Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures: A Report From the American Neuropsychiatric Association Committee on Research

Research output: Contribution to journalArticlepeer-review

Standard

Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures : A Report From the American Neuropsychiatric Association Committee on Research. / Baslet, Gaston; Bajestan, Sepideh N; Aybek, Selma; Modirrousta, Mandana; D Clin Psy, Jason Price; Cavanna, Andrea; Perez, David L; Lazarow, Shelby Scott; Raynor, Geoffrey; Voon, Valerie; Ducharme, Simon; LaFrance, W Curt.

In: Journal of Neuropsychiatry, 11.08.2020, p. appineuropsych19120354.

Research output: Contribution to journalArticlepeer-review

Harvard

Baslet, G, Bajestan, SN, Aybek, S, Modirrousta, M, D Clin Psy, JP, Cavanna, A, Perez, DL, Lazarow, SS, Raynor, G, Voon, V, Ducharme, S & LaFrance, WC 2020, 'Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures: A Report From the American Neuropsychiatric Association Committee on Research', Journal of Neuropsychiatry, pp. appineuropsych19120354. https://doi.org/10.1176/appi.neuropsych.19120354

APA

Baslet, G., Bajestan, S. N., Aybek, S., Modirrousta, M., D Clin Psy, J. P., Cavanna, A., Perez, D. L., Lazarow, S. S., Raynor, G., Voon, V., Ducharme, S., & LaFrance, W. C. (2020). Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures: A Report From the American Neuropsychiatric Association Committee on Research. Journal of Neuropsychiatry, appineuropsych19120354. https://doi.org/10.1176/appi.neuropsych.19120354

Vancouver

Author

Baslet, Gaston ; Bajestan, Sepideh N ; Aybek, Selma ; Modirrousta, Mandana ; D Clin Psy, Jason Price ; Cavanna, Andrea ; Perez, David L ; Lazarow, Shelby Scott ; Raynor, Geoffrey ; Voon, Valerie ; Ducharme, Simon ; LaFrance, W Curt. / Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures : A Report From the American Neuropsychiatric Association Committee on Research. In: Journal of Neuropsychiatry. 2020 ; pp. appineuropsych19120354.

Bibtex

@article{220a24a14d1a4437b299685dac64cbc9,
title = "Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures: A Report From the American Neuropsychiatric Association Committee on Research",
abstract = "The American Neuropsychiatric Association's Committee on Research assigned the task of defining the most helpful clinical factors and tests in establishing the diagnosis of psychogenic nonepileptic seizures (PNES) during a neuropsychiatric assessment. A systematic review of the literature was conducted using three search engines and specified search terms for PNES and the predetermined clinical factors and diagnostic tests, followed by a selection process with specific criteria. Data extraction results from selected articles are presented for clinical factors (semiology, psychiatric comorbidities, medical comorbidities, psychological traits) and diagnostic tests (EEG, psychometric and neuropsychological measures, prolactin level, clinical neuroimaging, autonomic testing). Semiology with video EEG (vEEG) remains the most valuable tool to determine the diagnosis of PNES. With the exception of semiology, very few studies revealed the predictive value of a clinical factor for PNES, and such findings were isolated and not replicated in most cases. Induction techniques, especially when coupled with vEEG, can lead to a captured event, which then confirms the diagnosis. In the absence of a captured event, postevent prolactin level and personality assessment can support the diagnosis but need to be carefully contextualized with other clinical factors. A comprehensive clinical assessment in patients with suspected PNES can identify several clinical factors and may include a number of tests that can support the diagnosis of PNES. This is especially relevant when the gold standard of a captured event with typical semiology on vEEG cannot be obtained.",
author = "Gaston Baslet and Bajestan, {Sepideh N} and Selma Aybek and Mandana Modirrousta and {D Clin Psy}, {Jason Price} and Andrea Cavanna and Perez, {David L} and Lazarow, {Shelby Scott} and Geoffrey Raynor and Valerie Voon and Simon Ducharme and LaFrance, {W Curt}",
year = "2020",
month = aug,
day = "11",
doi = "10.1176/appi.neuropsych.19120354",
language = "English",
pages = "appineuropsych19120354",
journal = "Journal of Neuropsychiatry",
issn = "0895-0172",
publisher = "American Psychiatric Publishing",

