Reduction in seizure frequency following a short-term group intervention for adults with epilepsy

A preliminary investigation of the efficacy of a group intervention combini ng a range of psychological approaches and techniques for seizure managemen t in adults with poorly controlled epilepsy. An uncontrolled AB group desig n was employed. Seven adults with intractable seizures took part in 8, week ly group sessions which included providing information, employed cognitive- behavioural techniques and addressed emotional difficulties. Weekly seizure logs were kept by participants during the intervention and the following 3 months. Five questionnaires were administered before and after the interve ntion and at 2-months follow-up to provide an indication of psychosocial we ll-being. Seizure frequency and scores on the questionnaires were used as o utcome measures. There was a significant reduction in seizure frequency in the group, which persisted at follow-up. There were no significant changes on any of the questionnaires. The results suggest that a group-based interv ention incorporating a range of psychological techniques may be effective f or improving seizure control. The link between seizure reduction and psycho logical and psychosocial well-being needs further investigation.