Is patient acceptance of the diagnosis of psychogenic nonepileptic seizures linked to symptomatology?
| Autor: | Michael E. Hyland, Mark Thaller, Rohan Kandasamy, Martin Sadler |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Pilot Projects Newly diagnosed Electroencephalography Total symptom score Patient acceptance 03 medical and health sciences Young Adult 0302 clinical medicine Seizures Surveys and Questionnaires medicine Psychogenic disease Humans In patient 030212 general & internal medicine medicine.diagnostic_test General symptoms Video electroencephalography Middle Aged Psychophysiologic Disorders Clinical Psychology Neurology Female Neurology (clinical) Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Journal of clinical and experimental neuropsychology. 38(3) |
| ISSN: | 1744-411X |
| Popis: | An assessment was made of general symptoms in patients with psychogenic nonepileptic seizures (PNES), comparing those who do versus those who do not accept the diagnosis.A questionnaire pilot study of newly diagnosed psychogenic nonepileptic seizure patients confirmed by video electroencephalography (EEG) was carried out, using a 59-item general symptom questionnaire, with frequency (score) ranging from never (0) to every day (5). Subsequent blinded assessment of patient's acceptance of diagnosis was made.Of 13 patients studied, over a 5-month period, 8 accepted the diagnosis, and 5 did not. Acceptance of diagnosis was associated with a lower total symptom score (p.001) and significantly lower symptom scores in 7 of the 10 symptom subscales.The underlying symptomatology of psychogenic nonepileptic seizure patients differs between those who do versus those who do not accept the diagnosis. The complexity of additional symptoms may contribute to poorer outcomes in those that do not accept the psychogenic nonepileptic seizure diagnosis. |
| Databáze: | OpenAIRE |
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