}

RIS

TY - JOUR

T1 - Evidence-Based Practice for the Clinical Assessment of Psychogenic Nonepileptic Seizures

T2 - A Report From the American Neuropsychiatric Association Committee on Research

AU - Baslet, Gaston

AU - Bajestan, Sepideh N

AU - Aybek, Selma

AU - Modirrousta, Mandana

AU - D Clin Psy, Jason Price

AU - Cavanna, Andrea

AU - Perez, David L

AU - Lazarow, Shelby Scott

AU - Raynor, Geoffrey

AU - Voon, Valerie

AU - Ducharme, Simon

AU - LaFrance, W Curt

PY - 2020/8/11

Y1 - 2020/8/11

N2 - The American Neuropsychiatric Association's Committee on Research assigned the task of defining the most helpful clinical factors and tests in establishing the diagnosis of psychogenic nonepileptic seizures (PNES) during a neuropsychiatric assessment. A systematic review of the literature was conducted using three search engines and specified search terms for PNES and the predetermined clinical factors and diagnostic tests, followed by a selection process with specific criteria. Data extraction results from selected articles are presented for clinical factors (semiology, psychiatric comorbidities, medical comorbidities, psychological traits) and diagnostic tests (EEG, psychometric and neuropsychological measures, prolactin level, clinical neuroimaging, autonomic testing). Semiology with video EEG (vEEG) remains the most valuable tool to determine the diagnosis of PNES. With the exception of semiology, very few studies revealed the predictive value of a clinical factor for PNES, and such findings were isolated and not replicated in most cases. Induction techniques, especially when coupled with vEEG, can lead to a captured event, which then confirms the diagnosis. In the absence of a captured event, postevent prolactin level and personality assessment can support the diagnosis but need to be carefully contextualized with other clinical factors. A comprehensive clinical assessment in patients with suspected PNES can identify several clinical factors and may include a number of tests that can support the diagnosis of PNES. This is especially relevant when the gold standard of a captured event with typical semiology on vEEG cannot be obtained.

AB - The American Neuropsychiatric Association's Committee on Research assigned the task of defining the most helpful clinical factors and tests in establishing the diagnosis of psychogenic nonepileptic seizures (PNES) during a neuropsychiatric assessment. A systematic review of the literature was conducted using three search engines and specified search terms for PNES and the predetermined clinical factors and diagnostic tests, followed by a selection process with specific criteria. Data extraction results from selected articles are presented for clinical factors (semiology, psychiatric comorbidities, medical comorbidities, psychological traits) and diagnostic tests (EEG, psychometric and neuropsychological measures, prolactin level, clinical neuroimaging, autonomic testing). Semiology with video EEG (vEEG) remains the most valuable tool to determine the diagnosis of PNES. With the exception of semiology, very few studies revealed the predictive value of a clinical factor for PNES, and such findings were isolated and not replicated in most cases. Induction techniques, especially when coupled with vEEG, can lead to a captured event, which then confirms the diagnosis. In the absence of a captured event, postevent prolactin level and personality assessment can support the diagnosis but need to be carefully contextualized with other clinical factors. A comprehensive clinical assessment in patients with suspected PNES can identify several clinical factors and may include a number of tests that can support the diagnosis of PNES. This is especially relevant when the gold standard of a captured event with typical semiology on vEEG cannot be obtained.

U2 - 10.1176/appi.neuropsych.19120354

DO - 10.1176/appi.neuropsych.19120354

M3 - Article

C2 - 32778006

SP - appineuropsych19120354

JO - Journal of Neuropsychiatry

JF - Journal of Neuropsychiatry

SN - 0895-0172

ER -