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Is patient acceptance of the diagnosis of psychogenic nonepileptic seizures linked to symptomatology?

Thaller, Mark, Hyland, Michael E., Kandasamy, Rohan and Sadler, Martin (2015) Is patient acceptance of the diagnosis of psychogenic nonepileptic seizures linked to symptomatology? Journal of Clinical and Experimental Neuropsychology, 38 (3). pp. 338-340. ISSN 1380-3395

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Official URL: https://doi.org/10.1080/13803395.2015.1114072

Abstract

Introduction: 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. Method: 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. Results: 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. Conclusion: 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.

Item Type: Article
Additional Information: Article also available through the publisher link provided
Keywords: psychogenic nonepileptic seizures, dissociative seizures, general symptoms, pseudoseizures, diagnosis acceptance, distributed pathophysiology
Depositing User: Ms Kerry Kellaway
Date Deposited: 02 Aug 2019 09:38
Last Modified: 02 Aug 2019 09:38
URI: http://marjon.collections.crest.ac.uk/id/eprint/17445
Related URLs: https://www.tan ... rnalCode=ncen20 (Publisher URL)

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