Adherence with psychotherapy and treatment outcomes for psychogenic nonepileptic seizures.
Adolescent
Adult
Adult Survivors of Child Abuse
/ statistics & numerical data
Aged
Aged, 80 and over
Cohort Studies
Conversion Disorder
/ therapy
Emergency Service, Hospital
/ statistics & numerical data
Ethnicity
/ statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Middle Aged
Minority Groups
/ statistics & numerical data
Odds Ratio
Prospective Studies
Psychotherapy
Quality of Life
Seizures
/ therapy
Treatment Adherence and Compliance
/ statistics & numerical data
Treatment Outcome
Young Adult
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
12 02 2019
12 02 2019
Historique:
received:
10
01
2018
accepted:
11
10
2018
pubmed:
6
1
2019
medline:
23
11
2019
entrez:
6
1
2019
Statut:
ppublish
Résumé
We conducted a prospective cohort study of patients with psychogenic nonepileptic seizures (PNES) to examine the association between adherence with psychotherapy and outcomes, including significant (≥50%) reduction in PNES frequency, PNES freedom, improvement in quality of life, and reduction in emergency department (ED) utilization. A total of 105 participants were referred to receive psychotherapy either at Brigham and Women's Hospital or with a local therapist. We called participants at 12-24 months follow-up and obtained detailed follow-up data from 93 participants (89%). Participants were considered adherent with psychotherapy if they attended at least 8 sessions within a 16-week period starting at the time of referral. Adherence with psychotherapy was associated with reduction in seizure frequency (84% in adherent group vs 61% in nonadherent, Our study is limited in that it cannot establish a causal relationship between adherence with psychotherapy and outcomes, and the results may not generalize beyond the single quaternary care center study site. Among participants with documented PNES, adherence with psychotherapy was associated with reduction in PNES frequency, improvement in quality of life, and decrease in ED visits.
Identifiants
pubmed: 30610097
pii: WNL.0000000000006848
doi: 10.1212/WNL.0000000000006848
pmc: PMC6382361
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e675-e679Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2019 American Academy of Neurology.
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