The opinion of the general practitioner toward clinical management of patients with psychogenic nonepileptic seizures.

Hdl Handle:
http://hdl.handle.net/10147/208881
Title:
The opinion of the general practitioner toward clinical management of patients with psychogenic nonepileptic seizures.
Authors:
O'Sullivan, S S; Sweeney, B J; McNamara, B
Affiliation:
Department of Neurology/Neurophysiology, Cork University Hospital, Wilton, Cork, , Republic of Ireland. seansosullivan@hotmail.com
Citation:
Epilepsy Behav. 2006 Feb;8(1):256-60. Epub 2005 Nov 14.
Journal:
Epilepsy & behavior : E&B
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208881
DOI:
10.1016/j.yebeh.2005.09.013
PubMed ID:
16290241
Abstract:
OBJECTIVE: The purpose of this work was to assess the opinion of general practitioners (GPs) regarding the diagnosis of psychogenic nonepileptic seizures (PNES) and the role they feel they should play in the management of the disorder. METHODS: Patients with PNES were identified from hospital records. Seizure and patient characteristics were recorded. Their GPs were surveyed regarding their understanding of the diagnosis and ongoing management of PNES. RESULTS: Twenty-three patients were identified over a 3-year period as having been diagnosed with PNES. Sixty-five percent of GPs agreed with the diagnosis, and when asked to grade their understanding of the diagnosis (poor = 1, excellent = 10), the mean score was 5.7 (+/-SD 2.3). Thirty-five percent of GPs felt psychological input was of benefit to their patients. Fifty-two percent of GPs felt comfortable following up these patients, either with or without neurology outpatient services. CONCLUSIONS: PNES remains a difficult disease to manage. There is a high level of uncertainty regarding the optimum management of PNES among primary care physicians, for which further education is needed.
Language:
eng
MeSH:
Adolescent; Adult; Attitude of Health Personnel; Comorbidity; Epilepsy/diagnosis; Female; Humans; Male; Middle Aged; Physician's Role; *Physicians, Family; Seizures/classification/psychology/*therapy; Somatoform Disorders/diagnosis/*therapy
ISSN:
1525-5050 (Print); 1525-5050 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Sullivan, S Sen_GB
dc.contributor.authorSweeney, B Jen_GB
dc.contributor.authorMcNamara, Ben_GB
dc.date.accessioned2012-02-03T15:06:21Z-
dc.date.available2012-02-03T15:06:21Z-
dc.date.issued2012-02-03T15:06:21Z-
dc.identifier.citationEpilepsy Behav. 2006 Feb;8(1):256-60. Epub 2005 Nov 14.en_GB
dc.identifier.issn1525-5050 (Print)en_GB
dc.identifier.issn1525-5050 (Linking)en_GB
dc.identifier.pmid16290241en_GB
dc.identifier.doi10.1016/j.yebeh.2005.09.013en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208881-
dc.description.abstractOBJECTIVE: The purpose of this work was to assess the opinion of general practitioners (GPs) regarding the diagnosis of psychogenic nonepileptic seizures (PNES) and the role they feel they should play in the management of the disorder. METHODS: Patients with PNES were identified from hospital records. Seizure and patient characteristics were recorded. Their GPs were surveyed regarding their understanding of the diagnosis and ongoing management of PNES. RESULTS: Twenty-three patients were identified over a 3-year period as having been diagnosed with PNES. Sixty-five percent of GPs agreed with the diagnosis, and when asked to grade their understanding of the diagnosis (poor = 1, excellent = 10), the mean score was 5.7 (+/-SD 2.3). Thirty-five percent of GPs felt psychological input was of benefit to their patients. Fifty-two percent of GPs felt comfortable following up these patients, either with or without neurology outpatient services. CONCLUSIONS: PNES remains a difficult disease to manage. There is a high level of uncertainty regarding the optimum management of PNES among primary care physicians, for which further education is needed.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAttitude of Health Personnelen_GB
dc.subject.meshComorbidityen_GB
dc.subject.meshEpilepsy/diagnosisen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPhysician's Roleen_GB
dc.subject.mesh*Physicians, Familyen_GB
dc.subject.meshSeizures/classification/psychology/*therapyen_GB
dc.subject.meshSomatoform Disorders/diagnosis/*therapyen_GB
dc.titleThe opinion of the general practitioner toward clinical management of patients with psychogenic nonepileptic seizures.en_GB
dc.contributor.departmentDepartment of Neurology/Neurophysiology, Cork University Hospital, Wilton, Cork, , Republic of Ireland. seansosullivan@hotmail.comen_GB
dc.identifier.journalEpilepsy & behavior : E&Ben_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.