{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:49:23Z","timestamp":1791625763059,"version":"4.3.4"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Functional\/dissociative seizures (FDS) resemble epileptic seizures but occur without EEG abnormalities. Affected patients report fatigue and gastrointestinal symptoms, seeking dietary approaches. Yet, nutrition's role in FDS remains poorly understood. Thus, this mixed\u2010methods study analyzed Reddit comments to explore patients\u2019 dietary perceptions and emotions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Comments from r\/PNESsupport were collected using specific keywords. Only English\u2010language comments from inception to September 2025 were included. After short and irrelevant comments were removed, the remaining\u00a0comments were analyzed using sentiment analysis and reflexive thematic analysis. Analyses were performed using RStudio v2025.05.0 and R v4.3.3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010one comments from 23 users with FDS (UwFDS) were analyzed. The total sentiment score was mildly positive (0.080 \u00b1 0.116). Five themes with 12 subthemes emerged: (1) UwFDS emphasized stable blood sugar, noting hypoglycemia and meal timing as seizure triggers; (2) Ketogenic, low\u2010carbohydrate, and elimination diets were reported as helpful yet raised concerns about hydration and nutritional adequacy; (3) UwFDS described cannabidiol oil, amino acid supplements, and avoiding artificial sweeteners as complementary measures; (4) Food sensitivities and gastrointestinal discomfort were linked to symptom exacerbation or relief; (5) Nutrition was framed as supporting quality of life alongside medical and psychological care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The positive sentiment reflects hope and agency rather than metabolic efficacy. Integrating nutritional care within psychologically informed frameworks honors patient experience while preserving FDS's non\u2010organic nature. Future research should evaluate whether structured nutritional guidance, embedded in psychologically informed care, improves outcomes and explore mechanisms like interoceptive processing and the gut\u2013brain axis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.71497","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T06:35:31Z","timestamp":1779690931000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions and Emotions Toward Diets and Supplements Among Reddit Users With Functional\/Dissociative Seizures and Their Caregivers: A Mixed\u2010Methods Analysis of r\/PNESsupport"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5669-1591","authenticated-orcid":false,"given":"Hamid","family":"Abbasi","sequence":"first","affiliation":[{"name":"Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9514-4968","authenticated-orcid":false,"given":"Niloofar","family":"Taheri","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7343-027X","authenticated-orcid":false,"given":"Ali","family":"Jafari","sequence":"additional","affiliation":[{"name":"Student Research Committee, Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute Shahid Beheshti University of Medical Sciences  Tehran Iran"},{"name":"Systematic Review and Meta\u2010analysis Expert Group (SRMEG) Universal Scientific Education and Research Network (USERN)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2025.111625"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207454.2021.1942870"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760\u2010023\u201002365\u20100"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms9040723"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-19-1724-0_6"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2009.06.006"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/qup0000196"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-021-01182-y"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2018.07.012"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.5698\/1535\u20107597\u201014.3.131"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412991476"},{"key":"e_1_2_12_15_1","unstructured":"Feuerriegel S. 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