Jaargang 30 (2010)
Nummer: 1
Artikel: 44

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Samenvatting

Over de aangewezen behandeling van psychogene pseudo-epileptische aanvallen (P.P.E.A.), een subtype van de conversiestoornis, bestaat nog geen consensus. In deze gevalsbeschrijving wordt een kortdurende ambulante behandeling van P.P.E.A.-klachten beschreven. Tijdens de behandeling is gebruikgemaakt van hypnose en stressmanagement. Het belang van het presenteren van een behandelplan en psycho-educatie wordt in dit artikel uitgelicht. De behandeling was succesvol. De patiënt was bij ontslag klachtenvrij.

Summary

Thus far, there is no agreement on the most effective treatment of psychogenic pseudo-epileptic attacks (P.P.E.A.), a subtype of conversion disorder. In this case description, a short outpatient treatment of these symptoms is described. Components of treatment were hypnosis and stress-management techniques. In this article, the importance of presenting a treatment plan and psycho-education is emphasized. The treatment was successful. At the end of treatment the patient was asymptomatic.

Referenties

American Psychiatric Association (APA) (2000). Diagnostic and statistical manual of mental disorders (4th edition). Washington, DC: American Psychiatric Association.

Benbadis, S.R., & Hauser, W.A. (2000). An estimate of the prevalence of psychogenic non-epileptic seizures. Seizure, 9, 280-281.

Brooks, J.L., Baker, G.A., Goodfellow, L., Bodde, N., & Aldenkamp, A. (2007). Behavioural treatments for non-epileptic attack disorder. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD006370. DOI: 10.1002/14651858.CD006370.

Frank, J.D. (1974). Therapeutic components of psychotherapy. Journal of Nervous and Mental Disease, 159(5), 325-342.

Gaynor, D., Cock, H., & Agrawal, N. (2009). Psychological treatments for functional non-epileptic attacks: a systematic review. Acta Neuropsychiatrica, 21, 158-168.

Goldstein, L.H., Deale, A.C., Mitchell-O’Malley, S.J., Toone, B.K., & Mellers, J.D.C. (2004). An evaluation of cognitive behavioral therapy as a treatment for dissociative seizures. Cognitive Behavioral Neurology, 17, 41-49.

Hoogduin, K. (2007). Psychologische interventies bij conversiestoornissen. Amsterdam: Boom.

Kampman, M., Keijsers, G.P.J., & Hendriks, G.J. (2004). Protocollaire behandeling van patiënten met een paniekstoornis met of zonder agorafobie: Interoceptieve exposure, cognitieve gedragstherapie en exposure in vivo. Houten: Bohn Stafleu van Loghum.

Kuyk, J., Siffels, M.C., Bakvis, P., & Swinkels, W.A.M. (2008). Psychological treatment of patients with psychogenic non-epileptic seizures: An outcome study. Seizure, 17, 595-603.

LaFrance Jr., C.W., Miller, I.W., Ryan, C.E., Blum, A.S., Solomon, D.A., Kelley, J.E., & Keitner, G.I. (2009). Cognitive behavioral therapy for psychogenic nonepileptic seizures. Epilepsy and Behavior, 14, 591-596.

Moene, F.C., Spinhoven, P., Hoogduin, K.A., & Van Dyck, R. (2002). A randomised controlled clinical trial on the additional effect of hypnosis in a comprehensive treatment programme for in-patients with conversion disorder of the motor type. Psychotherapy and Psychosomatics, 71(2), 66-76.

Moene, F.C., Spinhoven, P., Hoogduin, K.A., & Van Dyck R. (2003). A randomized controlled clinical trial of a hypnosis-based treatment for patients with conversion disorder, motor type. International Journal of Clinical and Experimental Hypnosis, 51, 29-50.

Roelofs, K., Keijsers, G.P.J., Hoogduin, C.A.L., Näring, G.W.B., Moene, F.C., & Sandijck, P. (2002). Childhood abuse in conversion disorder. American Journal of Psychiatry, 159, 1908-1913.

Roelofs, K., Spinhoven, Ph., Sandijck, P., Moene, F.C., & Hoogduin, C.A.L. (2005). The impact of early trauma and later life-events on symptom severity in conversion disorder. Journal of Nervous and mental Disease, 193, 508-514.

Shen, W., Bowman, E.S., & Markand, O.N. (1990). Presenting the diagnosis of pseudoseizure. Neurology, 40, 756-759.

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DT-30-1-44.pdf 494.55 KB 593 downloads

Notities uit de praktijk ...