The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
Mindfulness-based therapy for drug-resistant epilepsy: An assessor-blinded randomized trial
Abstract
OBJECTIVE: To investigate the effectiveness of mindfulness-based therapy (MT) and social support (SS) in patients with drug-resistant epilepsy. METHODS: We performed an assessor-blinded randomized control trial. Sixty patients with drug-resistant epilepsy were randomly allocated to MT or SS (30 per group). Each group received 4 biweekly intervention sessions. The primary outcome was the change in the total score of the Patient-Weighted Quality of Life in Epilepsy Inventory (QOLIE-31-P). Secondary outcomes included seizure frequency, mood symptoms, and neurocognitive functions. The assessors were blinded to the patient's intervention grouping. Results were analyzed using general linear model with repeated measure. RESULTS: Following intervention, both the MT (n=30) and SS (n=30) groups had an improved total QOLIE-31-P, with an improvement of +6.23 for MT (95% confidence interval [CI] +4.22 to +10.40) and +3.30 for SS (95% CI +1.03 to +5.58). Significantly more patients in the MT group had a clinically important improvement in QOLIE-31-P (+11.8 or above) compared to those who received SS (11 patients vs 4 patients). Significantly greater reduction in depressive and anxiety symptoms, seizure frequency, and improvement in delayed memory was observed in the MT group compared with the SS group. CONCLUSIONS: We found benefits of short-term psychotherapy on patients with drug-resistant epilepsy. Mindfulness therapy was associated with greater benefits than SS alone in quality of life, mood, seizure frequency, and verbal memory. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that mindfulness-based therapy significantly improves quality of life in patients with drug-resistant epilepsy.
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“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 [36]
In the citing paper
“Four studies (17%) 34 -36,39 managed to blind the participants in both the treatment group and the active control group by telling them that they would participate in an intervention 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 [36]
In the citing paper
“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 [36]
In the citing paper
“A rating of low ROB was confirmed based on document review of registered protocols provided by the authors for 9 studies (37%). 32,36,40,42,44 -46,49,50”
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 [36]
In the citing paper
“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 [36]
In the citing paper
“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 [36]
In the citing paper
“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 [36]
In the citing paper
“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 [36]
In the citing paper
“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 [36]
In the citing paper
“The percentage of participants whose results reached MIC was only provided in 1 study. 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 [36]
In the citing paper
“Three studies (33%) reported a significantly greater reduction of seizure frequency in the treatment compared to the control group at postintervention, 34,36,40”
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 [36]
In the citing paper
“Blinding of participants was performed in only 4 studies. 34 -36,39”
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 [36]
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Self-citationClinical Management of Drug Resistant Epilepsy: A Review on Current Strategies
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“Mindfulness therapy is also associated with greater benefits than short-term psychotherapy in QOL, mood, seizure frequency, and verbal memory.(147)”
BackgroundThe Relationship Between Epilepsy and Anxiety Disorders
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“(Bahrani et al., 2017; Bedard et al., 2013; Bédard et al., 2003; Cash et al., 2016; Grossman et al., 2010; Joo et al., 2010; Paller et al., 2015; Simpson et al., 2017; Tang et al., 2015; Thompson et al., 2015, 2010) and symptomatic related disability in 9/12 (75”
BackgroundMethodInfluentialSelf-citationRecent Advances in Neuroimaging of Epilepsy
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“Behavioral stress management techniques like progressive muscle relaxation, biofeedback, and cognitive-behavioral therapy have been proposed as adjunct to seizure medications [184, 185] with their efficacy depending on whether they reduce perceived stress [186, 187].”
BackgroundAssociation of Levels of Specialized Care With Risk of Premature Mortality in Patients With Epilepsy
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Cognitive and Behavioral Interventions in Epilepsy
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“Tang et al.(4) demonstrated that mindfulness improved quality of life, mood, and seizure frequency.”
InfluentialAfra, P., Bruggers, C. S., Sweney, M., Fagatele, L., Alavi, F., Greenwald, M. J., Huntsman, M., Nguyen, K., Jones, J. K., Shantz, D., et al. (2018) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2018.00171 · Cited by 54
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“In another study, Lykins et al. 2012; see also Tang et al. 2015) presented demographically matched groups of meditators and nonmeditators with two study lists of 32 neutral words in total.”
BackgroundResultInfluentialStress and Epilepsy: Towards Understanding of Neurobiological Mechanisms for Better Management
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“Studies have shown that practicing mindfulness may reduce anxiety (Tang et al., 2015), depressive symptoms, and improve quality of life (S.T. Lai et al., 2021), and self-esteem (Dewhurst et al., 2015) in patients with epilepsy.”
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“Mindfulness practice has extensively and successfully been applied for the treatment of mood disorders in several clinical domains, including neurological patients, such as drug-resistant epilepsy [3], multiple sclerosis [4], and”
BackgroundSelf-control of epileptic seizures by nonpharmacological strategies
Kotwas, I., McGonigal, A., Trébuchon, A., Bastien‐Toniazzo, M., Nagai, Y., Bartoloméi, F., & Micoulaud‐Franchi, J. (2016) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2015.12.023 · Cited by 44
“In the management of refractory epilepsy, mindfulness [68] and yoga showed an effect onwell-being and seizure frequency [69].”
