Health care practitioners' perceptions of psychogenic nonepileptic seizures: A systematic review of qualitative and quantitative studies

Epilepsia
Gregg H Rawlings, Markus Reuber

Abstract

A recent systematic synthesis of qualitative research demonstrated that patients with psychogenic nonepileptic seizures (PNES) often experience unsatisfactory encounters with health care practitioners (HCPs). It is important to understand such interactions from the perspective of those responsible for delivering care. This systematic review aimed to examine the attitudes and perceptions of HCPs toward PNES. A systematic search of 3 databases (Web of Science, PubMed, and CINAHL) was conducted in November 2017. Studies from around the world published after 1997 using qualitative or quantitative methodologies were reviewed. An interpretative stance was taken to analyze the data utilizing a grounded theory approach. The quality of studies included was assessed using the Mixed Methods Appraisal Tool. Overall, 30 separate studies capturing the views of at least 3900 professionals were included. Five concepts emerged from the analysis: (1) HCPs' responses demonstrated uncertainty about many aspects of PNES, including diagnosis and treatment; (2) HCPs understood PNES in dualistic terms, perceiving the condition as largely associated with psychological factors; (3) Patients with PNES were considered challenging and frustrating; (4) HCPs...Continue Reading

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Citations

Jul 18, 2020·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·V A Karlov, S V Iliushenko
Mar 7, 2019·Epilepsy Currents·Barbara Dworetzky
Jul 30, 2020·Pediatric Research·Anne S HansenCharlotte U Rask
Dec 24, 2019·Seizure : the Journal of the British Epilepsy Association·Jon StoneLaura H Goldstein
Feb 8, 2021·Seizure : the Journal of the British Epilepsy Association·Rūta MameniškienėJaime Carrizosa-Moog
Oct 24, 2020·Clinical and Experimental Pediatrics·Jung Sook YeomSookyong Koh
Aug 1, 2021·Seizure : the Journal of the British Epilepsy Association·Gregg H RawlingsMarkus Reuber
Jul 11, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Matthew ButlerTimothy Nicholson
Nov 24, 2021·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Andrea TannerWendy R Miller

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