Cognitive Behaviour Therapy to Improve Mood in People with Epilepsy: A Randomised Controlled Trial
Abstract
This study compared a 9-week individualised Cognitive Behaviour Therapy (CBT) programme for people with epilepsy (PWE), with a wait-list control. Fifty-nine PWE were randomised and 45 (75%) completed post-treatment outcomes. People with lower quality of life (QoL), particularly for cognitive functioning, were more likely to drop out. Analyses based on treatment completers demonstrated significant improvements on the Neurological Depressive Disorders Inventory for Epilepsy (p = .045) and Hospital Anxiety Depression Scale-Depression subscale (p = .048). Importantly, CBT significantly reduced the likelihood of clinical depressive symptoms (p = .014) and suicidal ideation (p = .005). Improvements were not observed for anxiety, QoL or maintained overtime for depression. Results suggest that CBT was effective, however, and could be improved to increase patient retention and long-term outcomes.
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Five studies (21%) had a high detection bias because the personnel conducting the outcome assessment were aware of the treatment allocation.
“Five studies (21%) had a high detection bias because the personnel conducting the outcome assessment were aware of the treatment allocation. 28,34,35,41,45”
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 [28]
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 [28]
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 [28]
Three studies (12%) provided details regarding the attempt to ensure fidelity to the intervention protocol by employing standard training protocols and supervision.
“Three studies (12%), however, provided details regarding the attempt to ensure fidelity to the intervention protocol by employing standard training protocols and supervision. 26 -28,31”
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 [28]
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 [28]
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 [28]
A total of 5 studies (21%) included anxiety level as an outcome measure, and all of them reported no significant baseline difference between the treatment and control groups.
“A total of 5 studies (21%) included anxiety level as an outcome measure 28,30,36,43,46 ; all of them reported no significant baseline difference between the treatment and control groups.”
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 [28]
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Suicide in Children and Adults with Epilepsy: A Complex Relationship
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Self-citationCognition and suicide: Effectiveness of cognitive behaviour therapy
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La depressione nell'epilessia. Cause, diagnosi e trattamento
D’Amico, R. (2018) · PSICOLOGIA DELLA SALUTE · doi:10.3280/pds2018-003002
Sarudianky, M. (2019) · Redalyc (Universidad Autónoma del Estado de México)
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Service delivery, behavioural, and self-management interventions for children with epilepsy
Fleeman, N., Mayer, J., Huang, Y., Nevitt, S. J., Panebianco, M., Hill, R. A., Doherty, A. J., Wilson, N., Boland, P., Clegg, A. J., et al. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015287.pub2
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Self-citation
- Authors
- Gandy, M., Sharpe, L., Nicholson Perry, K., Thayer, Z., Miller, L., Boserio, J., & Mohamed, A.
- Affiliations
- The University of Sydney (AU)
- Royal Prince Alfred Hospital (AU)
- Corresponding author
- Gandy, Milena
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2014-03-18
- Volume
- 43
- Issue
- 2
- Pages
- 153-166
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2029556508
- Cited by
- 52
- References
- 53
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 7 · 2018: 8 · 2017: 4 · 2016: 6 · 2015: 2
- FWCI
- 5.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- James S. McDonnell Foundation
- Epilepsy Action
- Epilepsy Society of Australia
- University of Sydney
- National Health and Medical Research Council
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- epilepsy, depression, mood, suicidal ideation, quality of life, cognitive function, treatment retention, anxiety, personalized treatment
- MeSH terms
- Adult, Affect, Aged, Anxiety, Depression, Epilepsy, Female, Humans, Male, Middle Aged, Quality of Life, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Suicidal Ideation
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