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“…effect INTRODUCTION Mindfulness has been demonstrated to be beneficial in various kinds of psychopathology, such as anxiety and depression (Hofmann et al., 2010), pain (Song et al., 2014; Bawa et al., 2015), substance abuse (Tang et al., 2015), and various physical illnesses (Aucoin et al., 2014).”
BackgroundStress and epilepsy: fact or fiction, and what can we do about it?
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Mindfulness-based interventions in epilepsy: a systematic review
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“Results The three studies included in the review were based in the USA - involving 53 participants [34] and 118 participants [35] - and also in China (Hong Kong) involving 60 participants [36].”
BackgroundMethodInfluentialBehavioral interventions in epilepsy
Haut, S. R., Gursky, J. M., & Privitera, M. (2019) · Current Opinion in Neurology · doi:10.1097/wco.0000000000000661 · Cited by 37
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“The study of mindfulness intervention for seizures performed in Hong Kong had 53% women.(28) Another study by one of the authors surveyed sequential outpatient clinic attendees and found that 80% of survey completers who endorsed stress as a seizure precipitant were women; however, a multivariate analysis showed only…”
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“…daily practice for several weeks is needed for early markers of enduring neurocognitive changes to be reliably observed (Nyklíc et al., 2013; Tang et al., 2015), but months to years of practice are needed to integrate, as an effortless trait, the more profound neurocognitive abilities and…”
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Self-citationContemplating stem cell therapy for epilepsy-induced neuropsychiatric symptoms
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“81 Another nontraditional treatment is cannabidiol-based treatments for drug-resistant epilepsy.”
Psychological treatments for people with epilepsy
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“To date, the majority of RCTs of psychological interventions have investigated CBT [58,59] and mindfulness-based therapies [60].”
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“The majority of interventions were delivered in a group format (n = 6= [4, 11, 12, 18, 21, 22].”
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“17,40,41 The literature suggests that for our study cohort, >2 point average reduction in PHQ-9 and >2.2 point reduction in GAD-7 are the minimum clinically important di ff erence on these scales.”
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Self-citationWhen Drugs Do Not Work: Alternatives to Antiseizure Medications
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“Group-based approaches, such as self-help groups and mindfulness-based programs, were also shown to be bene fi cial for people with epilepsy [28, 43 – 45].”
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The psychopharmacology of epilepsy
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Maternal epilepsy and behavioral development of the child: Family factors do matter
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Remember…there is more to epilepsy than seizures!
Kanner, A. M., & Meador, K. J. (2015) · Neurology · doi:10.1212/wnl.0000000000001985 · Cited by 6
“In this issue of Neurology®, Tang et al.7 investigated the efficacy of a 6-week psychotherapeutic treatment known as mindfulness-based therapy (MT) that could help address these problems.”
BackgroundMilasi, C., Bonanno, M., Bernardelli, L., Maggio, M. G., Perrotti, G., Barbuto, P., Barberio, M., Albertini, A., Tallarico, N., Catalano, L. M., et al. (2025) · Mindfulness · doi:10.1007/s12671-025-02710-9 · Cited by 5
“…mindfulness practice contributes to neuroplastic adaptations, primarily reflected in structural changes observed via MRI, such as increased gray matter density in limbic structures involved in emotional regulation, particularly the hippocampus and amygdala (Pickut et al., 2013; Tang et al., 2015a).”
Mehrabi, F., & Tavakoli, M. (2022) · International Journal of Cognitive Therapy · doi:10.1007/s41811-022-00144-y · Cited by 5
The Role of Mindfulness in Neurorehabilitation: From the Monastery to the Clinic
Smart, C. M. (2019) · Springer eBooks · doi:10.1007/978-3-030-14895-9_34 · Cited by 5
(2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165 · Cited by 7
Pay Attention: Mindfulness in Epilepsy
Koubeissi, M. Z. (2016) · Epiliepsy currents/Epilepsy currents · doi:10.5698/1535-7511-16.4.245 · Cited by 4
“(5) conducted an assessor-blinded randomized controlled trial to compare the effects of mindfulness therapy plus social support with those of social support alone in subjects with intractable epilepsy.”
MethodRamadam Fasting and Neurologic Disorders
El‐Mitwalli, A. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.013 · Cited by 4
Pennycook, G., Tranel, D., Warner, K., & Asp, E. W. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.012 · Cited by 4
Psychological Treatments for Epilepsy
Valeta, T. (2017) · Springer eBooks · doi:10.1007/978-3-319-61679-7_18 · Cited by 3
Spurgeon, E., Saper, R. B., Alexopoulos, A. V., Allendorfer, J. B., Bar, J., Caldwell, J., Cervenka, M. C., Darling, S., Dombrowski, S. M., Gallagher, L. M., et al. (2024) · Epilepsia Open · doi:10.1002/epi4.13037 · Cited by 3
“29 and self-aware.”
