RESUMO
PURPOSE: Attending to psychological support and education from the time of diagnosis will assist patients in their acceptance of the need for psychological services. DESIGN AND METHODS: An intervention was provided at the time of diagnosis of psychogenic nonepileptic seizures. This randomized control pilot study examined outcomes 6-8 weeks after discharge from the hospital. FINDINGS: All subjects in the treatment group made and/or kept an appointment with a psychotherapist or psychiatrist within 6-8 weeks of discharge from the hospital as compared with 50% of the control group. PRACTICE IMPLICATIONS: This supportive approach assists patients to accept the functional or nonorganic nature of their symptoms and the need for psychological services.
Assuntos
Educação de Pacientes como Assunto/métodos , Convulsões/terapia , Adolescente , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Resultado do Tratamento , Adulto JovemRESUMO
The widespread use of the routine EEG in clinical practice was a major development in the treatment of patients with ill-defined spells thought to be epileptic. Not every finding on the EEG is suggestive of epilepsy, and the EEG is subject to over-interpretation, which may lead to misdiagnosis and incorrect treatment. Although supplemented by other procedures, the EEG remains a cost-effective and noninvasive way to diagnose spells. To enhance further the diagnostic use of the EEG, it is important to determine how strongly patterns are correlated with clinical seizures. The authors studied one EEG pattern, lateralized bursts of theta, and found the rhythmicity of the pattern to be most strongly correlated with seizures.
