Treatment of psychogenic nonepileptic seizures (PNES) using video telehealth
| Autor: | William Curt LaFrance, Hamada Altalib, Wing Lam Natalie Ho, Grayson L. Baird, Alana Bhatla, Linda Godleski |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Adolescent Beck Anxiety Inventory Global Assessment of Functioning Video Recording Telehealth Cohort Studies Young Adult 03 medical and health sciences Epilepsy 0302 clinical medicine Seizures medicine Humans Psychogenic disease Prospective Studies Veterans Affairs Conversion disorder Aged Veterans Aged 80 and over Cognitive Behavioral Therapy business.industry Middle Aged medicine.disease Psychophysiologic Disorders Telemedicine Treatment Outcome 030104 developmental biology Neurology Physical therapy Anxiety Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Epilepsia. 61:2572-2582 |
| ISSN: | 1528-1167 0013-9580 |
| DOI: | 10.1111/epi.16689 |
| Popis: | OBJECTIVE Previous studies have shown the effectiveness of manual-based treatment for psychogenic nonepileptic seizures (PNES), but access to mental health care still remains a problem, especially for patients living in areas without medical professionals who treat conversion disorder. Thus, we evaluated patients treated with cognitive behavioral therapy-informed psychotherapy for seizures with clinical video telehealth (CVT). We evaluated neuropsychiatric and seizure treatment outcomes in veterans diagnosed with PNES seen remotely via telehealth. We hypothesized that seizures and comorbidities will improve with treatment. METHODS This was a single-arm, prospective, observational, cohort, consecutive outpatient study. Patients with video-electroencephalography-confirmed PNES (n = 32) documented their seizure counts daily and comorbid symptoms prospectively over the course of treatment. Treatment was provided using a 12-session manual-based psychotherapy treatment given once per week, via CVT with a clinician at the Providence Veterans Affairs Medical Center. RESULTS The primary outcome, seizure reduction, was 46% (P = .0001) per month over the course of treatment. Patients also showed significant improvements in global functioning (Global Assessment of Functioning, P = |
| Databáze: | OpenAIRE |
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