Functional seizures (FS) can be debilitating and negatively impact quality of life. Yet intervention research for FS is limited, especially for youth. This study examined clinical characteristics and outcomes of youth with FS (13–23 years) presenting to a pediatric intensive interdisciplinary pain treatment (IIPT) program in the midwestern United States. Sixty youth (mean age = 16.5 years; 83.3 % female) met inclusion criteria. At intake, comorbid chronic pain, somatic symptoms, autonomic dysfunction, eating and weight disturbances, and mental health concerns were common. Despite this high symptom burden, youth with FS reported significant improvements in functioning measured with the Functional Disability Inventory, (53) = 9.80, <.001, = 1.32; depression measured with the Center for Epidemiological Studies – Depression Scale for Children, (53) = 6.76, <.001, = 0.91; anxiety measured with the Spence Children’s Anxiety Scale, (53) = 3.97, < .001, = 0.53; and catastrophizing measured with the Pain Catastrophizing Scale for Children, (53) = 6.44, <.001, = 0.86, following completion of the program, suggesting that IIPT may be an effective treatment option for highly disabled and emotionally distressed youth with FS. Future research is needed to continue to refine best practices for youth with FS to reduce suffering and improve outcomes.

中文翻译：

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接受强化跨学科疼痛治疗的功能性癫痫青少年的特征和结果

功能性癫痫发作 (FS) 可能会使人衰弱并对生活质量产生负面影响。然而，针对 FS 的干预研究仍然有限，尤其是针对青少​​年。本研究调查了美国中西部参加儿科强化跨学科疼痛治疗 (IIPT) 项目的 FS 青少年（13-23 岁）的临床特征和结果。 60 名青年（平均年龄 = 16.5 岁；83.3% 为女性）符合纳入标准。摄入时，合并慢性疼痛、躯体症状、自主神经功能障碍、饮食和体重失调以及心理健康问题很常见。尽管症状负担很重，患有 FS 的青少年报告称，通过功能障碍量表衡量，其功能显着改善，(53) = 9.80，<.001，= 1.32；使用流行病学研究中心 - 儿童抑郁量表测量的抑郁症，(53) = 6.76，<.001，= 0.91；使用 Spence 儿童焦虑量表测量的焦虑，(53) = 3.97，< .001，= 0.53；计划完成后，用儿童疼痛灾难化量表测量灾难化，(53) = 6.44，<.001，= 0.86，表明 IIPT 可能是患有 FS 的高度残疾和情绪困扰青少年的有效治疗选择。未来的研究需要继续完善针对患有 FS 的青少年的最佳实践，以减少痛苦并改善结果。