Eye movement desensitization and reprocessing in the psychological treatment of trauma-based psychogenic non-epileptic seizures

2007 ◽  
Vol 14 (2) ◽  
pp. 135-144 ◽  
Author(s):  
Susan D. M. Kelley ◽  
Selim Benbadis
Keyword(s):  
Eye Movement ◽  
Psychological Treatment ◽  
Epileptic Seizures

Clinical-Psychological Treatment of Epileptic Seizures: A Controlled Study

1991 ◽  
pp. 81-96 ◽  
Author(s):  
Niels Birbaumer ◽  
Thomas Elbert ◽  
Brigitte Rockstroh ◽  
Irene Daum ◽  
Peter Wolf ◽  
...  
Keyword(s):  
Psychological Treatment ◽  
Epileptic Seizures ◽  
Controlled Study

Psychological treatments for functional non-epileptic attacks: a systematic review

2009 ◽  
Vol 21 (4) ◽  
pp. 158-168 ◽  
Author(s):  
Danielle Gaynor ◽  
Hannah Cock ◽  
Niruj Agrawal
Keyword(s):  
Systematic Review ◽  
Psychological Treatment ◽  
Controlled Trial ◽  
Epileptic Seizures ◽  
Future Research ◽  
Psychological Treatments ◽  
Psychogenic Seizures ◽  
Epileptic Attack ◽  
Behavioural Therapies ◽  
Randomised Controlled

Objective:There is a lack of clarity about the most useful intervention for functional non-epileptic attacks (FNEA). Outcomes for this condition remain often poor, with considerable personal, social and economic impact. In order to guide clinical practice and future research in this area, we have performed a systematic review of the published literature on the psychological treatment of FNEA.Methods:A comprehensive literature search was carried out using key words: non-epileptic seizures; psychogenic seizures; psychogenic non-epileptic seizures; pseudoseizures; funny turns; non-epileptic attack; hysterical seizures; and pseudoepileptic. Studies specifically looking at psychological treatment of FNEA were identified. Studies of patients also having comorbid organic seizure disorders were excluded.Results:17 studies that met the inclusion criteria were identified. A broad variety of psychological interventions for FNEA has been investigated. Only one randomised controlled trial has been completed to date. Existing evidence appears to suggest that various psychological treatments, including presenting the diagnosis, psychoeducation, behavioural therapies and mixed modality treatments, may be effective.Conclusion:While a range of psychological treatments may be beneficial for this patient group, we do not have clear evidence to suggest which treatment is most efficacious. Specific elements of presenting the diagnosis and psychoeducation may be required in addition to traditional cognitive behavioural therapeutic approaches. Large, methodologically robust studies are urgently required to establish the most effective form of treatment.

scholarly journals Psychological treatment of patients with psychogenic non-epileptic seizures: An outcome study

Seizure ◽  
2008 ◽  
Vol 17 (7) ◽  
pp. 595-603 ◽  
Author(s):  
Jarl Kuyk ◽  
Mieke C. Siffels ◽  
Patricia Bakvis ◽  
Wilhelmina A.M. Swinkels
Keyword(s):  
Psychological Treatment ◽  
Epileptic Seizures ◽  
Outcome Study

scholarly journals Eye Movement Desensitization (EMD) to reduce posttraumatic stress disorder-related stress reactivity in Indonesia PTSD patients: a study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Eka Susanty ◽  
Marit Sijbrandij ◽  
Wilis Srisayekti ◽  
Anja C. Huizink
Keyword(s):  
Heart Rate ◽  
Posttraumatic Stress Disorder ◽  
Eye Movements ◽  
Posttraumatic Stress ◽  
Eye Movement ◽  
Stress Reactivity ◽  
Stress Disorder ◽  
Psychological Treatment ◽  
Control Group ◽  
Reducing Stress

