Is patient acceptance of the diagnosis of functional (psychogenic nonepileptic) seizures linked to their clinical characteristics?

Journal of Psychosomatic Research
Ali A Asadi-Pooya, Mehdi Bazrafshan

Abstract

We investigated the rate of acceptance of functional seizures (FS) or psychogenic nonepileptic seizures (PNES) diagnosis in a cross-sectional study in a cohort from Iran. We hypothesized that the acceptance of FS diagnosis has association with clinical characteristics of the patients. In this cross-sectional study, all patients with FS, who were diagnosed at Shiraz Comprehensive Epilepsy Center, Iran, from 2008 until 2018, were investigated. In a phone call interview in February 2020, we obtained the following information: whether they have accepted the diagnosis that was delivered to them; what is their seizure outcome (seizure-free during the past 12 months or not). 100 patients participated; at the time of the follow-up call, 74 (74%) patients expressed that they have accepted the diagnosis of FS. At the follow-up call, 48 patients (48%) were seizure-free and 52 patients (52%) were suffering from FS yet; 34 of seizure-free patients (71%) and 40 of those patients who still had seizures (77%) expressed that they have accepted the diagnosis of FS (p = .504; Fisher's exact test). Patients' characteristics and seizure semiology were not associated with the acceptance of the diagnosis of FS. That the majority of patients with FS a...Continue Reading

References

Nov 26, 2010·Expert Review of Neurotherapeutics·Roderick Duncan
Mar 15, 2013·Epilepsia·W Curt LaFranceLaura H Goldstein
Apr 18, 2015·Epilepsy & Behavior : E&B·Ali A Asadi-Pooya, Michael R Sperling
Oct 23, 2015·Neuropsychiatric Disease and Treatment·Massimiliano BeghiCesare Maria Cornaggia
Dec 10, 2015·Journal of Clinical and Experimental Neuropsychology·Mark ThallerMartin Sadler
Feb 11, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Amir ArainNabil J Azar
Aug 27, 2018·Seizure : the Journal of the British Epilepsy Association·Alistair WardropeMarkus Reuber
Feb 18, 2019·Seizure : the Journal of the British Epilepsy Association·Ali A Asadi-PooyaMaryam Homayoun
Jun 18, 2019·Seizure : the Journal of the British Epilepsy Association·Ali A Asadi-PooyaTimothy R Nicholson
Jul 13, 2019·Epilepsy & Behavior : E&B·Ali A Asadi-PooyaTimothy Nicholson
Jan 28, 2020·Epilepsy & Behavior : E&B·Ali A Asadi-PooyaTimothy R Nicholson

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