frequency reduction and responder rates), safety, and tolerability of adjunctive cenobamate (CNB) in an open-label extension (OLE) of the randomized, double-blind, placebo-controlled study.

Methods: Patients (aged 18-70 years) with uncontrolled focal seizures despite treatment with 1-3 antiseizure medications who completed the 18-week double-blind study (n = 360) could enter the OLE, where they underwent a 2-week blinded conversion to CNB (target dose, 300 mg/d; min/max, 50/400 mg/d).

Results: Three hundred fifty-five patients were included in the OLE safety population (265 originally randomized to CNB, 90 originally randomized to placebo), and 354 were included in the OLE modified intent-to-treat population.

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Purpose: To assess how efficacy and safety outcomes were affected when cenobamate was co-administered with antiseizure medications (ASMs) that use either sodium channel blocker (SCB) or non-sodium channel blocker (non-SCB) mechanisms of action (MoAs) in patients with uncontrolled focal seizures.

Methods: An exploratory post-hoc analysis of a randomized, double-blind, placebo-controlled clinical study (YKP3089C017) was conducted. Baseline concomitant ASMs were grouped as either those that employed an SCB or non-SCB MoA.

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Objective: This study was undertaken to elicit patients' preferences for attributes characterizing antiseizure medication (ASM) monotherapy options before treatment consultation, and to explore the trade-offs patients consider between treatment efficacy and risks of side effects. Further objectives were to explore how treatment consultation may affect patient preferences, to elicit physicians' preferences in selecting treatment, and to compare patient and physician preferences for treatment.

Methods: This prospective, observational study (EP0076; VOTE) included adults with focal seizures requiring a change in their ASM monotherapy.

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Objective: Rasmussen encephalitis (RE) is a progressive and destructive inflammatory disease of one hemisphere. Its cause is unknown. We investigated comorbidity and laterality factors that might predispose to RE.

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Caudate hyperactivation during the processing of happy faces in borderline personality disorder.

Neuropsychologia

December 2021

Clinic of Psychiatry and Psychotherapy Bethel, Remterweg 69-71, 33617 Bielefeld, Germany; Department of Psychology, University of Bielefeld, Universitätsstraße 25, 33615, Bielefeld, Germany.

Background: Emotion dysfunction and anhedonia are main problems in borderline personality disorder (BPD). In the present functional magnetic resonance imaging (fMRI) study, we investigated neural activation during the processing of happy faces and its correlates with habitual emotion acceptance in patients with BPD.

Methods: 22 women with BPD and 26 female healthy controls watched movie clips of happy and neutral faces during fMRI without any instruction of emotion regulation.

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Epilepsy in adults with neurodevelopmental disability - what every neurologist should know.

Epileptic Disord

February 2022

Department of Intellectual Disability Neuropsychiatry, Cornwall Partnership NHS Foundation Trust, Truro, TR1 3QB, UK, University of Plymouth Peninsula Medical School, UK.

This seminar in epileptology addresses Learning Objective 6.1.4 of the International League against Epilepsy Curriculum: Demonstrate the ability to recognize and manage the special needs of persons with epilepsy (and Neurodevelopmental Disorders [NDDs]).

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Objective: Epilepsy is highly prevalent in patients with tuberous sclerosis complex (TSC). Everolimus showed higher efficacy than placebo for seizures in the primary analysis of the EXIST-3 study. Here, we present the long-term outcomes of everolimus at the end of the postextension phase (PEP; data cutoff date: October 25, 2017).

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