title: Reduction in seizure frequency following a short-term group intervention for adults with epilepsy.
abstract: A preliminary investigation of the efficacy of a group intervention combining a range of psychological approaches and techniques for seizure management in adults with poorly controlled epilepsy. An uncontrolled AB group design was employed. Seven adults with intractable seizures took part in 8, weekly group sessions which included providing information, employed cognitive-behavioural techniques and addressed emotional difficulties. Weekly seizure logs were kept by participants during the intervention and the following 3 months. Five questionnaires were administered before and after the intervention and at 2-months follow-up to provide an indication of psychosocial well-being. Seizure frequency and scores on the questionnaires were used as outcome measures. There was a significant reduction in seizure frequency in the group, which persisted at follow-up. There were no significant changes on any of the questionnaires. The results suggest that a group-based intervention incorporating a range of psychological techniques may be effective for improving seizure control. The link between seizure reduction and psychological and psychosocial well-being needs further investigation.
authors.affiliation: Epilepsy Centre, Neuroscience Division, King's College Hospital, Mapother House, De Crespigny Park, London SE5 8AZ, UK.
authors.forename: S
authors.initials: S
authors.lastname: Spector
authors.forename: A
authors.initials: A
authors.lastname: Tranah
authors.forename: C
authors.initials: C
authors.lastname: Cull
authors.forename: L H
authors.initials: LH
authors.lastname: Goldstein
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004827:Epilepsy / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010507:Periodicity; D011615:Psychotherapy, Group; D012720:Severity of Illness Index; D012917:Social Adjustment; D013997:Time Factors