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
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.
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The GAD-7 has been validated by significant positive correlations with a number of anxiety measures, including the Hamilton Anxiety Scale, Beck Anxiety Inventory and the anxiety sub-scale of Symptom Checklist-90, and has previously been used as a screening tool in epilepsy.
“The GAD-7 has been validated by significant positive correlations with a number of anxiety measures, including the Hamilton Anxiety Scale, Beck Anxiety Inventory and the anxiety sub-scale of Symptom Checklist-90 [17, 21] and it has previously been used as a screening tool in epilepsy [22].”
From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [22]
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- Authors
- McLaughlin, D. P., & McFarland, K.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- McLaughlin, Deirdre P.
- Venue
- Journal of Behavioral Medicine
- Published
- 2010-10-07
- Volume
- 34
- Issue
- 3
- Pages
- 201-207
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2170119189
- Cited by
- 75
- References
- 40
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 8 · 2017: 7 · 2016: 6 · 2015: 6 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, older adults, epilepsy, seizure frequency, depression, dysthymia, psychosocial well-being, group therapy, community-dwelling older adults
- MeSH terms
- Adaptation, Psychological, Aged, Depression, Epilepsy, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotherapy, Group, Seizures, Cognitive Behavioral Therapy
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