Nonepileptic seizures in individuals attending neurological services in New Zealand.

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dc.contributor.author Campbell, Jill en
dc.contributor.author Walker, Elizabeth en
dc.contributor.author No, Elizabeth en
dc.contributor.author Sundram, Frederick en
dc.date.accessioned 2019-11-25T01:19:52Z en
dc.date.issued 2019-12 en
dc.identifier.citation Epilepsy & behavior : E&B 101(Pt A):106568 29 Oct 2019 en
dc.identifier.issn 1525-5050 en
dc.identifier.uri http://hdl.handle.net/2292/49148 en
dc.description.abstract OBJECTIVES:This study examined the demographic, social, and clinical (neurological and psychiatric) characteristics of people with psychogenic nonepileptic seizures (PNES) presenting to tertiary neurological services at Auckland District Health Board, New Zealand. METHODS:Electronic notes and video-electroencephalography (video-EEG) data gathered from the telemetry unit based on synchronized acquisition (motor activity and brain electrophysiology) over a five-year period (2011 to 2015 inclusive) were retrospectively examined. Two groups were compared: people with PNES only or people with combined PNES and epileptic seizures (ES) (the group with PNES) and a control group with ES only, matched 1:1 by age and gender. RESULTS:Sixty-six people in the group with PNES were matched with an equivalent number of ES controls. As a cohort, there was high psychiatric and medical comorbidity in both groups, but overall, those with PNES experienced higher rates than their ES counterparts. An older age of onset, female gender, and history of abuse were more frequently seen in those with PNES. Compared with controls, people with PNES more commonly had daily seizures (rather than monthly) but presented less frequently to neurology services. A high proportion of people with PNES experienced historical traumas, ongoing stressors, and disability. Almost half of the people with PNES were on antiepileptic drugs (AEDs) and received limited psychiatric or psychological input. In contrast, people with ES were more likely to be on psychotropic medication. CONCLUSION:Both PNES and ES are associated with high levels of psychiatric and medical comorbidity. Additionally, PNES were found to be associated with iatrogenic harm and disability. Though people with PNES and ES often have a range of associated needs, there is, however, limited access to appropriate services. The needs of these populations should be better met through enhanced integration across psychiatry, neurology, and multidisciplinary services. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Epilepsy & behavior : E&B en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Nonepileptic seizures in individuals attending neurological services in New Zealand. en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.yebeh.2019.106568 en
pubs.issue Pt A en
pubs.begin-page 106568 en
pubs.volume 101 en
dc.rights.holder Copyright: 2019 Elsevier Inc en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 785413 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 1525-5069 en
pubs.record-created-at-source-date 2019-11-02 en
pubs.dimensions-id 31675600 en


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