Cognitive-behavioral group treatment program for adults with epilepsy in Hong Kong
Abstract
A subjective sense of uncertainty is a common theme in the experience of patients with epilepsy. Lack of control has also been implicated as an etiologic factor in the development of psychosocial problems in epilepsy. Cognitive-behavioral interventions emphasizing the mediating role of thoughts and self-control appear to be particularly relevant for patients with epilepsy because anxiety and depression are the most common problems. Despite its apparent importance, very little systematic research has been published on the effectiveness of psychological treatment of epilepsy. The purpose of the present study was to conduct a seminal outcome evaluation of psychological intervention for adult patients in Hong Kong. Using a waitlist control group, the treatment program focused particularly on cognitive restructuring and seizure control. Results indicated significant gains by the treatment group in overall quality of life and self-efficacy. In particular, marked improvements were noted for emotional well-being, seizure, and stress management. The clinical implications are discussed in the context of developing specific intervention programs and outcome measures specific to the various needs of adult patients with epilepsy.
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Seizure-related parameters (eg, minimum seizure frequency) constituted an inclusion criterion in 6 studies (25%).
“Seizure-related parameters (eg, minimum seizure frequency) constituted an inclusion criterion in 6 studies (25%; see Table 1). 33 -37,47”
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 [33]
Almost half of all study designs included a wait list control (WLC) group (n = 11, 46%).
“Almost half of all study designs included a wait list control (WLC) group (n = 11, 46%). 28,31 -33,37,38,40,42,43,45,46”
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 [33]
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 [33]
Reasons for a rating as high ROB included quasi-randomized trial designs such as a matched design (n = 1, 4%), alternating assignment (n = 1, 4%), and allocation based on participants' application to 1 of 2 available courses and availability of spaces in offered courses in a WLC design (n = 2, 8%).
“Reasons for a rating as high ROB included quasirandomized trial designs such as a matched design (n = 1, 4%), 33 alternating assignment (n = 1, 4%), 45 and allocation based on participants ' application to 1 of 2 available courses and availability of spaces in offered courses in a WLC design (n = 2, 8%). 38,42”
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 [33]
Three studies (12%) were rated as low risk for attrition bias because they reported no dropout throughout.
“Three studies (12%) 33 -35 were rated as low risk because they reported no dropout throughout.”
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 [33]
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 [33]
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 [33]
Five studies (55%) found no significant differences between the treatment and control groups in seizure frequency.
“whereas the other 5 studies (55%) found no significant differences between the groups. 26,27,33,35,38,42”
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 [33]
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 [33]
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 [16]
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- Authors
- Au, A., Chan, F., Li, K., Leung, P., Li, P., & Chan, J.
- Affiliations
- Queen Elizabeth Hospital (CN)
- Chinese University of Hong Kong (HK)
- Corresponding author
- Au, Alma
- Venue
- Epilepsy & Behavior
- Publisher
- Elsevier BV
- Published
- 2003-08
- Volume
- 4
- Issue
- 4
- Pages
- 441-446
- ISSN
- 1525-5050 (ISSN-L)
- OpenAlex
- W2021036540
- Cited by
- 63
- References
- 25
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 4
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Epilepsy & Behavior (publishedVersion)
- PubMed (publishedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- 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
- epilepsy, group cognitive behavioral therapy, psychological intervention, anxiety, depression, quality of life, self-efficacy, emotional well-being, stress management, seizure control, cognitive restructuring, uncertainty, Hong Kong
- MeSH terms
- Adult, Epilepsy, Hong Kong, Humans, Psychotherapy, Group, Quality of Life, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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