Cognitive behavioral therapy for psychogenic nonepileptic seizures

被引：144

作者：

LaFrance, W. Curt, Jr. ^{[1
,2
,3
]}

Miller, Ivan W. ^{[1
]}

Ryan, Christine E. ^{[1
]}

Blum, Andrew S. ^{[2
,3
]}

Solomon, David A. ^{[1
]}

Kelley, Joan E. ^{[1
]}

Keitner, Gabor I. ^{[1
]}

机构：

[1] Rhode Isl Hosp, Brown Med Sch, Dept Psychiat & Human Behav, Providence, RI 02903 USA

[2] Rhode Isl Hosp, Brown Med Sch, Dept Neurol, Providence, RI 02903 USA

[3] Rhode Isl Hosp, Brown Med Sch, Comprehens Epilepsy Program, Providence, RI 02903 USA

来源：

EPILEPSY & BEHAVIOR | 2009年 / 14卷 / 04期

关键词：

Psychogenic nonepileptic seizures; Cognitive behavioral therapy; Conversion disorder; Somatoform disorder; Treatment; Clinical trial; RANDOMIZED CONTROLLED-TRIAL; SOMATIZED MENTAL-DISORDER; PSYCHOMETRIC PROPERTIES; FOLLOW-UP; EPILEPSY; SCALE; REATTRIBUTION; EFFICACY; PSEUDOSEIZURES; PERSPECTIVES;

D O I：

10.1016/j.yebeh.2009.02.016

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：

Treatment trials for psychogenic nonepileptic seizures (PNES) are few, despite the high prevalence and disabling nature of the disorder. We evaluated the effect of cognitive behavioral therapy (CBT) on reduction of PNES. Secondary measures included psychiatric symptom scales and psychosocial variables. We conducted a prospective clinical trial assessing the frequency of PNES in outpatients treated using a CBT for PNES manual. Subjects diagnosed with video/EEG-confirmed PNES were treated with CBT for PNES conducted in 12 weekly sessions. Seizure calendars were charted prospectively. Twenty-one subjects enrolled, and 17 (81%) completed the CBT intervention. Eleven of the 17 completers reported no seizures by their final CBT session. Mean scores on scales of depression, anxiety, somatic symptoms, quality of life, and psychosocial functioning showed improvement from baseline to final session. CBT for PNES reduced the number of PNES and improved psychiatric symptoms, psychosocial functioning. and quality of life. (C) 2009 Elsevier Inc. All rights reserved

引用

页码：591 / 596

页数：6

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