title: The coping styles and health-related quality of life of South African patients with psychogenic nonepileptic seizures.
abstract: OBJECTIVE
  The primary aim of this study was to explore a possible association between the coping styles and the health-related quality of life (HRQOL) of patients with psychogenic nonepileptic seizures (PNES) in the South African context.
  
  
  METHODS
  Twenty-two patients with PNESs with confirmatory video-EEG were matched by age and gender with a healthy control group. Participants had to complete self-reported measures of HRQOL and coping strategies. Data analysis consisted of performing Pearson correlations, analysis of variances, and regression analysis.
  
  
  RESULTS
  The results indicated that the HRQOL scores of the group with PNESs were significantly lower than the HRQOL scores of the healthy control group. The participants with PNESs utilized significantly more escape-avoidance and distancing coping strategies in comparison to the healthy control group. The results also indicated that the avoidance coping strategies utilized by participants with PNESs had a significant negative effect on their HRQOL.
  
  
  CONCLUSIONS
  The findings of this study provided greater insight into the coping strategies utilized by participants with PNESs, which have been identified as risk factors in PNESs. This is the first study of this nature of people with PNESs in South Africa.
authors.affiliation: Stellenbosch University, Department of Psychology, Wilcocks Building, Victoria Street, Stellenbosch 7130, South Africa. Electronic address: gretha@sun.ac.za.
authors.forename: Gretha
authors.initials: G
authors.lastname: Cronje
authors.forename: Chrisma
authors.initials: C
authors.lastname: Pretorius
mesh_terms: D000293:Adolescent; D000328:Adult; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000150:complications / Q000523:psychology*; D011788:Quality of Life; D012044:Regression Analysis; D012640:Seizures / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D013001:Somatoform Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D013019:South Africa / Q000453:epidemiology; D014741:Video Recording; D055815:Young Adult
keywords: Conversion; Coping; Health-related quality of life; Nonepileptic seizures; South Africa; Stigma; Stress