TY - JOUR
T1 - Psychological problems and clinical outcomes of children with psychogenic non-epileptic seizures
AU - Yi, Yoon Young
AU - Kim, Heung Dong
AU - Lee, Joon Soo
AU - Cheon, Keun Ah
AU - Kang, Hoon Chul
N1 - Publisher Copyright:
© Yonsei University College of Medicine 2014.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - 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.
AB - 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.
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U2 - 10.3349/ymj.2014.55.6.1556
DO - 10.3349/ymj.2014.55.6.1556
M3 - Article
C2 - 25323891
AN - SCOPUS:84908223417
SN - 0513-5796
VL - 55
SP - 1556
EP - 1561
JO - Yonsei medical journal
JF - Yonsei medical journal
IS - 6
ER -