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- W1734378081 abstract "OBJECTIVE:To identify barriers in care provision for patients with psychogenic non-epileptic spells (PNES) by assessing (a) clinician knowledge regarding the nature, presentation, and associated treatment needs, and (b) providers’ attitudes toward this patient group.BACKGROUND:PNES is a conversion disorder presenting with involuntary seizure-like episodes not associated with epileptiform activity on EEG. These spells are diagnostically difficult and financially burdensome, with an average 7-year delay to diagnosis while eliminating other possibilities and frequent use of expensive, potentially harmful interventions (LaFrance & Benbadis, 2006). Although some groups have pioneered treatments (LaFrance et al., 2009; 2010) and some centers routinely provide psychiatric consultation for PNES (Acton & Tatum, 2013), a gold standard of care has yet to be achieved and prognosis remains poor (Baslet, 2012). This project was conducted to identify potential barriers to provision of such care in routine practice. DESIGN/METHODS:42 treatment providers in various clinical roles and specialty disciplines were surveyed using quantitative and open-ended items. Responses were analyzed using basic descriptive statistical methods and qualitative examination of open-ended responses.RESULTS:Clinicians rated the PNES population as largely undesirable in their practices and themselves as ineffective in treating PNES symptoms. Providers were split regarding their responsibilities in PNES treatment, between holding a diagnostic-only role and responsibility for both diagnosis and treatment. Providers believed that patients would benefit from psychiatric treatment, although these treatments were viewed as unavailable and/or inaccessible. Prognosis for patients with PNES was rated as guarded, with the majority of providers indicating that recovery was at least somewhat unlikelyCONCLUSIONS:PNES carries heavy implications for affected patients, although care remains suboptimal. Practical barriers for effective treatment include both provider attitudes toward PNES and limited availability of necessary treatment modalities. Directed efforts will be required to develop both provider- and patient-based interventions to address the significant needs of patients and providers alike. Disclosure: Dr. Hessler has nothing to disclose. Dr. Slevin has nothing to disclose. Dr. Bishop has nothing to disclose. Dr. Anderson has nothing to disclose." @default.
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- W1734378081 date "2014-04-08" @default.
- W1734378081 modified "2023-09-28" @default.
- W1734378081 title "Psychogenic Non-Epileptic Spells: Analysis of Clinical Perspectives & Practice (P4.268)" @default.
- W1734378081 hasPublicationYear "2014" @default.
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