nach oben

Journal of Behavioral Medicine

Erschienen in:

01.06.2011

A randomized trial of a group based cognitive behavior therapy program for older adults with epilepsy: the impact on seizure frequency, depression and psychosocial well-being

verfasst von: Deirdre P. McLaughlin, Ken McFarland

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2011

Einloggen, um Zugang zu erhalten

Abstract

Few studies have examined the effectiveness of cognitive behavior therapy to manage seizures and improve psychosocial functioning in older adults with epilepsy. This study evaluated the efficacy of a 6 week group CBT program in community dwelling adults with epilepsy who were aged over 60 years. A total of 37 participants were randomly assigned to either a CBT group or a control group. Measures of depression, dysthymia, psychosocial functioning and seizure frequency were completed at pre and post intervention. Seizure frequency was significantly reduced in the CBT group compared to the control group (Cohen’s d 0.63). The results suggest that the relationship between seizure frequency and psychological and psychosocial well being in older adults requires further investigation. Although there were no significant between group differences on measures of depression and psychosocial functioning, both the CBT and control groups improved significantly from baseline.

Nur mit Berechtigung zugänglich

Aird, R. B. (1983). The importance of seizure-inducing factors in the control of refractory forms of epilepsy. Epilepsia, 24, 567–583. doi:10.1111/j.1528-1157.1983.tb03421.x.PubMedCrossRef

Andrews, D. J., Reiter, J., Schonfeld, W. H., Kastl, A., & Denning, P. (2000). A neurobehavioral treatment for unilateral complex partial seizure disorders: A comparison of right and left hemisphere patients. Seizure, 9, 189–197. doi:10.1053/seiz.1999.0375.CrossRef

Andrews, D. J., & Schonfeld, W. H. (1992). Predictive factors for controlling seizures using a behavioral approach. Seizure, 1, 111–116. doi:10.1016/1059-1311(92)90008-O.PubMedCrossRef

Antebi, D., & Bird, J. (1993). The facilitation and evocation of seizures. A questionnaire study of awareness and control. British Journal of Psychiatry, 162, 759–764.PubMedCrossRef

Claar, R., & Blumenthal, J. (2003). The value of stress-management interventions in life-threatening medical conditions. Current Directions in Psychological Science, 12, 133–137. doi:10.1111/1467-8721.01248.CrossRef

Cull, C., & Goldstein, L. H. (2002). The clinical psychologist’s handbook of epilepsy: Assessment and management. New York: Routledge.

Dahl, J. (1992). Epilepsy: A behavior medicine approach to assessment and treatment in children. Seattle: Hogrefe & Huber.

Davis, G. R., Armstrong, H. E., Donovan, D. M., & Temkin, N. R. (1984). Cognitive behavioral treatment of depressed affect among epileptics: Preliminary findings. Journal of Clinical Psychology, 40, 930–935. doi:10.1002/1097-4679(198407).PubMedCrossRef

Dick, L. P., Gallagher-Thompson, D., Coon, D. W., Powers, D. V., & Thompson, L. (1995). Cognitive behavioral therapy for late life depression: A client manual. Palo Alto, CA: Older Adult and Family Center, Veterans Affairs Palo Alto Health Care System.

Dodrill, C. B., & Batzel, L. W. (1994). The Washington psychosocial seizure inventory and quality of life in epilepsy. In M. R. Trimble & E. D. Dodson (Eds.), Epilepsy and quality of life (pp. 109–122). New York: Raven Press Ltd.

Dodrill, C. B., Batzel, L. W., Queisser, H. R., & Temkin, N. R. (1980). An objective method for the assessment of psychological and social problems among epileptics. Epilepsia, 21, 123–135. doi:10.1111/j.1528-1157.1980.tb04053.x.PubMedCrossRef

Fenwick, P. B. (1990). Behavioural treatment of epilepsy. Postgraduate Medical Journal, 66, 336–338. doi:10.1136/pgmj.66.775.336.PubMedCrossRef

Fenwick, P. B. (1991). Evocation and inhibition of seizures: behavioral treatment. In D. B. Smith, D. G. Treiman, & M. Trimble (Eds.), Neurobehavioral Problems in Epilepsy (pp. 163–180). New York: Raven Press Ltd.

