Preventing depression in adolescents with epilepsy
Abstract
Purpose The goal of the work described in this article was to test the possibility of preventing depression among adolescents with epilepsy.Methods Adolescents with newly diagnosed epilepsy (104 patients) were screened for depression. The risk for depression was increased in 30 (28.8%) patients (mean age 17.4, 60% females) who were randomized into two equal treatment groups: (1) cognitive-behavioral intervention (CBI) group and (2) treatment with counseling as usual (TAU) group. The Beck Depression Inventory (BDI), Center for Epidemiological Study on Depression (CES-D) scale, Hamilton Depression Scale (HAMD), and Quality of Life in Epilepsy Inventory (QOLIE-31) were administered at baseline and during the 9-month follow-up.Results Initial BDI and HAMD scores for the two groups were comparable. Depression was diagnosed during follow-up in three patients in the TAU group. Subthreshold depressive disorder significantly improved at follow-up in the BCI group compared with the TAU group (P<0.05). QOLIE-31 Total scores significantly correlated with both mood improvement and seizure-free state.
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Severity of depressive symptoms was used as an inclusion criterion in 5 studies (21%).
“Severity of depressive symptoms was used as an inclusion criterion in 5 studies (21%; see Table 1). 26,27,29 -32”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
One study investigated a psychological intervention for adolescents and young adults with epilepsy.
“One study investigated a psychological intervention for adolescents and young adults with epilepsy, 29”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Of the 24 studies, 11 examined group therapy (46%).
“Of the 24 studies, 11 examined group therapy (46%), 20,29,30,33,37,38,40 -42,46,47”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
One study (4%) was classified as having a very low risk as the therapists who delivered the treatment were blinded to the participants' group status.
“One study (4%) 29 was classified as having a very low risk as the therapists who delivered the treatment (cognitive behavioral intervention and counseling as usual) were blinded to the participants ' group status; the researchers told both therapists only that they would deliver psychological means to improve coping with epilepsy.”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
The meta-analysis comprised data from 9 studies (37%) with a total of 468 participants.
“Consequently, the meta-analysis comprised data from 9 studies (37%) 26 -30,33,36,46,49,50 with a total of 468 participants (see studies highlighted in gray in Table 1).”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
QOLIE-31/31-P/-89 was used in 17 studies (71%), of which 12 (70%) were considered for meta-analyses due to satisfactory methodological homogeneity.
“It was used in 17 studies (71%), of which 12 (70%) were considered for meta-analyses due to satisfactory methodological homogeneity. 26,27,29,30,33,36,37,41,46,47,49,50”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Four studies (17%) were rated as high ROB due to evidence of selective outcome reporting within the publications.
“Four studies (17%) 26,27,29,31,41 were rated as high ROB due to evidence of selective outcome reporting within the publications.”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Eight studies (33%) were rated as low risk for attrition bias as there was only a small number of missing data, which were balanced across the groups with justifiable reasons.
“Eight studies (33%) 27,29,36,38,39,44,48,49 were rated as low risk as there was only a small number of missing data, which were balanced across the groups with justifiable reasons.”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
The most commonly used scale for depressive symptoms was the Beck Depression Inventory/Beck Depression Inventory-II, which was used in 5 studies (45%).
“The most commonly used scale was the Beck Depression Inventory/Beck Depression Inventory-II, which was used in 5 studies (45%). 29 -32,36”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Seven studies (64%) reported a significant postintervention difference between the intervention and the control groups for depressive symptoms.
“Seven studies (64%) reported a significant postintervention difference between the intervention and the control groups. 26 -29,31,32,36,46”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Because Martinovic et al. only provided the total score, subscale results can only be presented for 8 studies (89%), with a total of 440 participants.
“Because Martinovi c et al. 29 only provided the total score, subscale results can only be presented for 8 studies (89%), with a total of 440 participants.”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Two of these studies (28%) used >1 outcome measure.
“Two of these studies (28%) used > 1 outcome measure. 28,29”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Seventeen studies (71%) exhibited larger amounts of missing data, although their participants were reimbursed for study participation.
“Seventeen studies (71%) exhibited larger amounts of missing data, although their participants were reimbursed for study participation. 29,33”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
Blinding of therapists was achieved by 1 study, in which the therapists were not aware of the study hypotheses.
“it was nevertheless achieved by 1 study, in which the therapists were not aware of the study hypotheses. 29”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [29]
The SF-12v2 is a valid and reliable substitute for the SF-36.
“The SF-12v2 is has been found a valid and a reliable substitute for the SF-36 [15, 16].”
From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [15]
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- Authors
- Martinović, Ž., Simonović, P., & Djokić, R.
- Affiliations
- Institute of Mental Health (RS)
- Corresponding author
- Martinović, Žarko
- Venue
- Epilepsy & Behavior
- Publisher
- Elsevier BV
- Published
- 2006-12
- Volume
- 9
- Issue
- 4
- Pages
- 619-624
- ISSN
- 1525-5050 (ISSN-L)
- OpenAlex
- W2161201224
- Cited by
- 130
- References
- 40
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 13 · 2014: 7 · 2013: 7 · 2012: 10
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Epilepsy & Behavior (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 › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- depression prevention, adolescents with epilepsy, cognitive-behavioral intervention, quality of life, seizure outcome, newly diagnosed epilepsy, depression screening
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Counseling, Depression, Epilepsy, Female, Humans, Male, Risk Factors, Cognitive Behavioral Therapy
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