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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.

Štítky
Paediatric neurology Neurosurgery Neurology

Článok vyšiel v časopise

Czech and Slovak Neurology and Neurosurgery

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2019 Číslo 1
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