Standard medical care for psychogenic nonepileptic seizures in Brazil

被引：10

作者：

Valente, Kette D. ^{[1
,2
]}

Rzezak, Patricia ^{[1
,2
]}

LaFrance, W. Curt, Jr. ^{[3
]}

机构：

[1] Univ Sao Paulo, Sch Med, Lab Neuroimaging Neurosci LIM 21, BR-01060970 Sao Paulo, SP, Brazil

[2] Univ Sao Paulo, Sch Med, Dept Psychiat, Clin Neurophysiol Lab, BR-01060970 Sao Paulo, SP, Brazil

[3] Brown Univ, Rhode Isl Hosp, Neuropsychiat & Behav Neurol, Providence, RI 02903 USA

来源：

EPILEPSY & BEHAVIOR | 2015年 / 45卷

基金：

巴西圣保罗研究基金会;

关键词：

Nonepileptic seizures; Diagnosis; Video-EEG; Treatment; HEALTH; DIAGNOSIS; EPILEPSY; PSEUDOSEIZURES; NEUROLOGISTS; MANAGEMENT;

D O I：

10.1016/j.yebeh.2015.02.032

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Knowledge about health systems can promote implementation of more specific and strategic health practices for patients with psychogenic nonepileptic seizures (PNES). For this purpose, we surveyed the current management of PNES (standard medical care [SMC]) by Brazilian League Against Epilepsy members. Respondents reported diagnosing PNES with a mean frequency of 3 patients/month. Video-EEG (vEEG) was considered the best method for the diagnosis. Respondents who have vEEG in their facilities refer to vEEG significantly more often than those who have no vEEG (p < 0.001). Therefore, South and Southeast Brazil regions referred patients more frequently to vEEG than other regions (p = 0.004). Psychotherapy was considered the most effective (92.2%) treatment option, followed by education (75%) and psychopharmacology (70.3%). There were no regional differences considering treatment. The study identified current national diagnostic and treatment practices across the country and identified relevant Brazilian regional differences. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：128 / 135

页数：8

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