Reuber Markus, Howlett Stephanie, Kemp Steven
Academic Neurology Unit, University of Sheffield, Department of Neurology, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK.
Expert Rev Neurother. 2005 Nov;5(6):737-52. doi: 10.1586/14737175.5.6.737.
Psychogenic nonepileptic seizures are relatively common, often disabling and costly to patients and society. Most authorities consider psychologic treatment as the therapeutic intervention of choice. This review is intended primarily for psychologists and therapists who treat patients with psychogenic nonepileptic seizures, and for neurologists who make the diagnosis and wish to find out more about psychologic treatment options. The first section describes the nature and etiology of psychogenic nonepileptic seizures. General questions regarding the psychologic treatment of patients with psychogenic nonepileptic seizures are addressed, before discussing specific therapeutic approaches. The final part summarizes the authors' views on optimal treatment and the direction of future research.
心因性非癫痫性发作相对常见，常常使患者致残，给患者及社会带来高昂代价。大多数权威人士认为心理治疗是首选的治疗干预措施。本综述主要面向治疗心因性非癫痫性发作患者的心理学家和治疗师，以及进行诊断并希望进一步了解心理治疗方案的神经科医生。第一部分描述了心因性非癫痫性发作的性质和病因。在讨论具体治疗方法之前，先探讨了有关心因性非癫痫性发作患者心理治疗的一般性问题。最后一部分总结了作者对于最佳治疗方法以及未来研究方向的观点。
