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Psychological problems and clinical outcomes of children with psychogenic non-epileptic seizures

 Yoon Young Yi  ;  Heung Dong Kim  ;  Joon Soo Lee  ;  Keun Ah Cheon  ;  Hoon Chul Kang 
 YONSEI MEDICAL JOURNAL, Vol.55(6) : 1556-1561, 2014 
Journal Title
Issue Date
Adolescent ; Adult ; Anxiety/epidemiology ; Attention Deficit Disorder with Hyperactivity/epidemiology ; Child ; Child, Preschool ; Comorbidity ; Depression/epidemiology ; Depressive Disorder/epidemiology ; Depressive Disorder/psychology ; Electroencephalography ; Female ; Humans ; Male ; Mental Disorders/diagnosis* ; Mental Disorders/epidemiology ; Mental Disorders/psychology* ; Middle Aged ; Psychophysiologic Disorders/diagnosis* ; Psychophysiologic Disorders/psychology* ; Psychotherapy ; Retrospective Studies ; Seizures/diagnosis ; Seizures/psychology* ; Seizures/therapy* ; Treatment Outcome ; Young Adult
Seizure ; children ; psychological
PURPOSE: Our purpose was to investigate psychological problems and clinical outcomes in children with psychogenic non-epileptic seizures (PNES). MATERIALS AND METHODS: We retrospectively reviewed the data of 25 patients who were diagnosed with PNES between 2006 and 2012. RESULTS: Twenty-five children with PNES, aged 8 to 19 years (mean 13.82), were referred to psychiatrists for psychiatric assessment. On their initial visit, 72% of patients had comorbid psychological problems, including depression, anxiety, conduct disorder, adjustment disorder, Attention Deficit Hyperactivity Disorder, schizophrenia, and bipolar disorder. Among these, depression was the most frequent (36%). Predisposing and triggering factors included familial distress (40%), social distress (24%), and specific events (20%). The following treatment was advised based on the results of the initial psychological assessment: 3 patients regularly visited psychiatric clinic to assess their clinical status without treatment, nine underwent psychotherapy, and 13 received a combination of psychotherapy and psychopharmacological therapy. At the mean follow-up of 31.5 months after diagnosis, 20 patients (80%) were event-free at follow-up, three (12%) showed reduced frequency, and two (8%) experienced persistent symptoms. CONCLUSION: The outcomes of PNES in children are much better than those in adults, despite a high rate of psychological comorbidities.
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hoon Chul(강훈철) ORCID logo https://orcid.org/0000-0002-3659-8847
Kim, Heung Dong(김흥동) ORCID logo https://orcid.org/0000-0002-8031-7336
Lee, Joon Soo(이준수) ORCID logo https://orcid.org/0000-0001-9036-9343
Cheon, Keun Ah(천근아) ORCID logo https://orcid.org/0000-0001-7113-9286
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