Improvement of seizure control by psychological methods in patients with intractable epilepsies
Open accessAbstract
Recent attempts to clarify the pathogenesis of pharmacoresistant epilepsies arrive at the conclusion that intractable epilepsies might be prevented by earlier, more effective pharmacotherapy. In this paper the problem of intractability is examined from a psychological point of view. Sixteen patients with intractable epilepsies were trained in techniques of self control (SC) in addition to ongoing pharmacological treatment. The SC training consisted of detailed self observation which aimed at identifying warning signals of a beginning seizure and seizure-provoking factors and the development of 'counter measures' (behavioural measures to interrupt a beginning seizure and to neutralize provoking factors). After SC training, all those patients who successfully managed to deal with their identified problems (strong psychic stress and/or poor intuitive SC abilities) achieved a significant improvement of seizure control: 68% obtained 80-100% reduction and 12% obtained 60-70% reduction of seizures. None changed for the worse. These findings suggested that psychological methods of seizure control can contribute to improving long-standing intractable epilepsies. Offered early in the process of epilepsy they may even help to prevent the development of intractability. A new kind of polytherapy is proposed, consisting of a combination of pharmacological and SC therapy.
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The WSAS is a valid, reliable and sensitive measure in a number of different disorders, including depression, anxiety, OCD, phobic disorders, or insomnia, and in patients with psychogenic non-epileptic seizures.
“The WSAS has been established as a valid, reliable and sensitive measure in a number of different disorders, including depression, anxiety, OCD, phobic disorders, or insomnia and it has proven a sensitive measure in a number of studies of patients with psychogenic non-epileptic seizures [25-29].”
From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [25]
The Self control factors section discusses seizure-control treatment and states that none of the patients had been diagnosed with additional non-epileptic seizures. Searches for WSAS, the Work and Social Adjustment Scale, and the listed disorders found no passage evaluating the scale’s validity, reliability, or sensitivity. Page numbers were not available in our copy. (LLM, conf=0.78)
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- Authors
- Schmid-Schönbein, C.
- Affiliations
- Humboldt-Universität zu Berlin (DE)
- Corresponding author
- Schmid-Schönbein, Christiane
- Venue
- Seizure
- Publisher
- Elsevier BV
- Published
- 1998-08
- Volume
- 7
- Issue
- 4
- Pages
- 261-270
- ISSN
- 1059-1311 (ISSN-L)
- OpenAlex
- W2094007210
- Cited by
- 57
- References
- 11
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2017: 1 · 2016: 1 · 2015: 5 · 2014: 7 · 2013: 1 · 2012: 2
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Seizure (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Keywords
- drug-resistant epilepsy, seizure control, self-control training, psychological intervention, self-observation, polypharmacy, psychological stress
- MeSH terms
- Adolescent, Adult, Anticonvulsants, Behavior Therapy, Child, Drug Resistance, Epilepsy, Female, Humans, Inhibition, Psychological, Male, Stress, Psychological, Treatment Outcome
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