Iatrogenesis of patients with psychogenic non-epileptic seizures – possible solutions
Authors:
K. Hubčíková 1,2; J. Bušková 2,3
Authors place of work:
Neuropsychiatrická klinika SZU a Psychiatrickej nemocnice Philippa Pinela, Pezinok, Slovensko
1; Klinika psychiatrie a lékařské psychologie, 3. LF UK, Praha 3 Oddělení spánkové medicíny, Národní ústav duševního zdraví, Klecany
2
Published in the journal:
Cesk Slov Neurol N 2019; 82(1): 30-36
Category:
Review Article
doi:
https://doi.org/10.14735/amcsnn201930
Summary
Psychogenic non-epileptic seizures (PNES) is a unique diagnosis that requests an interdisciplinary collaboration of health care. This is often a challenging problem in common clinical practice. The most serious morbidity of patients with PNES is caused by iatrogenic interventions. This review is focused on the issue of iatrogenesis of patients with PNES, on the possibilities to improve collaboration between neurologists, psychiatrists, psychologists and physicians of primary health care and emergency service, on the optimal educational presentation of diagnosis PNES and psychoeducational and psychotherapeutic programmes for these patients.
Key words:
psychogenic non-epileptic seizures – epilepsy – iatrogenesis – educational intervention – psychoeducation – psychotherapy
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.
Zdroje
1. Rechlin T, Loew TH, Joraschky P. Pseudoseizure „status“. J Psychosom Res 1997; 42(5): 495– 498. doi: 10.1016/ S0022-3999(97)00029-9.
2. Howell SJ, Owen L, Chadwick DW. Pseudostatus epilepticus. Q J Med 1989; 71(266): 507– 519.
3. Komárek V, Marušič P. Epilepsie. In: Bednařík J, Ambler Z, Růžička E. Klinická neurologie – část speciální 1. Praha: Triton 2010: 283– 347.
4. Shneker BF, Elliot JO. Primary care and emergency physician attitudes and beliefs related to patients with psychogenic nonepileptic spells. Epilepsy Behav 2008; 13(1): 243– 247. doi: 10.1016/ j.yebeh.2008.03.001.
5. LaFrance WC, Reuber M, Goldstein LH. Management of psychogenic nonepileptic seizures. Epilepsia 2013; 54(1): 53– 67. doi: 10.1111/ epi.12106.
6. Ramos JA, Brull SJ. Psychogenic non-epileptic seizures in the post-anesthesia recovery unit. Braz J Anesthesiol 2016; 66(4): 426– 429. doi: 10.1016/ j.bjane.2013.10.005.
7. Duncan R, Oto M. Managing psychogenic nonepileptic seizures in patients with comorbid epilepsy. In: LaFrance WC, Schachter SC. Gates and Rowan’s nonepileptic seizures. 4th ed. Cambridge: Cambridge University Press 2018: 262– 267.
8. Benbadis SR, Agrawal V, Tatum WO. How many patients with psychogenic nonepileptic seizures also have epilepsy? Neurology 2001; 57(5): 915– 917. doi: 10.1212/ WNL.57.5.915.
9. Owczarek K, Jedrzejczak J. Patients with coexistent psychogenic pseudoepileptic and epileptic seizures: a psychological profile. Seizure 2001; 10(8): 566– 569. doi: 10.1053/ seiz.2001.0556.
10. Karterud HN, Knizek BL, Nakken KO. Changing the diagnosis from epilepsy to PNES: patient’s experiences and understandings of their new diagnosis. Seizure 2009; 19(1): 40– 46. doi: 10.1016/ j.seizure.2009.11.001.
11. Arain A, Tammaa M, Chaudhary F et al. Communicating the diagnosis of psychogenic nonepileptic seizures: the patient perspective. J Clin Neurosci 2016; 28(6): 67– 70. doi: 10.1016/ j.jocn.2015.10.030.
12. Kanner AM. Is the neurologist’s role over once the diagnosis of psychogenic nonepileptic seizures is made? No! Epilepsy Behav 2008; 12(1): 1– 2. doi: 10.1016/ j.yebeh.2007.09.015.
13. Jung Y, Chen DK, Bullock KD et al. Training in treatment of psychogenic nonepileptic seizures. In: LaFrance WC, Schachter SC. Gates and Rowan’s nonepileptic seizures. 4th ed. Cambridge: Cambridge University Press 2018: 344– 357.
14. Altalib HH, Elzamzamy K, Pugh MJ et al. Communicating diagnostic certainity of psychogenic nonepileptic seizures – a national study of provider documentation. Epilepsy Behav 2016; 64(11): 4– 8. doi: 10.1016/ j.yebeh.2016.08.032.
15. LaFrance WC, Baker GA, Duncan R et al. Minimum requirements for the diagnosis of psychogenic nonepileptic seizures: a staged approach. Epilepsia 2013; 54(11): 2005– 2018. doi: 10.1111/ epi.12356.
16. McMillan KK, Pugh MJ, Hamid H et al. Provider’s perspectives on treating psychogenic nonepileptic seizures: frustration and hope. Epilepsy Behav 2014; 37(8): 276– 281. doi: 10.1016/ j.yebeh.2014.07.001.
17. Harden CL, Tuna Burgut F, Kanner AM. The diagnostic significance of video-EEG monitoring findings on pseudoseizure patients differ between neurologist and psychiatrist. Epilepsia 2003; 44(3): 453– 456. doi: 10.1046/ j.1528-1157.2003.33002.x.