Abstract Background Posttraumatic stress disorder (PTSD) may develop after exposure to a traumatic event. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychological treatment for PTSD. It is yet unclear whether eye movements also reduce stress reactivity in PTSD patients. This study aims to test whether eye movements, as provided during Eye Movement Desensitization (EMD), are more effective in reducing stress reactivity in PTSD patients as compared to a retrieval-only control condition. Methods The study includes participants who meet criteria of PTSD of the public psychological services in Jakarta and Bandung, Indonesia. One hundred and ten participants are randomly assigned to either an (1) Eye Movement Desensitization group (n = 55) or (2) retrieval-only control group (n = 55). Participants are assessed at baseline (T0), post-treatment (T1), 1 month (T2), and at 3 months follow-up (T3). Participants are exposed to a script-driven imagery procedure at T0 and T1. The primary outcome is heart rate variability (HRV) stress reactivity during script-driven imagery. Secondary outcomes include heart rate (HR), pre-ejection period (PEP), saliva cortisol levels, PTSD symptoms, neurocognitive functioning, symptoms of anxiety and depression, perceived stress level, and quality of life. Discussion If the EMD intervention is effective in reducing stress reactivity outcomes, this would give us more insight into the underlying mechanisms of EMDR’s effectiveness in PTSD symptom reduction. Trial registration ISRCTN registry ISRCTN55239132. Registered on 19 December 2017.

Psychogenic non-epileptic seizures: aetiology, diagnosis and management

2014 ◽  
Vol 20 (1) ◽  
pp. 13-22 ◽  
Author(s):  
Maria Oto ◽  
Markus Reuber
Keyword(s):  
Psychological Treatment ◽  
Epileptic Seizures ◽  
Initial Step ◽  
Diagnosis And Management ◽  
Model Combining ◽  
Underlying Causes ◽  
Iatrogenic Harm ◽  
Patient’S History

SummaryPsychogenic non-epileptic seizures (PNES) have a significant impact on most patients in terms of distress, disability, loss of income and iatrogenic harm. Three-quarters of patients with PNES are initially misdiagnosed and treated for epilepsy. Misdiagnosis exposes patients to multiple iatrogenic harms and prevents them from accessing psychological treatment. In most cases, the patient's history (and witness accounts) should alert clinicians to the likely diagnosis of PNES. Since this diagnosis may be resisted by patients and may involve ‘un-diagnosing’ epilepsy, video-electroencephalogram recording of typical seizures is often helpful. The underlying causes of PNES are diverse: a model combining predisposing, precipitating and perpetuating factors is a useful way of conceptualising their aetiology. The initial step of treatment should be to limit iatrogenic harm. There is some evidence for the effectiveness of psychotherapy.

Investigaton of Eye Movement Desensitization in Pain Clinic Patients

1995 ◽  
Vol 23 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Alan Hassard
Keyword(s):  
Neural Networks ◽  
Eye Movement ◽  
Major Part ◽  
Psychological Treatment ◽  
Pain Clinic ◽  
Large Decrease ◽  
Psychological Measures ◽  
Probable Source

Twenty-seven pain clinic patients referred for psychological treatment received Eye Movement Desensitization (EMD) as a major part of their treatment. Their progress was monitored using generalized measures with a three month follow-up. All patients responded to EMD in the session. Subsequently, nineteen completed treatment of whom twelve were successful and seven clear failures. Seven dropped out before completing treatment and one result was not clear. Overall the group showed a large decrease in some, but not all, psychological measures. There was some return of symptoms in the group over the three month follow-up. Neural networks are identified as the probable source of theoretical explanations of this procedure.

Pulmonary Edema and Simultaneous Cardiac Dysfunction After Epileptic Seizures

2013 ◽  
Vol 40 (06) ◽  
pp. 896-897
Author(s):  
V. Pelliccia ◽  
C. Pizzanelli ◽  
S. Pini ◽  
P. Malacarne ◽  
U. Bonuccelli
Keyword(s):  
Pulmonary Edema ◽  
Cardiac Dysfunction ◽  
Epileptic Seizures

Chronic Pain: Fundamental Scientific Considerations, Specifically for Legal Claims

2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth
Keyword(s):  
Health Outcomes ◽  
Pain Perception ◽  
Driving Forces ◽  
Psychological Treatment ◽  
Dominant Role ◽  
Meta Analysis ◽  
General Medicine ◽  
Pain Syndrome ◽  
Problematic Relationship

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.

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