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Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures
PURPOSE: Our purpose was to investigate psychological problems and clinical outcomes in children with psychogenic non-epileptic seizures (PNES). MATERIALS AND METHODS: We retrospectively reviewed the data of 25 patients who were diagnosed with PNES between 2006 and 2012. RESULTS: Twenty-five childre...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Yonsei University College of Medicine
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4205694/ https://www.ncbi.nlm.nih.gov/pubmed/25323891 http://dx.doi.org/10.3349/ymj.2014.55.6.1556 |
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author | Yi, Yoon Young Kim, Heung Dong Lee, Joon Soo Cheon, Keun-Ah Kang, Hoon-Chul |
author_facet | Yi, Yoon Young Kim, Heung Dong Lee, Joon Soo Cheon, Keun-Ah Kang, Hoon-Chul |
author_sort | Yi, Yoon Young |
collection | PubMed |
description | PURPOSE: Our purpose was to investigate psychological problems and clinical outcomes in children with psychogenic non-epileptic seizures (PNES). MATERIALS AND METHODS: 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. |
format | Online Article Text |
id | pubmed-4205694 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Yonsei University College of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-42056942014-11-01 Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures Yi, Yoon Young Kim, Heung Dong Lee, Joon Soo Cheon, Keun-Ah Kang, Hoon-Chul Yonsei Med J Original Article PURPOSE: Our purpose was to investigate psychological problems and clinical outcomes in children with psychogenic non-epileptic seizures (PNES). MATERIALS AND METHODS: 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. Yonsei University College of Medicine 2014-11-01 2014-10-08 /pmc/articles/PMC4205694/ /pubmed/25323891 http://dx.doi.org/10.3349/ymj.2014.55.6.1556 Text en © Copyright: Yonsei University College of Medicine 2014 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yi, Yoon Young Kim, Heung Dong Lee, Joon Soo Cheon, Keun-Ah Kang, Hoon-Chul Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures |
title | Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures |
title_full | Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures |
title_fullStr | Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures |
title_full_unstemmed | Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures |
title_short | Psychological Problems and Clinical Outcomes of Children with Psychogenic Non-Epileptic Seizures |
title_sort | psychological problems and clinical outcomes of children with psychogenic non-epileptic seizures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4205694/ https://www.ncbi.nlm.nih.gov/pubmed/25323891 http://dx.doi.org/10.3349/ymj.2014.55.6.1556 |
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