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Psychobehavioral therapy for epilepsy.

Venus Tang1, Rosa Michaelis2, Patrick Kwan3

  • 1Department of Clinical Psychology, Prince of Wales Hospital, Hospital Authority, Hong Kong; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong.

Epilepsy & Behavior : E&B
|January 15, 2014
PubMed
Summary
This summary is machine-generated.

Psychobehavioral therapies, including cognitive-behavioral therapy (CBT) and mind-body approaches, can improve well-being for people with epilepsy (PWE). However, their impact on seizure control requires further investigation through robust clinical trials.

Keywords:
Cognitive–behavioral therapyEpilepsyMechanismMindfulnessMind–bodyPsychotherapyStress

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Area of Science:

  • Neuroscience
  • Psychology
  • Behavioral Medicine

Background:

  • Epilepsy involves complex interactions between seizures and psychological states.
  • There is increasing interest in psychobehavioral therapies for epilepsy management.
  • These therapies aim to enhance both psychological well-being and seizure control in patients.

Purpose of the Study:

  • To review psychobehavioral therapies for epilepsy.
  • To examine their applications, proposed mechanisms, and efficacy.
  • To identify areas for future research in this field.

Main Methods:

  • Literature review of psychobehavioral therapies for people with epilepsy (PWE).
  • Analysis of behavioral approaches, cognitive-behavioral therapy (CBT), and mind-body interventions.
  • Evaluation of evidence regarding psychological well-being and seizure control outcomes.

Main Results:

  • Cognitive-behavioral therapy (CBT), mind-body approaches, and multimodal interventions show consistent benefits for psychological well-being.
  • Evidence for seizure control improvement is inconsistent, potentially due to study limitations.
  • Small trial sizes and inadequate control groups were noted as contributing factors.

Conclusions:

  • Psychobehavioral therapies offer promise for improving the quality of life in people with epilepsy.
  • Further high-quality research, including adequately powered randomized controlled trials, is needed to confirm effects on seizure control.
  • Future trials should incorporate well-defined interventions and appropriate outcome measures.