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Correspondence: Filiz Ozsoy, Yeni District, Tokat State Hospital, 60100 Center, Tokat Turkey E-mail: flzkoseoglu82@gmail.com Received: January 10, 2020; Revised: March 27, 2020; Accepted: June 20, 2020 ABSTRACT Objective: The association of psychiatric disorders with epilepsy was shown in many publications, but there have been very few studies dealing with cognitive distortions in epilepsy patients. In our study, we aimed to investigate the metacognitive systems, dysfunctional attitudes, and automatic thoughts of epilepsy patients. Method: Sixty patients diagnosed with epilepsy based on anamnesis and electroencephalographic examination and 50 healthy controls were included in the study. The sociodemographic data form, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Automatic Thoughts Questionnaire (ATQ), Dysfunctional Attitudes Scale (DAS), and Metacognition Questionnaire-30 (MCQ) were administered to all participants. Results: BAI and BDI scores were significantly higher in the epilepsy group compared to the control group (p=0.001, p<0.05, respectively). The “uncontrollability-danger” and “cognitive awareness” subscale scores and the total score of MCQ in the epilepsy group were also higher than in the control group (p=0.001, p<0.05, p=0.001, respectively). The ATQ total score was found to be significantly higher in the epilepsy group compared to the control group (p=0.001). Conclusion: Based on the findings from the present study, in order to understand and support epilepsy patients better and provide diagnosis/treatment for psychiatric diseases that may be overlooked, it is recommended that clinical neurologists and psychiatrists evaluate patients in cooperation.

Cognitive distortions in epilepsy patients: metacognitive functions, automatic thoughts and dysfunctional attitudes