18. Kanner AM. Who should treat psychogenic nonepileptic seizures? In: LaFrance WC, Schachter SC. Gates and Rowan’s nonepileptic seizures. 4th ed. Cambridge: Cambridge University Press 2018: 276– 282.
19. LaFrance WC Jr, Barry JJ. Update on treatments of psychological nonepileptic seizures. Epilepsy Behav 2005; 7(3): 364– 374. doi: org/ 10.1016/ j.yebeh.2005.07.010.
20. Bowman ES, Markand ON. Psychodynamics and psychiatric diagnoses of pseudoseizure subjects. Am J Psychiatry 1996; 153(1): 57– 63. doi: 10.1176/ ajp.153.1.57.
21. Kanner AM, Parra J, Frey M et al. Psychiatric predictors of psychogenic pseudoseizure outcome. Neurology 1999; 53(5): 933– 938. doi: 10.1212/ WNL.53.5.933.
22. De Paola L, Terra VC, Silvado CE et al. Improving first responders’ psychogenic nonepileptic seizures diagnostic accuracy: development and validation of a 6-item bedside diagnostic tool. Epilepsy Behav 2016; 54(1): 40– 46. doi: 10.1016/ j.yebeh.2015.10.025.
23. Thompson NC, Gibson PA. Models of Care. Nurses and social workers and their role in the management of patients with psychogenic nonepileptic seizures. In: LaFrance WC, Schachter SC. Gates and Rowan’s nonepileptic seizures. 4th ed. Cambridge: Cambridge University Press 2018: 268– 275.
24. Shen W, Bowman ES, Markand ON. Presenting the diagnosis of pseudoseizure. Neurology 1990; 40(5): 756– 759.
25. Duncan R. Psychogenic nonepileptic seizures: diag-nosis and initial management. Expert Rev Neurothe 2010; 10(12): 1803– 1809. doi: 10.1586/ ern.10.171.
26. Hall-Patch L, Brown R, House A et al. Acceptability and effectiveness of a strategy for the communication of the diagnosis of psychogenic nonepileptic seizures. Epilepsia 2010; 51(1): 70– 78. doi: 10.1111/ j.1528-1167.2009.02099.x.
27. Mellers J. The approach to patients with „non-epileptic seizures“. Postgrad Med J 2005; 81(958): 498– 504. doi: 10.1136/ pgmj.2004.029785.
28. Harden CL, Ferrando SJ. Delivering the diagnosis of psychogenic pseudoseizures: should the neurologist or the psychiatrist be responsible? Epilepsy Behav 2001; 2(6): 519– 523. doi: 10.1006/ ebeh.2001.0290.
29. Vojtěch Z, Hadač J, Nešpor E. Diferenciální diagnostika epileptických a neepiletických záchvatů. In: Brázdil M. Farmakorezistentní epilepsie. Praha: Triton 2011: 495– 497.
30. Bodde NM. Psychogenic non-epileptic seizures – definition, etiology, treatment and prognostic issues: a critical review. Seizure 2009; 18(8): 543– 553. doi: 10.1016/ j.seizure.2009.06.006.
31. Palušná M. Psychogénne neepileptické záchvaty. Psychiatrie pre Prax 2016; 17(4): 148– 152.
32. Gordon PC, Valiengo L da C, Proença IC et al. Comorbid epilepsy and psychogenic non-epileptic seizures: how well do patients and caregivers distinguisch between the two. Seizure 2014; 23(7): 537– 541. doi: 0.1016/ j.seizure.2014.04.002.
33. LaFrance WC, Bjønæs H. Designing treatement plans based on etiology of psychogenic nonepileptic seizures. In: LaFrance WC, Schachter SC. Gates and Rowan’s nonepileptic seizures. 4th ed. Cambridge: Cambridge University Press 2018: 283– 299.
34. LaFrance WC, Wincze JP. Treating nonepileptic seizures: therapeutist guide. New York: Oxford University Press 2015.
35. Reiter JM, Andrews D, Reiter C et al. Taking control of your seizures: workbook. New York: Orford University Press 2015.
36. Bullock KD. Group treatments for psychogenic nonepileptic seizures. In: LaFrance WC, Schachter SC. Gates and Rowan’s nonepileptic seizures. 4th ed. Cambridge: Cambridge University Press 2018: 325– 333.
37. Zaroff C, Myers L, Barr W et al. Group psychoeducation as treatment for psychological nonepileptic seizures. Epilepsy Behav 2004; 5(4): 587– 592. doi: 10.1016/ j.yebeh.2004.03.005.
38. Chen D, Maheshwari A, Franks R et al. Brief group psychoeducation for psychogenic seizures: a neurologist-initiated program in an epilepsy center. Epilepsia 2014; 55(1): 156– 166. doi: 10.1111/ epi.12481.
39. Barry J, Wittenberg D, Bullock K et al. Group therapy for patients with psychogenic nonepileptic seizures: a pilot study. Epilepsy Behav 2008; 13(4): 624– 629. doi: 10.1016/ j.yebeh.2008.06.013.
40. Conwill M, Oakley L, Evans K et al. CBT-based group therapy intervention for nonepileptic attacks and other functional neurological symptoms: a pilot study. Epilepsy Behav 2014; 34(5): 68– 72. doi: 10.1016/ j.yebeh.2014.03.012.
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Paediatric neurology Neurosurgery NeurologyČlánok vyšiel v časopise
Czech and Slovak Neurology and Neurosurgery
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