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Nonepileptic seizures: reframing the diagnosis
Noreen C Thompson1, Ivan Osorio, Edward E Hunter
1University of Kansas Medical Center, Department of Nursing, 3901 Rainbow Blvd., Kansas City, Kansas 66160-7220, USA. nthomps2@kumc.edu
Problem:
Protocols for disclosing the diagnosis of psychological pseudoseizures have been developed. However, outcomes have not been carefully studied.
Method:
Using a retrospective design, the investigators evaluated the outcomes by interviewing patients 2 years after diagnosis who received the diagnosis using a specific protocol.
Findings:
There was a reduction in symptoms demonstrated by reports of lessened intensity of events or actual reduction in the number of events in 86% of those interviewed.
Conclusion:
This protocol proved helpful in the acceptance of the diagnosis and improved adherence to the treatment recommendations after disclosure of the diagnosis.
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