Providers' perspectives on treating psychogenic nonepileptic seizures: frustration and hope.
Epilepsy Behav
; 37: 276-81, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-25128685
ABSTRACT
Recent diagnostic and treatment advances in psychogenic nonepileptic seizures (PNES) have the potential to improve care for patients, but little is known about the current state of PNES care delivery in the Veterans Health Administration (VA). We conducted semistructured interviews with 74 health-care clinicians and workers in the VA, eliciting provider perceptions of PNES care. Data were analyzed according to principles of Grounded Theory. The results revealed variation in care and two emergent domain themes of frustration and hope. Frustration was manifest in subthemes including Complexity, Patient Acceptance, Uncertainty About Treatment, Need for Evidence-based Treatment, and Failure of Cross-Disciplinary Collaboration between neurologists and mental health providers. Hope encompassed subthemes of Positive Attitudes, Developing Cross-Disciplinary Treatment, and Specific PNES Care. Increased resources for diagnosing, treating, and researching PNES have improved awareness of the disorder. More research is needed to understand patients' and caregivers' perceptions of PNES care.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Convulsiones
/
Actitud del Personal de Salud
/
Terapia Cognitivo-Conductual
/
Frustación
Tipo de estudio:
Diagnostic_studies
/
Qualitative_research
Límite:
Adult
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Epilepsy Behav
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
NEUROLOGIA
Año:
2014
Tipo del documento:
Article