# Prevalence and Patterns of Paroxysmal States of Various Origins and a Model for Their Management in the Siberian Region

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- Page title: Prevalence and Patterns of Paroxysmal States of Various Origins and a Model for Their Management in the Siberian Region | WCP 2026 Summary

> Over 19 years of follow-up in the Siberian region, non-epileptic paroxysmal states increased while epileptic states decreased, and the implementation of an int…

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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0875

E-PosterHalk Sağlığı ve EpidemiyolojiKohort

# Prevalence and Patterns of Paroxysmal States of Various Origins and a Model for Their Management in the Siberian Region

PREVALENCE AND STRUCTURE OF PAROXYSMAL STATES OF VARIOUS ORIGINS, AND A MANAGEMENT MODEL FOR THEM IN THE SIBERIAN REGION

Sunan: Svetlana V. Vladimirova

Ülke: Russian Federation

Over 19 years of follow-up in the Siberian region, non-epileptic paroxysmal states increased while epileptic states decreased, and the implementation of an interdisciplinary management model led to substantial improvements in quality of care and reductions in disease burden.

The aim of the study was to comprehensively investigate the epidemiology of paroxysmal states (PS) and implement interdisciplinary programs for long-term rehabilitation. A clinical and statistical analysis of 2,390 patients was conducted at the Interdisciplinary Center for the Prevention of Paroxysmal States (ICPPS) in Tomsk between 2001 and 2019; methods included clinical and psychopathological assessment, EEG monitoring, immunological analysis, Doppler ultrasonography (USDG), and psychological tests (FACES III, "Quality of Life Rose"). Of the total sample, 421 patients (17.7%) had non-epileptic PS, and 1,969 patients (82.3%) had various forms of epilepsy; the sex distribution was 1,105 men (45.8%) and 1,285 women (54.2%). Incidence trends showed a steady exponential increase in non-epileptic PS (polynomial trend R2 = 0.94), with the lowest values observed in 2001 and a peak of 37.4 per 100,000 population in 2019; this increase was attributed to a rise in cases of panic disorder against a background of macrosocial stress. Epileptic PS, by contrast, showed a declining polynomial trend (R2 = 0.92), attributed to increased access to modern antiepileptic drugs and early interdisciplinary monitoring. The presentation also reported that the rate of epilepsy misdiagnosis reached 25% in cases labeled as treatment-resistant, that approximately 22.5% of patients with true epilepsy developed drug resistance, and that approximately 20% developed a disability. Following implementation of the interdisciplinary model, the quality of specialized care reportedly improved by 55.5% through refinements to diagnostic algorithms, morbidity due to epilepsy-related mental disorders decreased by a factor of 3.2 (from 188.28 to 66.08 per 100,000), the frequency of non-psychotic forms decreased by a factor of 2.5, and 81.3% of patients with confirmed epilepsy achieved a controlled disease course, with seizures reduced or eliminated entirely. The authors state that the ICPPS model, jointly delivered by specialists in neurology and epileptology alongside psychiatry and psychotherapy, substantially reduced demand for inpatient beds in the region by shifting the focus of treatment to outpatient care, while rates of newly recognized disability remained low across all age groups.

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APA 7: Vladimirova, S. V., et al. (2026, September 23-26). Prevalence and structure of paroxysmal states of various origins, and a management model for them in the siberian region [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/216

Vancouver: Vladimirova SV, et al. Prevalence and structure of paroxysmal states of various origins, and a management model for them in the siberian region [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/216

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