Correlates of health-related quality of life in adults with psychogenic XXXX : A systematic review.

@entity1 @entity410 @entity308 @entity409 @entity302
UNASSIGNED: Psychogenic @entity410 (PNES) often have a debilitating effect on @entity1 ' lives. @entity1 , family members, and clinicians have yet to fully understand the mechanisms and treatment of this disorder. Although reviews exist about @entity302 , there have been no systematic reviews of studies focusing on the impact of PNES. This review considers research on factors associated with the health-related quality of life (HRQoL) of @entity1 with PNES. Searches of Medline, PsycINFO, CINAHL, and Cochrane Library were conducted. Search terms identified studies that examined factors associated with HRQoL in PNES. Factors fell into three categories: (1) @entity410 and somatic factors, (2) psychological factors, and (3) coping strategies and family functioning. Fourteen articles were included. The majority of studies were cross-sectional and were of weak to moderate quality. @entity308 were negatively associated with HRQoL. Other factors associated with poorer HRQoL included dissociation, somatic symptoms, escape-avoidance coping strategies, and @entity409 . Variables such as @entity410 frequency and demographic factors were not significantly associated with HRQoL. Psychological and interpersonal factors, not @entity410 reduction, are important for the HRQoL of @entity1 with PNES. The avoidance of emotions is proposed as a perpetuating factor in the difficulties associated with poorer HRQoL. A  biopsychosocial approach has relevance for both the clinical and theoretical understanding of PNES. Larger scale research on psychological and relational factors is needed to inform therapeutic approaches to enhance HRQoL in @entity1 with PNES.
