Job consultation in patients with psychogenic nonepileptic seizures: Systematic review and survey of physicians' opinion.


Journal

Epilepsy & behavior : E&B
ISSN: 1525-5069
Titre abrégé: Epilepsy Behav
Pays: United States
ID NLM: 100892858

Informations de publication

Date de publication:
02 2020
Historique:
received: 14 11 2019
revised: 15 12 2019
accepted: 15 12 2019
pubmed: 4 1 2020
medline: 18 11 2020
entrez: 4 1 2020
Statut: ppublish

Résumé

The objectives of this study were 1) to review the literature about "job/employment and psychogenic nonepileptic seizures (PNES)" and 2) to gather the views of neurologists and psychiatrists on the issue of job consultation in patients with PNES. Phase one involved a systematic literature review; phase two involved the collection of the views of neurologists and psychiatrists, practicing in Fars province, Iran, on the issue of job consultation in patients with PNES. A questionnaire was designed for the purpose of this study. No studies were identified by the systematic review process on the issue of job consultation in patients with PNES. Of the 87 health-care professionals approached, 63 responded to the survey (response rate: 72%). Respondents included 31 neurologists and 32 psychiatrists. In response to the question "Should all patients with PNES be counseled to pursue any job or profession they would like?", 17 (55%) neurologists and 19 (59%) psychiatrists answered "no" (p = 0.8). While it is possible that some patients with PNES are more likely than other people in the general public to be involved in job-related difficulties (performing duties related to any job, accidents, etc.), there is currently no evidence supporting or refuting this proposition. However, in this study, the majority of the health-care professionals, who often deal with these patients, believed that not all patients with PNES should be counseled to pursue any job or profession they would like (i.e., there should be some restrictions).

Identifiants

pubmed: 31899167
pii: S1525-5050(19)31253-3
doi: 10.1016/j.yebeh.2019.106863
pii:
doi:

Types de publication

Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

106863

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest Ali A. Asadi-Pooya received honoraria from Cobel Daruo and RaymandRad, royalty from Oxford University Press (Book publication), and grant from the National Institute for Medical Research Development. The others have no conflict of interest.

Auteurs

Masoume Nazeri (M)

Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Seyed Ali Dastgheib (SA)

Substance Abuse Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: adastgheib@sums.ac.ir.

Ali A Asadi-Pooya (AA)

Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA. Electronic address: aliasadipooya@yahoo.com.

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Classifications MeSH