Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review

Background: Psychotherapy improves seizure frequency and psychosocial aspects in psychogenic nonepileptic seizures (PNES). Although randomized controlled trials (RCTs) on different psychotherapies have been conducted for almost two decades now, no review has exclusively assessed RCTs of different ps...

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Autores principales:	Sneha Vinay Haritsa, Kalapalli Jayasankara Reddy, Aeiman Rafiq, Meghna Gupta
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/338ab1fa40ef419d8ba948b84f2fbba1
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spelling	oai:doaj.org-article:338ab1fa40ef419d8ba948b84f2fbba12021-11-18T23:34:30ZRandomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review0253-71760975-156410.1177/02537176211047392https://doaj.org/article/338ab1fa40ef419d8ba948b84f2fbba12021-11-01T00:00:00Zhttps://doi.org/10.1177/02537176211047392https://doaj.org/toc/0253-7176https://doaj.org/toc/0975-1564Background: Psychotherapy improves seizure frequency and psychosocial aspects in psychogenic nonepileptic seizures (PNES). Although randomized controlled trials (RCTs) on different psychotherapies have been conducted for almost two decades now, no review has exclusively assessed RCTs of different psychotherapies. Methods: The objective was to review RCTs of psychotherapy for PNES, to understand the impact of different psychotherapies. Eligibility criteria included full-text articles, English articles, published between years 2000 and 2020, randomized trials of psychotherapy, and the adult population. Databases included PubMed, ProQuest, Google Scholar, ScienceDirect, EBSCO, PsycINFO, Cochrane, and a random google search was conducted. Rayyan software was used to include articles that met our eligibility criteria. The search was carried out independently by two researchers Results: Based on the eligibility criteria, seven studies were found. Amongst them, cognitive behavioral therapy (CBT) was the most researched and seemed more effective when paired with standard medical care (SMC) or sertraline. Comparisons of CBT and brief psychodynamic therapy did not reveal significant differences. Other psychotherapies included motivational interview+psychotherapy, which significantly reduced seizure frequency and improved psychosocial functioning. Paradoxical intention therapy also reduced PNES symptoms; however, it has not been researched in the last 15 years. Group psychoeducation seems to have an impact only on psychosocial functioning and not on seizure frequency. Conclusion: CBT paired with SMC or sertraline and MI along with psychotherapy yields the most effective results for PNES in reducing seizure frequency and improving psychosocial functioning.Sneha Vinay HaritsaKalapalli Jayasankara ReddyAeiman RafiqMeghna GuptaSAGE PublishingarticlePsychiatryRC435-571ENIndian Journal of Psychological Medicine, Vol 43 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 Sneha Vinay Haritsa Kalapalli Jayasankara Reddy Aeiman Rafiq Meghna Gupta Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review
description	Background: Psychotherapy improves seizure frequency and psychosocial aspects in psychogenic nonepileptic seizures (PNES). Although randomized controlled trials (RCTs) on different psychotherapies have been conducted for almost two decades now, no review has exclusively assessed RCTs of different psychotherapies. Methods: The objective was to review RCTs of psychotherapy for PNES, to understand the impact of different psychotherapies. Eligibility criteria included full-text articles, English articles, published between years 2000 and 2020, randomized trials of psychotherapy, and the adult population. Databases included PubMed, ProQuest, Google Scholar, ScienceDirect, EBSCO, PsycINFO, Cochrane, and a random google search was conducted. Rayyan software was used to include articles that met our eligibility criteria. The search was carried out independently by two researchers Results: Based on the eligibility criteria, seven studies were found. Amongst them, cognitive behavioral therapy (CBT) was the most researched and seemed more effective when paired with standard medical care (SMC) or sertraline. Comparisons of CBT and brief psychodynamic therapy did not reveal significant differences. Other psychotherapies included motivational interview+psychotherapy, which significantly reduced seizure frequency and improved psychosocial functioning. Paradoxical intention therapy also reduced PNES symptoms; however, it has not been researched in the last 15 years. Group psychoeducation seems to have an impact only on psychosocial functioning and not on seizure frequency. Conclusion: CBT paired with SMC or sertraline and MI along with psychotherapy yields the most effective results for PNES in reducing seizure frequency and improving psychosocial functioning.
format	article
author	Sneha Vinay Haritsa Kalapalli Jayasankara Reddy Aeiman Rafiq Meghna Gupta
author_facet	Sneha Vinay Haritsa Kalapalli Jayasankara Reddy Aeiman Rafiq Meghna Gupta
author_sort	Sneha Vinay Haritsa
title	Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review
title_short	Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review
title_full	Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review
title_fullStr	Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review
title_full_unstemmed	Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review
title_sort	randomized trials of psychotherapeutic treatment for psychogenic seizures: scoping review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/338ab1fa40ef419d8ba948b84f2fbba1
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Randomized Trials of Psychotherapeutic Treatment for Psychogenic Seizures: Scoping Review

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