Fenwick, P. B., & Brown, S. W. (1989). Evoked and psychogenic epileptic seizures, I. Precipitation. Acta Neurologica Scandinavica, 80, 535–540.PubMedCrossRef

Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini Mental State” A practical method for grading the cognitive status of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. doi:10.1016/0022-3956(75)90026-6.PubMedCrossRef

Gillham, R. A. (1990). Refractory epilepsy: An evaluation of psychological methods in outpatient management. Epilepsia, 31, 427–432. doi:10.1111/j.1528-1157.1990.tb05498.x.PubMedCrossRef

Goldstein, L. H. (1997). Effectiveness of psychological interventions for people with poorly controlled epilepsy. Journal of Neurology, Neurosurgery and Psychiatry, 63, 137–142. doi:10.1136/jnnp.63.2.137.CrossRef

Goldstein, L. H., McAlpine, M., Deale, A., Toone, B., & Mellers, J. D. (2003). Cognitive behavior therapy with adults with intractable epilepsy and psychiatric co-morbidity: preliminary observations on changes in psychological state and seizure frequency. Behavior Research and Therapy, 41, 447–460. doi:10.1016/S0005-7967(02)00025-6.CrossRef

Janszky, J., Szucs, A., Rasonyi, G., Schulz, R., Hoppe, M., Hollo, A., et al. (2004). Intentional seizure interruption may decrease the seizure frequency in drug-resistant temporal lobe epilepsy. Seizure, 13, 156–160. doi:10.1016/S1059-1311(03)00162-6.PubMedCrossRef

Kotsopoulos, I. A. W., van Merode, T., Kessels, F. G. H., de Krom, M. C. T., & Knotterus, J. A. (2002). Systematic review and meta-analysis of incidence studies of epilepsy and unprovoked seizures. Epilepsia, 43, 1402–1409. doi:10.1046/j.1528-1157.2002.t01-1-26901.x.PubMedCrossRef

Matsuoka, H., Nakamura, M., Ohno, T., Shimabukuro, J., Suzuki, T., Numachi, Y., et al. (2005). The role of cognitive-motor function in precipitation and inhibition of epileptic seizures. Epilepsia, 46, 17–20. doi:10.1111/j.0013-9580.2005.461006.x.PubMedCrossRef

McLaughlin, D., Pachana, N., & McFarland, K. (2008a). Depression in a community-dwelling sample of older adults with late-onset or lifetime epilepsy. Epilepsy & Behavior, 12, 281–285. doi:10.1016/j.yebeh.2007.10.CrossRef

McLaughlin, D., Pachana, N., & McFarland, K. (2008b). Stigma, seizure frequency and quality of life: The impact of epilepsy in late adulthood. Seizure, 17, 281–287. doi:10.1016/j.seizure.2007.09.001.PubMed

Pachana, N. A., Marcopoulos, B. A., & Leatham, J. (1998). Cognitive rehabilitation in older adults. Australian Journal of Rehabilitation Counselling, 4, 82–96.

Payne, R. A. (2000). Relaxation Techniques: A practical handbook for the health care professional. Edinburgh: Churchill Livingstone.

Peters, L., & Andrews, G. (1995). A procedural validity study of the computerized version of the Composite International Diagnostic Interview. Psychological Medicine, 25, 1269–1280. doi:10.1017/S0033291700033237.PubMedCrossRef

Pfafflin, M., & May, T. W. (2001). Comprehensive care in the epilepsy clinic Bethel: Result from a controlled prospective study. In M. Pfafflin, R. T. Fraser, R. Thorbecke, U. Specht, & P. Wolf (Eds.), Comprehensive care for people with epilepsy (pp. 341–356). London: John Libbey.

