Psychogenic Nonepileptic Seizures (PNESs)
Conditions
Keywords
Psychogenic nonepileptic seizure, quality of life
Brief summary
The goal of this study is to identify the prognostic factors of quality of life in patients with psychogenic non-epileptic seizures
Detailed description
This is a monocentric prospective study. Our main objective is to identify prognostic factors associated with an improvement of quality of life on the QOLIE-31 and Short Form Health Survey SF-36 at six months from the diagnostic. We hypothesized that the absence of PNES during the last three-months before the six months follow-up visit is the best prognostic factor for an improvement of quality of life All adult (\>15 years and 3 months) patients diagnosed with PNES will be prospectively included. All patients will undergo standard of care and have consultation with neurologist and a psychiatrist trained for this type of disease, as it is usually made for these patients (no intervention allocated in the context of the research). . Announcement of diagnostic will be standardized and adapted to each patient. Clinical and demographic data will be collect as well as medical and psychiatric history. All patients will undergo prolonged electroencephalogram (EEG) under video monitoring allowing the diagnostic of PNES and ruling out epilepsy. Different neurologic and psychiatric scales will be collected (Quality of life in epilepsy - 31 quotes (QOLIE-31), Short Form Health Survey (SF-36), Montreal Cognitive Assessment (MoCA), Beck Depression Inventory (BDI2), Beck Anxiety index (BAI), Clinician administrated Post traumatic stress disorder scale (CAPS), Chilhood Trauma Questionnaire (CTQ), Epworth). All patients will be oriented to psychiatric or psychological follow-up. Patients will undergo a one, three and six months follow-up and will be evaluated the number of seizure, their severity, and psychiatric or psychological follow-up will be evaluated. Patients will undergo scales (QOLI-31, SF-36, BDI2, BAI).
Interventions
None listed
Sponsors
University Hospital, Bordeaux
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male or female adults (15 years and 3 months old) * Psychogenic nonepileptic seizures (PNES) diagnosed as probable , clinically established or documented according to Lafrance and al. criteria * Having benefited a prolonged electroencephalogram recording under video control * Patient Information and collection of non-opposition (patient or legal guardian) * The patient or caregiver will be able to perform reliably the crisis diary and make the difference between PNES and epileptic seizure after investigator or co-investigator information. * Affiliated to a social Insurance…
Exclusion criteria
* Patients for whom PNES have not been diagnosed * Refused to participate * The patient or his caregiver isn't able to perform reliably the crisis diary and don't make the difference between PNES and epileptic seizure after investigator or co-investigator information
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of the quality of life measured by the self-administered questionnaire QOLIE-31 (quality of life in epilepsy - QOLIE-31) | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Average evolution in the quality of life measured by subscores of QOLIE -31 scale | 6 months |
| The average change in the quality of life, measured by the self-administered questionnaire SF -36 | 6 months |
| The proportion of patients with clinically significant improvement in quality of life subscores measured by the SF-36 | 6 months |
Countries
France
Outcome results
None listed