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Related Experiment Videos

Psychological treatments for epilepsy.

S Ramaratnam1, G A Baker, L H Goldstein

  • 1Apollo Hospitals, Department of Neurology, 21 Greams Lane, Off Greams Road, Madras, Tamil Nadu, India 60006. rsridharan@vsnl.com

The Cochrane Database of Systematic Reviews
|October 20, 2005
PubMed
Summary

Psychological interventions for epilepsy show limited reliable evidence for reducing seizure frequency. Further high-quality trials are needed to confirm benefits for epilepsy management and quality of life.

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Area of Science:

  • Neurology
  • Psychiatry
  • Evidence-based Medicine

Background:

  • Psychological interventions, including relaxation therapy, cognitive behavioral therapy, biofeedback, and educational programs, are utilized in epilepsy treatment.
  • These methods aim to reduce seizure frequency and enhance the quality of life for individuals with epilepsy.

Purpose of the Study:

  • To evaluate the effectiveness of psychological interventions in reducing seizure frequency in epilepsy patients.
  • To determine if these psychological methods improve the quality of life for individuals with epilepsy.

Main Methods:

  • A systematic review was conducted searching major databases for randomized or quasi-randomized controlled trials.
  • Studies involving psychological or behavior modification techniques for epilepsy were included.

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  • Data extraction and assessment were performed independently by two reviewers, focusing on seizure frequency and quality of life outcomes.

    • Main Results:

    • Three small, low-quality trials on relaxation therapy showed no significant effect on seizure frequency.
    • Cognitive behavioral therapy showed mixed results for depression and no significant effect on seizure frequency.
    • Limited evidence suggests potential benefits for anxiety, adjustment, cognitive function, and knowledge about epilepsy from certain psychological and educational interventions.

    Conclusions:

    • Current evidence supporting psychological interventions for epilepsy is unreliable due to methodological limitations and small sample sizes.
    • Further rigorous research with larger participant groups is necessary to establish the efficacy of these treatments in epilepsy care.