Service delivery, behavioural, and self-management interventions for adults with epilepsy
Huang, Y., Nevitt, S. J., Mayer, J., Fleeman, N., Hill, R. A., Doherty, A. J., Wilson, N., Boland, P., Clegg, A. J., Bilsborough, H., et al. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015284.pub2 · Cited by 4
Religion and Frontotemporal Dementia
Block, N., & Miller, B. L. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.016 · Cited by 3
Eastern Spirituality, Mind–Body Practices and Neuro-Rehabilitation
Yeates, G. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.018 · Cited by 3
Lifestyle Factors Impacting Epilepsy and Seizures: A Narrative Review
Sherzai, S., Cole, C., Duke, A., Ayub, N., Sherzai, D., & Casassa, C. (2026) · American Journal of Lifestyle Medicine · doi:10.1177/15598276261420194 · Cited by 2
Mindfulness therapy and seizures
Shapiro, S. D., & Karceski, S. C. (2015) · Neurology · doi:10.1212/wnl.0000000000002048 · Cited by 2
“Tang and colleagues studied how mindfulness-based therapy (MT) might help people who have seizures.(1) All of the people in the study had seizures that were not easily controlled with medication(s).”
BackgroundAutism and the Panoply of Religious Belief, Disbelief and Experience
Clark, K. J., & Visuri, I. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.014 · Cited by 2
Lutz, M., & Mayer, T. (2020) · Springer eBooks · doi:10.1007/978-3-662-59198-7_57 · Cited by 2
Rostad, S., & Ghearing, G. R. (2022) · Current Treatment Options in Neurology · doi:10.1007/s11940-022-00743-2 · Cited by 2
Complementary and Alternative Medicine for People with Epilepsy: Opinions of Physicians in Oman
Al-Asmi, A. R., Al-Sabahi, F., Al‐Adawi, S., Al-Yaqoubi, I., Jaju, S., Chan, M. F., Al-Abri, H., Al-Anqoodi, Z., & Asadi‐Pooya, A. A. (2024) · Oman Medical Journal · doi:10.5001/omj.2024.70 · Cited by 2
Coles, A. J. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.002 · Cited by 2
The Scientific Study of Religion
Collicutt, J. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.003 · Cited by 2
Philosophical Hazards in the Neuroscientific Study of Religion
Haan, D. D. D. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.007 · Cited by 2
Methodological Hazards in the Neuroscientific Study of Religion
Judge, S. J. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.004 · Cited by 1
Phenomenology, Neurology, Psychiatry and Religious Commitment
Kidd, I. J. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.006 · Cited by 1
La pleine conscience (mindfulness) en neurologie : qu’en attendre ?
Tison, F. (2024) · Pratique Neurologique - FMC · doi:10.1016/j.praneu.2024.10.004 · Cited by 1
Parkinson’s Disease, Religious Belief and Spirituality
Barker, R. A., & Redfern, C. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.011 · Cited by 1
Religion and Spirituality in Neuro-Rehabilitation
Collicutt, J. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.017 · Cited by 1
Towards an Islamic Neuropsychiatry
Aggarwal, N. K. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.009 · Cited by 1
Personhood and Religion in People with Dementia
Hughes, J. C. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.015 · Cited by 1
Take Two Deep Breaths and Call Me in the Morning
Perry, M. S. (2018) · Epiliepsy currents/Epilepsy currents · doi:10.5698/1535-7597.18.4.222
Understanding mania in bipolar disorder : perspectives on causation and pathogenesis
Bostock, E. C. S. (2019) · UTAS Research Repository · doi:10.25959/100.00031394
Temporal Lobe Epilepsy, Dostoyevsky and Irrational Significance
Coles, A. J. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.010
Embodied Cognition and the Neurology of Religion
Brown, W. S. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.005
Near-Death and Out-of-Body Experiences
Marsh, M. N. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.020
Chappell, S. G. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.008
Examining the Continuum of Life to Determine Death
Buchman, A. S. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316014165.019
Psychoedukation und Psychotherapie
Michaelis, R., & Reuber, M. (2020) · Springer eBooks · doi:10.1007/978-3-662-59198-7_58
Metadata
- Authors
- Tang, V., Poon, W. S., & Kwan, P.
- Affiliations
- The Royal Melbourne Hospital (AU)
- Venue
- Neurology
- Published
- 2015-09-29
- Volume
- 85
- Issue
- 13
- Pages
- 1100-1107
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W1664254336
- Cited by
- 116
- References
- 36
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 6 · 2023: 5 · 2022: 4 · 2021: 12 · 2020: 11 · 2019: 38 · 2018: 12 · 2017: 10 · 2016: 8 · 2015: 2
- FWCI
- 13.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- mindfulness-based interventions, drug-resistant epilepsy, social support, quality of life, seizure frequency, depressive symptoms, anxiety symptoms, verbal memory, mood, psychotherapy
- MeSH terms
- Adult, Drug Resistance, Epilepsy, Female, Humans, Male, Middle Aged, Psychotherapy, Group, Quality of Life, Social Support, Single-Blind Method, Treatment Outcome, Mindfulness
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