Rating scale for psychogenic nonepileptic seizures: Scale development and clinimetric testing

被引：16

作者：

Cianci, Vittoria ^{[1
,2
]}

Ferlazzo, Edoardo ^{[1
,2
]}

Condino, Francesca ^{[3
]}

Mauvais, Helene Somma ^{[4
]}

Farnarier, Guy ^{[4
]}

Labate, Angelo ^{[2
]}

Latella, Maria Adele ^{[1
]}

Gasparini, Sara ^{[2
]}

Branca, Damiano ^{[1
]}

Pucci, Franco ^{[2
]}

Vazzana, Francesco ^{[1
]}

Gambardella, Antonio ^{[2
,3
]}

Aguglia, Umberto ^{[1
,2
]}

机构：

[1] Hosp Reggio Calabria, Reg Epilepsy Ctr, Reggio Di Calabria, Italy

[2] Magna Graecia Univ Catanzaro, Inst Neurol, Catanzaro, Italy

[3] CNR, Cosenza, Italy

[4] Serv Neurophysiol Clin Hop Nord, Fac Med, Marseille, France

来源：

EPILEPSY & BEHAVIOR | 2011年 / 21卷 / 02期

关键词：

Clinimetric testing; Pseudoseizures; Psychogenic nonepileptic seizures; Rating scale; Video-electroencephalography; POSTTRAUMATIC-STRESS-DISORDER; EPILEPTIC SEIZURES; VIDEO-EEG; PSEUDOSEIZURES; PREVALENCE; SUGGESTION; DIAGNOSIS;

D O I：

10.1016/j.yebeh.2011.03.025

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：

Our aim was to develop a clinimetric scale evaluating motor phenomena, associated features, and severity of psychogenic nonepileptic seizures (PNES). Sixty video/EEG-recorded PNES induced by suggestion maneuvers were evaluated. We examined the relationship between results from this scale and results from the Clinical Global Impression (CGI) scale to validate this technique. Interrater reliabilities of the PNES scale for three raters were analyzed using the AC1 statistic, Kendall's coefficient of concordance (KCC), and intraclass correlation coefficients (ICCs). The relationship between the CGI and PNES scales was evaluated with Spearman correlations. The AC1 statistic demonstrated good interrater reliability for each phenomenon analyzed (tremor/oscillation, tonic; clonic/jerking, hypermotor/agitation, atonic/akinetic, automatisms, associated features). KCC and the ICC showed moderate interrater agreement for phenomenology, associated phenomena, and total PNES scores. Spearman's correlation of mean CGI score with mean total PNES score was 0.69 (P < 0.001). The scale described here accurately evaluates the phenomenology of PNES and could be used to assess and compare subgroups of patients with PNES. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：128 / 131

页数：4

共 26 条

[1] Does the primary literature provide support for clinical signs used to distinguish psychogenic nonepileptic seizures from epileptic seizures? [J].