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Short-term outcome of psychogenic non-epileptic seizures after communication of the diagnosis

Mayor, R., Brown, R.J., Cock, H., House, A., Howlett, S., Singhal, S., Smith, P. ORCID: and Reuber, M. 2012. Short-term outcome of psychogenic non-epileptic seizures after communication of the diagnosis. Epilepsy and Behavior 25 (4) , pp. 676-681. 10.1016/j.yebeh.2012.09.033

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We previously described a communication strategy for the delivery of the diagnosis of psychogenic non-epileptic seizures (PNES) that was acceptable and effective at communicating the psychological cause of PNES. This prospective multicenter study describes the short-term seizure and psychosocial outcomes after the communication of the diagnosis and with no additional treatment. Participants completed self-report measures at baseline, two and six months after the diagnosis (seizure frequency, HRQoL, health care utilization, activity levels, symptom attributions and levels of functioning). Thirty-six participants completed the self-report questionnaires. A further eight provided seizure frequency data. After six months, the median seizure frequency had dropped from 10 to 7.5 per month (p = 0.9), 7/44 participants (16%) were seizure-free, and an additional 10/44 (23%) showed greater than 50% improvement in seizure frequency. Baseline questionnaire measures demonstrated high levels of impairment, which had not improved at follow-up. The lack of change in self-report measures illustrates the need for further interventions in this patient group.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 1525-5050
Last Modified: 09 Nov 2022 10:19

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