2019
Motivational Interviewing Techniques to Improve Psychotherapy Adherence and Outcomes for Patients With Psychogenic Nonepileptic Seizures
Tolchin B, Baslet G, Martino S, Suzuki J, Blumenfeld H, Hirsch LJ, Altalib H, Dworetzky BA. Motivational Interviewing Techniques to Improve Psychotherapy Adherence and Outcomes for Patients With Psychogenic Nonepileptic Seizures. Journal Of Neuropsychiatry 2019, 32: 125-131. PMID: 31466516, DOI: 10.1176/appi.neuropsych.19020045.Peer-Reviewed Original ResearchConceptsPsychogenic nonepileptic seizuresClinician-patient communicationNonepileptic seizuresTreatment of PNESPoor clinician-patient communicationPatient-based barriersMajority of patientsFunctional neurological disorderEmergency medicine physiciansHealth care providersMotivational interviewing techniquesPsychiatric comorbidityTreatment nonadherenceTreatment existsCare providersMedicine physiciansPatient engagementPatientsNeurological disordersSomatic symptomsPatient ambivalenceTime-limited goalsPsychological therapiesHealth careTreatment planningRandomized controlled trial of motivational interviewing for psychogenic nonepileptic seizures
Tolchin B, Baslet G, Suzuki J, Martino S, Blumenfeld H, Hirsch LJ, Altalib H, Dworetzky BA. Randomized controlled trial of motivational interviewing for psychogenic nonepileptic seizures. Epilepsia 2019, 60: 986-995. PMID: 30980679, DOI: 10.1111/epi.14728.Peer-Reviewed Original ResearchConceptsPsychogenic nonepileptic seizuresQuality of lifeMI participantsPNES frequencyMotivational interviewingControl participantsNonepileptic seizuresQuaternary care medical centerEmergency department visitsEmergency department utilizationSingle neurologistDepartment visitsTreatment adherenceControl armMedical CenterMI armsSeizuresVisitsTrialsAdherenceParticipantsPsychotherapyAdherentArmReferralAdherence with psychotherapy and treatment outcomes for psychogenic nonepileptic seizures.
Tolchin B, Dworetzky BA, Martino S, Blumenfeld H, Hirsch LJ, Baslet G. Adherence with psychotherapy and treatment outcomes for psychogenic nonepileptic seizures. Neurology 2019, 92: e675-e679. PMID: 30610097, PMCID: PMC6382361, DOI: 10.1212/wnl.0000000000006848.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAdult Survivors of Child AbuseAgedAged, 80 and overCohort StudiesConversion DisorderEmergency Service, HospitalEthnicityFemaleFollow-Up StudiesHumansMaleMiddle AgedMinority GroupsOdds RatioProspective StudiesPsychotherapyQuality of LifeSeizuresTreatment Adherence and ComplianceTreatment OutcomeYoung AdultConceptsPsychogenic nonepileptic seizuresQuality of lifePNES frequencyNonepileptic seizuresProspective cohort studyEmergency department utilizationTime of referralBaseline characteristicsCohort studyED visitsSeizure frequencyED utilizationPotential confoundersWomen's HospitalTreatment outcomesMedium effect sizeLocal therapistsMultivariate modelAdherenceChildhood abuseSeizuresHospitalSignificant reductionOutcomesEffect size
2017
Long‐term adherence with psychiatric treatment among patients with psychogenic nonepileptic seizures
Tolchin B, Dworetzky BA, Baslet G. Long‐term adherence with psychiatric treatment among patients with psychogenic nonepileptic seizures. Epilepsia 2017, 59: e18-e22. PMID: 29218816, DOI: 10.1111/epi.13969.Peer-Reviewed Original ResearchConceptsBrief Illness Perception QuestionnairePsychogenic nonepileptic seizuresLong-term adherencePsychiatric treatmentPrior diagnosisNonepileptic seizuresCox proportional hazards regression analysisProportional hazards regression analysisProspective cohort studyHazards regression analysisFirst outpatient visitIllness Perception QuestionnairePercent of subjectsLower scoresCohort studyPsychiatric visitsOutpatient visitsVisit 2Risk factorsFourth visitOne's illnessSurvival analysisNonadherencePerception QuestionnairePatientsNonepileptic Psychogenic Status Epilepticus
Tolchin B, Dworetzky B. Nonepileptic Psychogenic Status Epilepticus. Current Clinical Neurology 2017, 31-42. DOI: 10.1007/978-3-319-58200-9_4.Peer-Reviewed Original ResearchPsychogenic nonepileptic seizuresPsychogenic status epilepticusStatus epilepticusDifferential diagnosisNonconvulsive status epilepticusImportant differential diagnosisSeizure semiologyClinical historyIatrogenic harmNonepileptic seizuresEpilepticusEpileptic seizuresDiagnosisGold standardSupportive testsSeizuresPatientsPrognosisEtiologyEpidemiologyMortality