title: Health care utilization of patients with psychogenic nonepileptic seizures.
abstract: Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (55%). Many patients had either discontinued (50%) or reduced (17%) use of anticonvulsant medications. The patients most often sought care from primary care providers (46%), followed by psychiatrists/psychologists (41%) and neurologists (31%). Of the 57 patients (80%) advised to seek psychiatric care, 27 individuals (47%) followed this recommendation.
authors.affiliation: Department of Psychiatry, Mayo Clinic and Foundation, Rochester, MN 55905, USA.
authors.forename: L E
authors.initials: LE
authors.lastname: Krahn
authors.forename: M M
authors.initials: MM
authors.lastname: Reese
authors.forename: T A
authors.initials: TA
authors.lastname: Rummans
authors.forename: G C
authors.initials: GC
authors.lastname: Peterson
authors.forename: V J
authors.initials: VJ
authors.lastname: Suman
authors.forename: F W
authors.initials: FW
authors.lastname: Sharbrough
authors.forename: G D
authors.initials: GD
authors.lastname: Cascino
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D012640:Seizures / Q000175:diagnosis / Q000523:psychology*