Antalya Kumluca State Hospital, Clinic of Psychiatry, Turkey.
Epilepsy Behav. 2013 Jul;28(1):91-4. doi: 10.1016/j.yebeh.2013.03.023. Epub 2013 May 13.
Although there have been a number of psychotherapy trials for chronic psychogenic nonepileptic seizures, evidence-based treatment options are limited. We developed an eclectic group psychotherapy which combines psychoeducation and behavioral and psychoanalytic techniques. Nine patients completed 12 weeks of psychotherapy. Patients were interviewed with SCID-I. They also filled in the following measures at the beginning and end of the therapy: Beck Depression Inventory, Dissociative Experiences Scale, Spielberger State-Trait Anxiety Scale, SF-36 Life Quality Scale, and Toronto Alexithymia Scale. Seizure frequency was assessed before and after the therapy and on follow-up visits at the fourth, sixth, ninth, and twelfth months. After one year of follow-up, the decrease in seizure frequency was highly significant (p<0.001). In addition, we observed significant improvements in the mental health subscale of the SF-36 (p=0.03) and the state (p=0.006) and trait (p=0.02) subscales of the Spielberger State-Trait Anxiety Scale at the end of the therapy. These results suggest that group psychotherapy might be a treatment option for chronic psychogenic nonepileptic seizures.
尽管已经有许多针对慢性心因性非癫痫性发作的心理治疗试验，但基于证据的治疗选择仍然有限。我们开发了一种折衷的团体心理治疗方法，结合了心理教育以及行为和精神分析技术。9 名患者完成了 12 周的心理治疗。患者接受了 SCID-I 访谈。他们还在治疗开始和结束时填写了以下量表：贝克抑郁量表、分离体验量表、斯皮尔伯格状态-特质焦虑量表、SF-36 生活质量量表和多伦多述情量表。在治疗前、治疗后以及治疗后第 4、6、9 和 12 个月进行了癫痫发作频率评估。一年的随访后，癫痫发作频率的下降具有高度显著性（p<0.001）。此外，我们还观察到 SF-36 的心理健康子量表（p=0.03）以及斯皮尔伯格状态-特质焦虑量表的状态（p=0.006）和特质（p=0.02）子量表在治疗结束时显著改善。这些结果表明，团体心理治疗可能是慢性心因性非癫痫性发作的一种治疗选择。
