John Rosendahl Østergaard

Paediatricians' attitudes to and management of functional seizures in children

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Paediatricians' attitudes to and management of functional seizures in children. / Nielsen, Eva Skovslund; Wichaidit, Bianca Taaning; Østergaard, John Rosendahl; Rask, Charlotte Ulrikka.

In: European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, Vol. 22, No. 5, 09.2018, p. 774-781.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

Nielsen, ES, Wichaidit, BT, Østergaard, JR & Rask, CU 2018, 'Paediatricians' attitudes to and management of functional seizures in children', European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, vol. 22, no. 5, pp. 774-781. https://doi.org/10.1016/j.ejpn.2018.05.007

APA

Nielsen, E. S., Wichaidit, B. T., Østergaard, J. R., & Rask, C. U. (2018). Paediatricians' attitudes to and management of functional seizures in children. European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 22(5), 774-781. https://doi.org/10.1016/j.ejpn.2018.05.007

CBE

Nielsen ES, Wichaidit BT, Østergaard JR, Rask CU. 2018. Paediatricians' attitudes to and management of functional seizures in children. European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. 22(5):774-781. https://doi.org/10.1016/j.ejpn.2018.05.007

MLA

Nielsen, Eva Skovslund et al. "Paediatricians' attitudes to and management of functional seizures in children". European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. 2018, 22(5). 774-781. https://doi.org/10.1016/j.ejpn.2018.05.007

Vancouver

Nielsen ES, Wichaidit BT, Østergaard JR, Rask CU. Paediatricians' attitudes to and management of functional seizures in children. European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. 2018 Sep;22(5):774-781. https://doi.org/10.1016/j.ejpn.2018.05.007

Author

Nielsen, Eva Skovslund ; Wichaidit, Bianca Taaning ; Østergaard, John Rosendahl ; Rask, Charlotte Ulrikka. / Paediatricians' attitudes to and management of functional seizures in children. In: European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. 2018 ; Vol. 22, No. 5. pp. 774-781.

Bibtex

@article{fca4967d01254450aaae55bbbf75dcb6,
title = "Paediatricians' attitudes to and management of functional seizures in children",
abstract = "OBJECTIVE: To explore paediatricians' attitudes to and treatment practice for children with functional seizures (FS).METHODS: In a nationwide survey, all 64 Danish neuro-paediatricians and social paediatricians were invited to complete a structured questionnaire encompassing FS-related issues that included beliefs and attitudes about aetiology and diagnostic assessment, current strategies for management, experienced need for clinical guidelines and better treatment options.RESULTS: A total of 61 paediatricians (95%) participated in the study. Nearly half (46%) had seen more than 30 children with FS during their career. Most (65%) believed in a primarily psychogenic aetiology. More than half (57%) stated that they could make the diagnosis by solely observing a seizure, and 18% indicated the children faked their symptoms. The paediatricians' responses to these issues did not significantly vary according to their level of clinical experience. Furthermore, the majority (78%) expressed a need for clinical guidelines, and only 13% rated existing treatment options as sufficient. Collaborative care between different specialties or management in a child and adolescent mental health services (CAMHS) setting was seen as the best model for treatment. However, only 23% reported often referring these children to CAMHS after making the diagnosis.CONCLUSION: The findings suggest that introduction of clinical guidelines in this area is highly needed. Such guidelines could promote more formal training of paediatricians in understanding and assessing FS and increased collaboration between paediatrics and CAMHS regarding care for children with this challenging and potentially costly and disabling disorder.",
author = "Nielsen, {Eva Skovslund} and Wichaidit, {Bianca Taaning} and {\O}stergaard, {John Rosendahl} and Rask, {Charlotte Ulrikka}",
note = "Copyright {\textcopyright} 2018 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.",
year = "2018",
month = sep,
doi = "10.1016/j.ejpn.2018.05.007",
language = "English",
volume = "22",
pages = "774--781",
journal = "European Journal of Paediatric Neurology",
issn = "1090-3798",
publisher = "Elsevier Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - Paediatricians' attitudes to and management of functional seizures in children

AU - Nielsen, Eva Skovslund

AU - Wichaidit, Bianca Taaning

AU - Østergaard, John Rosendahl

AU - Rask, Charlotte Ulrikka

N1 - Copyright © 2018 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

PY - 2018/9

Y1 - 2018/9

N2 - OBJECTIVE: To explore paediatricians' attitudes to and treatment practice for children with functional seizures (FS).METHODS: In a nationwide survey, all 64 Danish neuro-paediatricians and social paediatricians were invited to complete a structured questionnaire encompassing FS-related issues that included beliefs and attitudes about aetiology and diagnostic assessment, current strategies for management, experienced need for clinical guidelines and better treatment options.RESULTS: A total of 61 paediatricians (95%) participated in the study. Nearly half (46%) had seen more than 30 children with FS during their career. Most (65%) believed in a primarily psychogenic aetiology. More than half (57%) stated that they could make the diagnosis by solely observing a seizure, and 18% indicated the children faked their symptoms. The paediatricians' responses to these issues did not significantly vary according to their level of clinical experience. Furthermore, the majority (78%) expressed a need for clinical guidelines, and only 13% rated existing treatment options as sufficient. Collaborative care between different specialties or management in a child and adolescent mental health services (CAMHS) setting was seen as the best model for treatment. However, only 23% reported often referring these children to CAMHS after making the diagnosis.CONCLUSION: The findings suggest that introduction of clinical guidelines in this area is highly needed. Such guidelines could promote more formal training of paediatricians in understanding and assessing FS and increased collaboration between paediatrics and CAMHS regarding care for children with this challenging and potentially costly and disabling disorder.

AB - OBJECTIVE: To explore paediatricians' attitudes to and treatment practice for children with functional seizures (FS).METHODS: In a nationwide survey, all 64 Danish neuro-paediatricians and social paediatricians were invited to complete a structured questionnaire encompassing FS-related issues that included beliefs and attitudes about aetiology and diagnostic assessment, current strategies for management, experienced need for clinical guidelines and better treatment options.RESULTS: A total of 61 paediatricians (95%) participated in the study. Nearly half (46%) had seen more than 30 children with FS during their career. Most (65%) believed in a primarily psychogenic aetiology. More than half (57%) stated that they could make the diagnosis by solely observing a seizure, and 18% indicated the children faked their symptoms. The paediatricians' responses to these issues did not significantly vary according to their level of clinical experience. Furthermore, the majority (78%) expressed a need for clinical guidelines, and only 13% rated existing treatment options as sufficient. Collaborative care between different specialties or management in a child and adolescent mental health services (CAMHS) setting was seen as the best model for treatment. However, only 23% reported often referring these children to CAMHS after making the diagnosis.CONCLUSION: The findings suggest that introduction of clinical guidelines in this area is highly needed. Such guidelines could promote more formal training of paediatricians in understanding and assessing FS and increased collaboration between paediatrics and CAMHS regarding care for children with this challenging and potentially costly and disabling disorder.

U2 - 10.1016/j.ejpn.2018.05.007

DO - 10.1016/j.ejpn.2018.05.007

M3 - Journal article

C2 - 29871800

VL - 22

SP - 774

EP - 781

JO - European Journal of Paediatric Neurology

JF - European Journal of Paediatric Neurology

SN - 1090-3798

IS - 5

ER -