Terapia przywracająca kontrolę (ReACT): Leczenie napadów bez przyczyny medycznej u dzieci i młodzieży
Retraining and Control Therapy (ReACT): Sense of Control and Symptom Expectations as Targets of a Treatment for PNES
W skrócie
Badanie sprawdza, czy specjalna terapia psychologiczna zwana ReACT może pomóc dzieciom i nastolatkom (11-18 lat) z napadami epilepsji bez medycznej przyczyny. Uczestnicy otrzymają 12 sesji terapii, podczas których będą się uczyć lepszej kontroli nad swoimi reakcjami i zmianę sposobu myślenia o swoich objawach. Skuteczność leczenia będzie oceniana poprzez testy psychologiczne i pomiary, a efekty będą śledzone przez cały rok po zakończeniu terapii.
Oryginalny opis (angielski)
The purpose of this study is to assess sense of control and catastrophic symptom expectations as targets for Retraining and Control Therapy (ReACT- an intervention focused on changing behaviors and thoughts) for treatment of pediatric psychogenic non-epileptic seizures (PNES, episodes resembling epileptic seizures but with no medical explanation). 11-18-year-olds diagnosed with PNES will engage in twelve sessions of ReACT. Sense of control over actions will be measured by the magic and turbulence task, a well-validated measure of sense of control. Participants will complete the cold pressor test (CPT) in which participants hold their hand in cool water for as long as possible up to 3 minutes. Catastrophic symptom expectations in response to the CPT will be measured by Pain Catastrophizing Scale for Children (PCS-C) pain tolerance (time with hand in water) and cortisol response. Target assessments will occur 7 days before treatment, 7 days after 8th treatment session and 7 days after 12th treatment session. Participants will also complete long term follow-up visits via HIPAA-compliant Zoom at 6 months and 12 months after the 12th treatment session where participants will complete questionnaires. PNES frequency will be measured from 30 days before to 12 months after treatment.