Psychopathological features in referred adolescents with psychogenic nonepileptic seizures with or without epilepsy

Masi, Gabriele; Madonia, Ursula; Ferrari, Anna Rita; Sicca, Federico; Brovedani, Paola; D’Acunto, Giulia; Mucci, María; Lenzi, Francesca

doi:10.1016/j.yebeh.2020.107431

Cited by 6 publications

(4 citation statements)

References 58 publications

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“…The terminology used to describe PNES was: PNES ( n = 53/69%), pseudoseizures ( n = 8/10%), non‐epileptic attack disorder (NEAD) ( n = 1/1%), non‐epileptic seizures ( n = 6/8%), psychogenic seizures ( n = 6/8%), psychogenic non‐epileptic events ( n = 2/3%), and pseudo‐epileptic seizures ( n = 1/1%). Six studies used an ILAE definition of epilepsy in studies that included children with epilepsy 34,48,80,81,84,87 …”

Section: Resultsmentioning

confidence: 99%

“…In terms of criteria used to define PNES, eight studies specifically mentioned DSM criteria, 47,53,56,60,63,65,81,93 seven ICD criteria, 30,31,33,48,49,55,86 and in six studies the minimum requirements outlined by La France 15 et al 2013 [29][30][31][32]34,37 were employed. Two studies required both La France et al and ICD criteria.…”

Section: Terminology and Criteria Used To Diagnose Pnes In Childrenmentioning

confidence: 99%

“…Six studies used an ILAE definition of epilepsy in studies that included children with epilepsy. 34,48,80,81,84,87 Respondents in the Delphi survey were asked to indicate, "Which of the following terms do you feel is best when describing paroxysmal events thought to be psychogenic in origin in the pediatric population?" The most popular term selected by respondents to this question (n = 28) was non-epileptic events (57%), followed by episodes (18%), seizures (14%), other (7%), attacks (4%), and spells (0%).…”

Section: Terminology and Criteria Used To Diagnose Pnes In Childrenmentioning

confidence: 99%

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Scoping review and expert‐based consensus recommendations for assessment and management of psychogenic non‐epileptic (functional) seizures (PNES) in children: A report from the Pediatric Psychiatric Issues Task Force of the International League Against Epilepsy

Reilly,

Jette,

Johnson

et al. 2023

Epilepsia

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Limited guidance exists regarding the assessment and management of psychogenic non‐epileptic seizures (PNES) in children. Our aim was to develop consensus‐based recommendations to fill this gap. The members of the International League Against Epilepsy (ILAE) Task Force on Pediatric Psychiatric Issues conducted a scoping review adhering to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐SR) standards. This was supplemented with a Delphi process sent to pediatric PNES experts. Consensus was defined as ≥80% agreement. The systematic search identified 77 studies, the majority (55%) of which were retrospective (only one randomized clinical trial). The primary means of PNES identification was video electroencephalography (vEEG) in 84% of studies. Better outcome was associated with access to counseling/psychological intervention. Children with PNES have more frequent psychiatric disorders than controls. The Delphi resulted in 22 recommendations: Assessment—There was consensus on the importance of (1) taking a comprehensive developmental history; (2) obtaining a description of the events; (3) asking about potential stressors; (4) the need to use vEEG if available parent, self, and school reports and video recordings can contribute to a “probable” diagnosis; and (5) that invasive provocation techniques or deceit should not be employed. Management—There was consensus about the (1) need for a professional with expertise in epilepsy to remain involved for a period after PNES diagnosis; (2) provision of appropriate educational materials to the child and caregivers; and (3) that the decision on treatment modality for PNES in children should consider the child's age, cognitive ability, and family factors. Comorbidities—There was consensus that all children with PNES should be screened for mental health and neurodevelopmental difficulties. Recommendations to facilitate the assessment and management of PNES in children were developed. Future directions to fill knowledge gaps were proposed.

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Section: Resultsmentioning

confidence: 99%

Section: Terminology and Criteria Used To Diagnose Pnes In Childrenmentioning

confidence: 99%

Section: Terminology and Criteria Used To Diagnose Pnes In Childrenmentioning

confidence: 99%

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Scoping review and expert‐based consensus recommendations for assessment and management of psychogenic non‐epileptic (functional) seizures (PNES) in children: A report from the Pediatric Psychiatric Issues Task Force of the International League Against Epilepsy

Reilly,

Jette,

Johnson

et al. 2023

Epilepsia

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“…All of the above groups presented alexithymic traits and emotional dysregulation. [34] A review done systematically of all published observational studies (from inception to Dec. 2016) was done in order to determine the correlates, frequency and outcomes of dual diagnosis. All of the studies that were reporting a diagnosis of any age of both PNES and epilepsy were included.…”

Section: Speci C Objectivesmentioning

confidence: 99%

Prevalence and risk factors of psychogenic non-epileptic seizures (PNES) among adult Sudanese epileptic patients who attend Dauod charity clinic, Sudan, 2021

Abbasher¹,

Malik²,

Hussien³

et al. 2021

Preprint

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Background: Seizures can present in many diseases like epilepsy which is in the list of the commonest neurological diseases. Some seizures can present as psychogenic seizures. Epilepsy can also be associated with psychogenic non-epileptic seizures.Objectives: To assess prevalence and risk factors of psychogenic non-epileptic among adult Sudanese epileptic patients.Methodology: A descriptive cross-sectional facility-based study was conducted during Jan-Feb 2021 at Daoud Charity Clinic in Omdurman city, Sudan. Data collection was conducted through an interview-based structured questionnaire and there was a total number of 99 participants who were included in this study. Results: Overall, in this study there were 99 epileptic patients. 57% were females, 79% of the patients reside in Khartoum, and 32% reached secondary school. The main type of epilepsy was generalized tonic clonic (68%) followed by focal with impairment (11%). The majority of patients have been diagnosed with epilepsy for more than three years (65%). Psychogenic non-epileptic seizures history was found in 29 (29%). The PNES prevalence was significantly higher in patients with social problems and depression (p value 0.005, 0.00 respectively). Patients with depression were having 14 times risk to have psychogenic non-epileptic seizures than patients without depression (CI 95%: ##-##). Most of the participants had no sexual or physical abuse history, school/university/work refusal, and\or absence (94%, 84%, and 63% respectively).Conclusion: A considerable high prevalence rate of PNES can be found among adult epileptic patients. Epileptic patients suffering from social problems or/and depression and poor economic status have a higher tendency to develop psychogenic non-epileptic seizures especially after two to three years of treatment and above.

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Funktionelle neurologische Störungen

Popkirov

Weber

2023

Transition Bei Neurologischen Erkrankungen

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Psychopathological features in referred adolescents with psychogenic nonepileptic seizures with or without epilepsy

Cited by 6 publications

References 58 publications

Scoping review and expert‐based consensus recommendations for assessment and management of psychogenic non‐epileptic (functional) seizures (PNES) in children: A report from the Pediatric Psychiatric Issues Task Force of the International League Against Epilepsy

Scoping review and expert‐based consensus recommendations for assessment and management of psychogenic non‐epileptic (functional) seizures (PNES) in children: A report from the Pediatric Psychiatric Issues Task Force of the International League Against Epilepsy

Prevalence and risk factors of psychogenic non-epileptic seizures (PNES) among adult Sudanese epileptic patients who attend Dauod charity clinic, Sudan, 2021

Funktionelle neurologische Störungen

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