Psychosocial treatment programs in epilepsy: a review
Abstract
Psychosocial problems are a major unmet treatment need in epilepsy. The purpose of this review was to describe published psychosocial treatment interventions in the English medical literature. Seventeen outcome studies for 15 treatments were found. Survival past proof of concept was a problem, with only four programs making it into current use. With important exceptions, treatments met with limited success. Several were successful with medical education, improving quality of life, social adjustment, and adjustment to seizures. A psychological intervention for seizure control for patients with refractory epilepsy was outstanding. Research problems included few control groups, a dependence on paper-and-pencil measures, limited variables, and only one study with serum determination for compliance. Low cost-effectiveness was a problem. Only one approach showed economic promise. Low participation by patients was an unexpected barrier. Psychosocial treatments should be targeted for development and needs to be integrated into the treatment flow of specialty clinics.
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There is insufficient evidence for the effectiveness of psychological treatments for epilepsy, making it easy for healthcare purchasers to ignore guideline references to such treatments.
“To date it has been relatively easy for healthcare purchasers to ignore references to the provision of psychological treatments in epilepsy treatment guidelines because there is insufficient evidence for the effectiveness of such interventions [9, 10].”
From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [10]
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Psychoeducation for People with Epilepsy and Their Families
Nishida, T. (2026) · てんかん研究 · doi:10.3805/jjes.44.17
- Authors
- Mittan, R. J.
- Corresponding author
- Mittan, Robert James
- Venue
- Epilepsy & Behavior
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 16
- Issue
- 3
- Pages
- 371-380
- ISSN
- 1525-5050 (ISSN-L)
- OpenAlex
- W2053669888
- Cited by
- 65
- References
- 25
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 7 · 2016: 5 · 2015: 9 · 2014: 6 · 2013: 3 · 2012: 5
- FWCI
- 1.86
- 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 › Psychotherapy Techniques and Applications
- Keywords
- epilepsy, psychosocial interventions, psychological intervention, drug-resistant epilepsy, seizure control, quality of life, social adaptation, medical education, medication adherence, cost-effectiveness, patient participation
- MeSH terms
- Epilepsy, Humans, Models, Psychological, Psychological Techniques, Self Concept, Program Evaluation, Cognitive Behavioral Therapy, Outcome Assessment, Health Care
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