One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures

Retraining and Control Therapy (ReACT), a short-term treatment for pediatric functional seizures (FS), has been demonstrated to improve FS in children compared to supportive therapy. However, long-term maintenance of FS-reduction after ReACT is unclear. This study aims to assess seizure frequency 1 ...

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Autores principales:	Lindsay Stager, Jerzy P. Szaflarski, Aaron D. Fobian
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Treatment Functional seizures Pediatric Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/0ef8981d83d744eda55f49f83883737d
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spelling	oai:doaj.org-article:0ef8981d83d744eda55f49f83883737d2021-11-28T04:37:26ZOne-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures2589-986410.1016/j.ebr.2021.100503https://doaj.org/article/0ef8981d83d744eda55f49f83883737d2021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589986421000770https://doaj.org/toc/2589-9864Retraining and Control Therapy (ReACT), a short-term treatment for pediatric functional seizures (FS), has been demonstrated to improve FS in children compared to supportive therapy. However, long-term maintenance of FS-reduction after ReACT is unclear. This study aims to assess seizure frequency 1 year after ReACT and determine patient and parents’ opinions of ReACT. Children with functional seizures who previously completed ReACT and their parents were asked to report 30-day FS frequency 1 year after completing ReACT. They also reported if ReACT was helpful. Paired samples t-tests were used to compare FS frequency before ReACT to 1 year after and to compare FS frequency in 30 days after ReACT to 1 year after. Fourteen children (Meanage = 15.43) and their parents participated. Seven-day FS frequency for patients at 1-year follow-up (Mean = 0.15) was significantly lower than 7-day FS frequency pre-ReACT (Mean = 5.62; p = 0.005). No differences were found when comparing FS frequency during 30 days post-ReACT (Mean = 0.29) and in 30 days before 1-year follow-up (Mean = 0.71). This study confirms long-term maintenance of FS-reduction after ReACT and supports the efficacy of targeting FS directly as opposed to mood or stress for reducing FS. Additionally, children and parents believe ReACT is beneficial.Lindsay StagerJerzy P. SzaflarskiAaron D. FobianElsevierarticleTreatmentFunctional seizuresPediatricNeurology. Diseases of the nervous systemRC346-429Neurophysiology and neuropsychologyQP351-495ENEpilepsy & Behavior Reports, Vol 16, Iss , Pp 100503- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Treatment Functional seizures Pediatric Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495
spellingShingle	Treatment Functional seizures Pediatric Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495 Lindsay Stager Jerzy P. Szaflarski Aaron D. Fobian One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures
description	Retraining and Control Therapy (ReACT), a short-term treatment for pediatric functional seizures (FS), has been demonstrated to improve FS in children compared to supportive therapy. However, long-term maintenance of FS-reduction after ReACT is unclear. This study aims to assess seizure frequency 1 year after ReACT and determine patient and parents’ opinions of ReACT. Children with functional seizures who previously completed ReACT and their parents were asked to report 30-day FS frequency 1 year after completing ReACT. They also reported if ReACT was helpful. Paired samples t-tests were used to compare FS frequency before ReACT to 1 year after and to compare FS frequency in 30 days after ReACT to 1 year after. Fourteen children (Meanage = 15.43) and their parents participated. Seven-day FS frequency for patients at 1-year follow-up (Mean = 0.15) was significantly lower than 7-day FS frequency pre-ReACT (Mean = 5.62; p = 0.005). No differences were found when comparing FS frequency during 30 days post-ReACT (Mean = 0.29) and in 30 days before 1-year follow-up (Mean = 0.71). This study confirms long-term maintenance of FS-reduction after ReACT and supports the efficacy of targeting FS directly as opposed to mood or stress for reducing FS. Additionally, children and parents believe ReACT is beneficial.
format	article
author	Lindsay Stager Jerzy P. Szaflarski Aaron D. Fobian
author_facet	Lindsay Stager Jerzy P. Szaflarski Aaron D. Fobian
author_sort	Lindsay Stager
title	One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures
title_short	One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures
title_full	One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures
title_fullStr	One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures
title_full_unstemmed	One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures
title_sort	one-year follow-up of treatment outcomes and patient opinions of retraining and control therapy (react) for pediatric functional seizures
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/0ef8981d83d744eda55f49f83883737d
work_keys_str_mv	AT lindsaystager oneyearfollowupoftreatmentoutcomesandpatientopinionsofretrainingandcontroltherapyreactforpediatricfunctionalseizures AT jerzypszaflarski oneyearfollowupoftreatmentoutcomesandpatientopinionsofretrainingandcontroltherapyreactforpediatricfunctionalseizures AT aarondfobian oneyearfollowupoftreatmentoutcomesandpatientopinionsofretrainingandcontroltherapyreactforpediatricfunctionalseizures
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One-year follow-up of treatment outcomes and patient opinions of Retraining and Control Therapy (ReACT) for pediatric functional seizures

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