Refractory epilepsy: an evaluation of psychological methods in outpatient management.

Abstract:

:Two groups of adult outpatients (n = 19 and n = 21) with poorly controlled epilepsy and significant psychological disorder, assessed in terms of rating scales, received two psychological treatments in a balanced cross-over design after stable baseline seizure frequency had been established. A third group (n = 19), who had poorly controlled epilepsy but no significant psychological disturbance received one type of psychological treatment after a stable baseline. The treatments were educational and were designed to improve coping skills. Weekly seizure frequency was monitored for 42 weeks, and self-rating measures of anxiety and depression were obtained before treatment and at the end of follow-up. All three groups showed a significant reduction in seizure frequency that was maintained at 6-month follow-up. The two groups with psychological symptoms showed a significant improvement in scores on the self-rating scales. We concluded that routine use of psychological intervention may be helpful in outpatient management of epilepsy.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Gillham RA

doi

10.1111/j.1528-1157.1990.tb05498.x

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

427-32

issue

4

eissn

0013-9580

issn

1528-1167

journal_volume

31

pub_type

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