@article{b488659917874f1584148e78bb6bf423,
title = "Providers' perspectives on treating psychogenic nonepileptic seizures: Frustration and hope",
abstract = "Recent diagnostic and treatment advances in psychogenic nonepileptic seizures (PNES) have the potential to improve care for patients, but little is known about the current state of PNES care delivery in the Veterans Health Administration (VA). We conducted semistructured interviews with 74 health-care clinicians and workers in the VA, eliciting provider perceptions of PNES care. Data were analyzed according to principles of Grounded Theory. The results revealed variation in care and two emergent domain themes of frustration and hope. Frustration was manifest in subthemes including Complexity, Patient Acceptance, Uncertainty About Treatment, Need for Evidence-based Treatment, and Failure of Cross-Disciplinary Collaboration between neurologists and mental health providers. Hope encompassed subthemes of Positive Attitudes, Developing Cross-Disciplinary Treatment, and Specific PNES Care. Increased resources for diagnosing, treating, and researching PNES have improved awareness of the disorder. More research is needed to understand patients' and caregivers' perceptions of PNES care.",
keywords = "Cognitive behavioral therapy, Diagnosis, Nonepileptic seizures, Practitioners, Treatment, Veterans",
author = "McMillan, {Katharine K.} and Pugh, {Mary Jo} and Hamada Hamid and Martin Salinsky and Pugh, {Jacqueline A} and No{\"e}l, {Polly H.} and {Finley Garcia}, Erin and Leykum, {Luci K} and Lanham, {Holly J.} and LaFrance, {W. Curt}",
note = "Funding Information: VA Health Services Research and Development ( IIR-067-11-2 ; Dr. MJ Pugh PI) funded this study. Dr. Finley is an investigator with the Implementation Research Institute (IRI) at the George Warren Brown School of Social Work, Washington University in St. Louis, through an award from the National Institute of Mental Health (R25 MH080916-01A2) and the Department of Veterans Affairs, Health Services Research & Development Service, Quality Enhancement Research Initiative (QUERI). The content of this article is solely the responsibility of the authors and does not necessarily reflect the official views of the Veterans' Health Administration. The funding organizations had no role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; or the preparation, review, or approval of the manuscript. The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense. ",
year = "2014",
month = aug,
doi = "10.1016/j.yebeh.2014.07.001",
language = "English (US)",
volume = "37",
pages = "276--281",
journal = "Epilepsy and Behavior",
issn = "1525-5050",
publisher = "Academic Press Inc.",
}