Puskarich, C. A., Whitman, S., Dell, J. L., Hughes, J. R., Rosen, A. J., & Hermann, B. (1992). Controlled examination of effects of progressive relaxation training on seizure reduction. Epilepsia, 33, 675–680. doi:10.1111/j.1528-1157.1992.tb02346.x.PubMedCrossRef

Reiter, J., & Andrews, D. (2000). A neurobehavioral approach for treatment of complex partial epilepsy: efficacy. Seizure, 9, 198–203. doi:10.1053/seiz.1999.0374.PubMedCrossRef

Reiter, J., Andrews, D., & Janis, C. (1987). Taking control of your epilepsy: A workbook for patients and professionals. Santa Rosa, CA: The Basic Publishing Company.

Schmid-Schonbein, C. (1998). Improvement of seizure control by psychological methods in patients with intractable epilepsies. Seizure, 7, 261–270. doi:10.1016/S1059-1311(98)80017-4.PubMedCrossRef

Spector, S., Cull, C., & Goldstein, L. H. (2000). Seizure precipitants and perceived self-control of seizures in adults with poorly-controlled epilepsy. Epilepsy Research, 38, 207–216. doi:10.1016/S0920-1211(99)00093-5.PubMedCrossRef

Spector, S., Cull, C., & Goldstein, L. H. (2001). High and low perceived self-control of epileptic seizures. Epilepsia, 42, 556–564. doi:10.1046/j.1528-1157.2001.09800.x.PubMedCrossRef

Spector, S., Goldstein, L. H., Cull, C., & Fenwick, P. B. (1994). Precipitating and inhibiting epileptic seizures: A survey of adults with poorly controlled epilepsy. London: International League Against Epilepsy.

Spector, S., Tranah, A., Cull, C., & Goldstein, L. H. (1999). Reduction in seizure frequency following a short-term group intervention for adults with epilepsy. Seizure, 8, 297–303. doi:10.1053/seiz.1999.0292.PubMedCrossRef

Tan, S. Y., & Bruni, J. (1986). Cognitive-Behavior Therapy with adult patients with epilepsy: A controlled outcome study. Epilepsia, 27, 225–233. doi:10.1111/j.1528-1157.1986.tb03533.x.PubMedCrossRef

Wittchen, H. U. (1994). Reliability and validity studies of the WHO Composite International Diagnostic Interview (CIDI): A critical review. Journal of Psychiatric Research, 28, 57–84. doi:10.1016/0022-3956(94)90036-1.PubMedCrossRef

Wolf, P. (2002). The role of nonpharmaceutic conservative interventions in the treatment and secondary prevention of epilepsy. Epilepsia, 43(Suppl 9), S2–S5.CrossRef

Wolf, P., & Okujava, N. (1999). Possibilities of non-pharmacological conservative treatment of epilepsy. Seizure, 8, 45–52. doi:10.1053/seiz.1998.0243.PubMedCrossRef

World Health Organization. (1990). Composite International Diagnostic Interview. Geneva: World Health Organization Division of Mental Health.

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale. Journal of Psychiatric Research, 17, 37–49. doi:10.1016/0022-3956(82)90033-4.CrossRef

Titel: A randomized trial of a group based cognitive behavior therapy program for older adults with epilepsy: the impact on seizure frequency, depression and psychosocial well-being
verfasst von: Deirdre P. McLaughlin
Ken McFarland
Publikationsdatum: 01.06.2011
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 3/2011
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-010-9299-z

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2011

Perceived risk for cancer in an urban sexual minority

Utility of the NEO-FFI in multi-dimensional assessment of orofacial pain conditions

Perceived barriers to opportunity and their relation to substance use among Latino immigrant men

Gender differences in satisfaction with life in patients with coronary heart disease: physical activity as a possible mediating factor

Judging pain and disability: effects of pain severity and physician specialty