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Perceptions in PNES: A Bidirectional Problem.

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    Health care practitioners often show uncertainty and frustration regarding psychogenic nonepileptic seizures (PNES). Improved training and attitude shifts are crucial for better patient care and understanding of PNES.

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    Area of Science:

    • Neurology
    • Psychiatry
    • Healthcare Professional Studies

    Background:

    • Patients with psychogenic nonepileptic seizures (PNES) frequently report negative interactions with healthcare providers.
    • Understanding healthcare practitioners' (HCPs) perspectives is vital for improving care delivery for PNES patients.

    Purpose of the Study:

    • To systematically review and analyze the attitudes and perceptions of HCPs concerning PNES.
    • To identify key themes in HCPs' understanding and management of PNES.

    Main Methods:

    • A systematic search of Web of Science, PubMed, and CINAHL databases was performed in November 2017.
    • Qualitative and quantitative studies published after 1997 were included, analyzed using a grounded theory approach.
    • Thirty studies involving over 3900 professionals were reviewed.

    Main Results:

    • HCPs exhibit uncertainty in diagnosing and treating PNES, often viewing it as primarily psychological.
    • Patients with PNES are perceived as challenging, with contested views on treatment responsibility.
    • PNES is often considered less severe and more voluntary than epilepsy.

    Conclusions:

    • While some HCPs demonstrate good understanding, many hold concerning views on PNES.
    • There is a limited number of qualitative studies directly assessing HCPs' PNES perceptions.
    • Increased training and efforts to modify practitioner attitudes are necessary for improved PNES management.