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Psychological long‐term outcome in patients with psychogenic nonepileptic seizures.

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Title: Psychological long‐term outcome in patients with psychogenic nonepileptic seizures.
Authors: Walther, Katrin (AUTHOR), Volbers, Bastian (AUTHOR), Erdmann, Laura (AUTHOR), Dogan Onugoren, Müjgan (AUTHOR), Gollwitzer, Stephanie (AUTHOR), Kasper, Burkhard S. (AUTHOR), Kurzbuch, Katrin (AUTHOR), Lang, Johannes (AUTHOR), Schwab, Stefan (AUTHOR), Schwarz, Michael (AUTHOR), Hamer, Hajo M. (AUTHOR)
Source: Epilepsia (Series 4). Apr2019, Vol. 60 Issue 4, p669-678. 10p.
Subjects: Extraversion, Quality of life, Personality, Age of onset, Call centers
Abstract: Summary: Objective: To examine the long‐term outcome of psychological status, personality, and health‐related quality of life (HRQoL) in patients with psychogenic nonepileptic seizures (PNES) and to define predictors of favorable outcome of cessation of PNES. Method: Patients diagnosed with PNES during video–electroencephalography (EEG) monitoring at the Erlangen Epilepsy Center were contacted 1‐16 years after communicating the diagnosis. Follow‐up information from each participant was obtained by interview (PNES outcome) and by self‐reported questionnaires of psychological symptoms (Beck Depression Inventory‐II, Symptom Checklist‐90‐Standard, Dissociative Symptoms questionnaire), personality traits (Freiburg Personality Inventory‐Revised), and HRQoL (36‐Item Short Form Health Survey). Results: Fifty‐two patients participated in the study (mean age ± standard deviation [SD] 40.5 ± 14.0 years; 75% female, follow‐up: 5.3 ± 4.2 years). Nineteen patients (37%) were free of PNES for the past 12 months. Patients with persisting PNES were older at disease onset (32.9 vs 22.3 years, P < 0.01) and diagnosis (40.5 vs 27.2 years, P < 0.001), and showed worse psychological functioning, lower extraversion and life satisfaction, and higher inhibitedness and worse HRQoL than PNES‐free patients. Patients with cessation of PNES were within the normal range in all dimensions. Cessation of PNES was best predicted by younger age at PNES onset and higher extraversion. Significance: Outcome of PNES is poor, psychopathology is high, and HRQoL is low in patients with persistent PNES but may normalize with PNES cessation. High introversion and older age at PNES onset are risk factors for persistent PNES. [ABSTRACT FROM AUTHOR]
Copyright of Epilepsia (Series 4) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Psychological long‐term outcome in patients with psychogenic nonepileptic seizures.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Walther%2C+Katrin%22&quot;&gt;Walther, Katrin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Volbers%2C+Bastian%22&quot;&gt;Volbers, Bastian&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Erdmann%2C+Laura%22&quot;&gt;Erdmann, Laura&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dogan+Onugoren%2C+M&#252;jgan%22&quot;&gt;Dogan Onugoren, M&#252;jgan&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gollwitzer%2C+Stephanie%22&quot;&gt;Gollwitzer, Stephanie&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kasper%2C+Burkhard+S%2E%22&quot;&gt;Kasper, Burkhard S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kurzbuch%2C+Katrin%22&quot;&gt;Kurzbuch, Katrin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lang%2C+Johannes%22&quot;&gt;Lang, Johannes&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schwab%2C+Stefan%22&quot;&gt;Schwab, Stefan&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schwarz%2C+Michael%22&quot;&gt;Schwarz, Michael&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hamer%2C+Hajo+M%2E%22&quot;&gt;Hamer, Hajo M.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Epilepsia+%28Series+4%29%22&quot;&gt;Epilepsia (Series 4)&lt;/searchLink&gt;. Apr2019, Vol. 60 Issue 4, p669-678. 10p.
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  Data: Summary: Objective: To examine the long‐term outcome of psychological status, personality, and health‐related quality of life (HRQoL) in patients with psychogenic nonepileptic seizures (PNES) and to define predictors of favorable outcome of cessation of PNES. Method: Patients diagnosed with PNES during video–electroencephalography (EEG) monitoring at the Erlangen Epilepsy Center were contacted 1‐16&#160;years after communicating the diagnosis. Follow‐up information from each participant was obtained by interview (PNES outcome) and by self‐reported questionnaires of psychological symptoms (Beck Depression Inventory‐II, Symptom Checklist‐90‐Standard, Dissociative Symptoms questionnaire), personality traits (Freiburg Personality Inventory‐Revised), and HRQoL (36‐Item Short Form Health Survey). Results: Fifty‐two patients participated in the study (mean age &#177; standard deviation [SD] 40.5&#160;&#177;&#160;14.0&#160;years; 75% female, follow‐up: 5.3&#160;&#177;&#160;4.2&#160;years). Nineteen patients (37%) were free of PNES for the past 12&#160;months. Patients with persisting PNES were older at disease onset (32.9 vs 22.3&#160;years, P&#160;&lt;&#160;0.01) and diagnosis (40.5 vs 27.2&#160;years, P&#160;&lt;&#160;0.001), and showed worse psychological functioning, lower extraversion and life satisfaction, and higher inhibitedness and worse HRQoL than PNES‐free patients. Patients with cessation of PNES were within the normal range in all dimensions. Cessation of PNES was best predicted by younger age at PNES onset and higher extraversion. Significance: Outcome of PNES is poor, psychopathology is high, and HRQoL is low in patients with persistent PNES but may normalize with PNES cessation. High introversion and older age at PNES onset are risk factors for persistent PNES. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Epilepsia (Series 4) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/epi.14682
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        Text: English
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