| Literature DB >> 25128685 |
Katharine K McMillan1, Mary Jo Pugh2, Hamada Hamid3, Martin Salinsky4, Jacqueline Pugh5, Polly H Noël6, Erin P Finley7, Luci K Leykum6, Holly J Lanham8, W Curt LaFrance9.
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.Entities:
Keywords: Cognitive behavioral therapy; Diagnosis; Nonepileptic seizures; Practitioners; Treatment; Veterans
Mesh：
Year: 2014 PMID： 25128685 DOI： 10.1016/j.yebeh.2014.07.001
Source DB: PubMed Journal: Epilepsy Behav ISSN： 1525-5050 Impact factor: 2.937