AzTrials
AzTrials

Psychogenic Non Epileptic SeizureEDUQ-CPNENCT02311829

Evaluation of a Telephone Follow-up Procedure on the Quality of Life in Psychogenic Non-epileptic Seizures

A study testing Telephone follow-up device in people with Psychogenic Non Epileptic Seizure, run by Central Hospital, Nancy, France at 4 sites in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The goal of this study is to evaluate effectiveness of the phone follow-up method compared to the conventional filler taken one. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psychogenic Non Epileptic Seizure
What is being tested?
Telephone follow-up device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
136 participants
Where
4 sitesFrance
Study dates
Jan 2014to Jan 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

4 sites in 1 country.

Louis MAILLARD, PU-PH, HDR contact

03 83 85 16 86 ext. +33

l.maillard@chu-nancy.fr

Coraline HINGRAY, PU-PH contact

03 83 85 16 86 ext. +33

c.hingray@chu-nancy.fr

France4 sites, 4 recruiting
  • Chu Dijon

    Dijon, Bourgogne-Franche-Comté, 21 079

    Martine LEMESLE, MD, 03 80 29 37 54 ext. +33, martine.lemesle@chu-dijon.fr

    Benoît TROJAK, MD PHD, 03 80 29 37 54 ext. +33, benoit.trojak@chu-dijon.fr

    Recruiting
  • Chu Nancy

    Nancy, Lorraine, 54 035

    Louis MAILLARD, MD PHD, 03 83 85 16 86 ext. +33, l.maillard@chu-nancy.fr

    Coraline HINGRAY, MD, 03 83 85 16 86 ext. +33, c.hingray@chu-nancy.fr

    Recruiting
  • Chu Reims

    Reims, Champagne Ardennes, 51 092

    Anne THIRIAUX, MD, 03 26 78 71 34 ext. +33, thiriauxanne@hotmail.com

    Delphine RAUCHER CHENE, MD, 03 26 78 71 34 ext. +33, draucherchene@chu-reims.fr

    Recruiting
  • Chu Strasbourg

    Strasbourg, Alsace, 67 098

    Edouard HIRSCH, MD PHD, 03 88 11 67 68 ext. +33, Edouard.hirsch@chru-strasbourg.fr

    Pierre VIDAILHET, MD PHD, 03 88 11 67 68 ext. +33, Pierre.VIDAILHET@chru-strasbourg.fr

    Recruiting

Other trials in France

About this study

Official title: Evaluation d'un Dispositif de Suivi téléphonique Sur la Qualité de Vie Dans Les Crises Psychogènes Non Epileptiques.

The goal of this study is to evaluate effectiveness of the phone follow-up method compared to the conventional filler taken one.

Read the detailed description

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.
Being tested
Telephone follow-up device
Keywords
Quality of life, PNES, Epilepsy,
Medical subject headings
Psychogenic Nonepileptic Seizures, Epilepsy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Telephone follow-up deviceOther

    For patients in the DST group only: Phone calls by clinical psychologist at J 15 at 2, then every 2 months until M12.

Study groups in NCT02311829
Study groupRoleWhat they receive
Telephone follow-up device (DST)ExperimentalAn external independent clinical psychologist is responsible for calling regular the patient included in DST-arm. Telephone follow-up device(DST) consists of telephone calls at 15 day, 2 month and then every 2 months until 12 months. The clinical psychologist is 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.
Receives: Other: Telephone follow-up device
Group control ; usual careNo intervention- Usual care: After diagnosis of PNES: orientation psychiatric care or CMP liberal and meeting biannually with the neurologist - For patients in both groups: in addition, quotation questionnaires of quality of life and evaluation by a neuropsychologist biannual for 24 months after the appointment with the neurologist.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evolution of quality of life scores every 6 months (From 6 to 24 months)

    The primary endpoint is the assessment of quality of life scores measured at 6, 12, 18 and 24 months after start of treatment (visit D0) by self-administered questionnaires of quality of life (SF-36 general questionnaire quality of life) and QOLIE 31 (specific questionnaire epilepsy).

    Measured: 24 months

Secondary outcomes (5)
  1. Frequency of non epileptic seizures per month

    Seizures diaries follow

    Measured: 24 months (average for 6 months)

  2. Severity of seizures

    Duration, injuries, loss of urine and feces, fall, loss of consciousness and subjective control feel of the listed crisis between 0 and 10 on EVA scale crisis control feel.

    Measured: 24 months

  3. Psychiatric symptomology scores

    Questionnaires (DSM-IV, Beck 21, MADRS, HAMA, DES, SDQ-20, TAS 20, Brief COPE)

    Measured: 24 months

  4. Percentage of programmed psychological consultation and actually honored in medical and psychological center

    This percentage is collected in medical and psychological center or from liberal psychiatrist \ psychologist (collected with phone call)

    Measured: 24 months

  5. Number of urgent consultations or unprogrammed and \ or unprogrammed

    consultations ( SAMU, emergency, reanimation, unprogrammed neurological consultations).

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Dec 2014 (estimated)
  2. Study startJan 2014
  3. Primary completionJan 2018 (estimated)
  4. Study completionJan 2018 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
136 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02311829
Sponsor's protocol ID
2012-A01580-43
Acronym
EDUQ-CPNE
Status last verified
Mar 2016
First submitted
28 Oct 2014
Last updated
8 Mar 2016
Results posted
No
Data monitoring committee
No

Publications

  • LaFrance WC Jr, Alosco ML, Davis JD, Tremont G, Ryan CE, Keitner GI, Miller IW, Blum AS. Impact of family functioning on quality of life in patients with psychogenic nonepileptic seizures versus epilepsy. Epilepsia. 2011 Feb;52(2):292-300. doi: 10.1111/j.1528-1167.2010.02765.x. Epub 2011 Feb 7.

