Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures
Yonsei Medical Journal
;
: 1556-1561, 2014.
Article
in English
| WPRIM
| ID: wpr-221607
ABSTRACT
PURPOSE:
Our purpose was to investigate psychological problems and clinical outcomes in children with psychogenic non-epileptic seizures (PNES). MATERIALS ANDMETHODS:
We retrospectively reviewed the data of 25 patients who were diagnosed with PNES between 2006 and 2012.RESULTS:
Twenty-five children with PNES, aged 8 to 19 years (mean 13.82), were referred to psychiatrists for psychiatric assessment. On their initial visit, 72% of patients had comorbid psychological problems, including depression, anxiety, conduct disorder, adjustment disorder, Attention Deficit Hyperactivity Disorder, schizophrenia, and bipolar disorder. Among these, depression was the most frequent (36%). Predisposing and triggering factors included familial distress (40%), social distress (24%), and specific events (20%). The following treatment was advised based on the results of the initial psychological assessment 3 patients regularly visited psychiatric clinic to assess their clinical status without treatment, nine underwent psychotherapy, and 13 received a combination of psychotherapy and psychopharmacological therapy. At the mean follow-up of 31.5 months after diagnosis, 20 patients (80%) were event-free at follow-up, three (12%) showed reduced frequency, and two (8%) experienced persistent symptoms.CONCLUSION:
The outcomes of PNES in children are much better than those in adults, despite a high rate of psychological comorbidities.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anxiety
/
Psychophysiologic Disorders
/
Psychotherapy
/
Attention Deficit Disorder with Hyperactivity
/
Seizures
/
Comorbidity
/
Retrospective Studies
/
Treatment Outcome
/
Depression
/
Depressive Disorder
Type of study:
Diagnostic study
/
Observational study
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Yonsei Medical Journal
Year:
2014
Type:
Article
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