Evaluation of a Telephone Follow-up Procedure on the Quality of Life in Psychogenic Non-epileptic Seizures
Evaluation of a Telephone Follow-up Procedure on the Quality of Life in Psychogenic Non-epileptic Seizures
The goal of this study is to evaluate effectiveness of the phone follow-up method compared to
 the conventional filler taken one.
This study is a multicenter, non-drug therapy and randomized research trial, comparing a
 group of patients integrating the phone monitoring device (DST group) to a control group
 where patients are cared for in the usual way.

 Subject recruiting modalities:

 The study population represents patients diagnosis, PNES confirmed by following by the
 video-EEG, recorded in a center of epilepsy and in different CHU and informed of the
 diagnosis of PNES in a standardized manner.

 Patients were recruited during their hospitalization video-EEG is conducted in part of the
 diagnostic workup of drug-resistant epilepsies, or demonstrations paroxysmal undetermined
 which may prove to be PNES.

 Usual care:

 After diagnosis of PNES: orientation psychiatric care or CMP liberal and meeting biannual
 with the neurologist.

 In the study:

 -  For patients in both groups: Management usual care and, in addition, quotation
 questionnaires of quality of life and evaluation by a neuropsychologist biannually for
 24 months after the appointment with the neurologist.

 -  For patients in the DST group only: Phone calls by psychologist at J 15, at 2 months,
 then every 2 months until M12. The device telephone follow (DST) consists of telephone
 calls (D15, M2, then every 2 months until M12) of the patient by an external independent
 psychologist designed to inform the patient about its pathology, promote acceptance of
 diagnosis, support the patient in his approach to care encouraging psychiatric
 observation. The device does not replace psychiatric counseling recommended.
Inclusion Criteria:

 -  Patient above 18 years old

 -  Affiliation to social security

 -  Evolution disorders for over three months with at least 3 psychogenic non-epileptic
 seizures spaced over 24 hours and less than two years

 -  Diagnosis of PNES (associated or not with epilepsy) or laid confirmed following a
 video-EEG examination

 -  Standardized announcement of the disease made by a neurologist participant / PHRC
 training

 -  Good understanding of the French language

 -  Patient consented to participate in the study

 Exclusion Criteria:

 -  Acute psychiatric pathology at the time of inclusion warranting urgent hospitalization
 (acute suicidal risk, Table delusional ...)

 -  Progressive neurological pathology intercurrent susceptible to aggravation for the
 duration of the study (glioma, multiple sclerosis, dementia ...)

 -  A patient who can not physically comply with the six-monthly review at the discretion
 of the investigator (planned move ...)

 -  Simultaneous participation to another therapeutic intervention study during the first
 12 months