    PubMed 21299547
  • Duncan R, Razvi S, Mulhern S. Newly presenting psychogenic nonepileptic seizures: incidence, population characteristics, and early outcome from a prospective audit of a first seizure clinic. Epilepsy Behav. 2011 Feb;20(2):308-11. doi: 10.1016/j.yebeh.2010.10.022. Epub 2010 Dec 30.

    PubMed 21195031
  • Goldstein LH, Chalder T, Chigwedere C, Khondoker MR, Moriarty J, Toone BK, Mellers JD. Cognitive-behavioral therapy for psychogenic nonepileptic seizures: a pilot RCT. Neurology. 2010 Jun 15;74(24):1986-94. doi: 10.1212/WNL.0b013e3181e39658.

    PubMed 20548043
  • Hingray C, Maillard L, Hubsch C, Vignal JP, Bourgognon F, Laprevote V, Lerond J, Vespignani H, Schwan R. Psychogenic nonepileptic seizures: characterization of two distinct patient profiles on the basis of trauma history. Epilepsy Behav. 2011 Nov;22(3):532-6. doi: 10.1016/j.yebeh.2011.08.015. Epub 2011 Oct 1.

    PubMed 21962755
  • Howlett S, Grunewald RA, Khan A, Reuber M. Engagement in psychological treatment for functional neurological symptoms--Barriers and solutions. Psychotherapy (Chic). 2007 Sep;44(3):354-60. doi: 10.1037/0033-3204.44.3.354.

    PubMed 22122261
  • Hubsch C, Baumann C, Hingray C, Gospodaru N, Vignal JP, Vespignani H, Maillard L. Clinical classification of psychogenic non-epileptic seizures based on video-EEG analysis and automatic clustering. J Neurol Neurosurg Psychiatry. 2011 Sep;82(9):955-60. doi: 10.1136/jnnp.2010.235424. Epub 2011 May 10.

    PubMed 21561887
  • Jirsch JD, Ahmed SN, Maximova K, Gross DW. Recognition of psychogenic nonepileptic seizures diminishes acute care utilization. Epilepsy Behav. 2011 Oct;22(2):304-7. doi: 10.1016/j.yebeh.2011.06.031. Epub 2011 Aug 2.

    PubMed 21813334
  • Josien E. Crises non épileptiques. EMC neurologie. 2005 ;1-9.

  • LaFrance WC Jr, Keitner GI, Papandonatos GD, Blum AS, Machan JT, Ryan CE, Miller IW. Pilot pharmacologic randomized controlled trial for psychogenic nonepileptic seizures. Neurology. 2010 Sep 28;75(13):1166-73. doi: 10.1212/WNL.0b013e3181f4d5a9. Epub 2010 Aug 25.

    PubMed 20739647
  • Lesser RP. Psychogenic seizures. Neurology. 1996 Jun;46(6):1499-507. doi: 10.1212/wnl.46.6.1499. No abstract available.

    PubMed 8649537
  • Martin RC, Gilliam FG, Kilgore M, Faught E, Kuzniecky R. Improved health care resource utilization following video-EEG-confirmed diagnosis of nonepileptic psychogenic seizures. Seizure. 1998 Oct;7(5):385-90. doi: 10.1016/s1059-1311(05)80007-x.

    PubMed 9808114
  • Mayor R, Howlett S, Grunewald R, Reuber M. Long-term outcome of brief augmented psychodynamic interpersonal therapy for psychogenic nonepileptic seizures: seizure control and health care utilization. Epilepsia. 2010 Jul;51(7):1169-76. doi: 10.1111/j.1528-1167.2010.02656.x. Epub 2010 Jun 18.

    PubMed 20561022
  • Strutt AM, Hill SW, Scott BM, Uber-Zak L, Fogel TG. Motivation, psychopathology, locus of control, and quality of life in women with epileptic and nonepileptic seizures. Epilepsy Behav. 2011 Oct;22(2):279-84. doi: 10.1016/j.yebeh.2011.06.020. Epub 2011 Jul 23.

    PubMed 21788158
  • Worsley C, Whitehead K, Kandler R, Reuber M. Illness perceptions of health care workers in relation to epileptic and psychogenic nonepileptic seizures. Epilepsy Behav. 2011 Apr;20(4):668-73. doi: 10.1016/j.yebeh.2011.01.029. Epub 2011 Mar 25.

    PubMed 21440511
  • Abubakr A, Kablinger A, Caldito G. Psychogenic seizures: clinical features and psychological analysis. Epilepsy Behav. 2003 Jun;4(3):241-5. doi: 10.1016/s1525-5050(03)00082-9.

    PubMed 12791325

Questions about this trial

What is this clinical trial studying?

A study testing Telephone follow-up device in people with Psychogenic Non Epileptic Seizure, run by Central Hospital, Nancy, France at 4 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 8 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Louis MAILLARD, PU-PH, HDR (03 83 85 16 86 ext. +33, l.maillard@chu-nancy.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Evolution of quality of life scores every 6 months (From 6 to 24 months) (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02311829, which also lists 64 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Mar 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in