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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
Perspectives in Psychiatric Care
|June 1, 2005
Summary
A new protocol for disclosing psychological pseudoseizures (PPS) significantly improved patient acceptance and treatment adherence. Most patients reported reduced symptom intensity or frequency after diagnosis disclosure.
Area of Science:
- Neurology
- Psychiatry
- Clinical Psychology
Background:
- Protocols for diagnosing psychological pseudoseizures (PPS) exist, but their effectiveness in patient outcomes requires further study.
- Understanding the impact of diagnosis disclosure on patient acceptance and treatment adherence is crucial for managing PPS.
Purpose of the Study:
- To evaluate the outcomes of a specific protocol for disclosing the diagnosis of psychological pseudoseizures (PPS).
- To assess patient acceptance of the diagnosis and adherence to treatment recommendations following the disclosure protocol.
Main Methods:
- A retrospective study design was employed.
- Investigators interviewed patients two years after receiving a PPS diagnosis via a specific disclosure protocol.
Main Results:
- A significant reduction in symptom intensity or frequency was reported by 86% of interviewed patients.
- The protocol facilitated better acceptance of the PPS diagnosis.
Conclusions:
- The studied protocol for disclosing psychological pseudoseizures (PPS) is effective in improving patient outcomes.
- Enhanced diagnosis acceptance and adherence to treatment recommendations were observed post-protocol implementation.