Widdess-Walsh Peter, Mostacci Barbara, Tinuper Paolo, Devinsky Orrin
Institute of Neurology and Neurosurgery, St. Barnabas, Livingston, NJ, USA.
Handb Clin Neurol. 2012;107:277-95. doi: 10.1016/B978-0-444-52898-8.00017-3.
Treatment for PNES must be individualized. A combination of approaches is probably the most beneficial for improvement. Treatment should not simply emphasize removing maladaptive PNES behaviour, but should also focus on learning new coping skills and removing secondary gains. If PNES persist, therapy should be re-evaluated.
对精神源性非癫痫性发作(PNES)的治疗必须个体化。联合多种方法可能对改善病情最为有益。治疗不应仅仅强调消除适应不良的PNES行为,还应注重学习新的应对技巧并消除继发性获益。如果PNES持续存在,应重新评估治疗方案。