Differential efficacy of two psychosocial therapies in the treatment of psychopathology associated with epilepsy among selected patients at federal medical centre, Owo, Nigeria
Abstract
Introduction:Epilepsy is a common medical and social disorder or group of disorders with unique characteristics. It has been postulated that there is a relationship between behavioural, physiological and psychological states and probability of seizure occurrence. Therefore, this study examined the efficacy of Rational Emotive Therapy and cognitive restructuring on the reduction of psychopathology associated with Epilepsy.
Methodology: A 3 x 2 factorial experimental design was adopted in testing two (2) null hypotheses. Ninety (90) Epileptic patients were randomly selected and administered with the therapeutic packages for a period of 7weeks. The respondents were divided into 2 experimental and one control groups. Washington Psychosocial seizure inventory (WPSI) was the only instrument used.
Result:Results indicated that subjects exposed to treatment performed significantly better than control group on the reduction of Psychopathology associated with Epilepsy. The two treatment strategies were equally effective in fostering the reduction of Psychopathology associated with epilepsy. Female subjects in the two treatment condition excelled better than their male counterparts on the reduction of psychopathology of Epilepsy.
Conclusion: It was concluded that mental health/psychiatrics nurses should always remember to accompany the use of drugs with psychotherapy so that the patient will be aware of psychopathology associated with the illness. This will prevent them from developing serious psychopathology.
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References
2. Helgeson DC, Mittan R, Tan SY, Chayasirisobhon S. Sepulveda Epilepsy Education: the efficacy of a psychoeducational
treatment program in treating medical and psychosocial aspects of epilepsy. Epilepsia. 1990 Jan-Feb;31(1):75-82.
3. Martinović Z, Simonović P, Djokić R. Preventing degresssion in adolescents with epilepsy. Epilepsy Behav.
2006 Dec;9(4):619-24. Epub 2006 Oct 17
4. Dahl J, Medin L,Lund L. Effects of a contingent relaxation treatment programme on adults with refractory epileptic seizures. Epilepsia 1987:28(2); 125-32.
5. Davis GR, Armstrong HEjr, Donovan DM, Temkin NR. Cognitive-behavioural treatment of depressed affect among epilepstic: Preliminary findings. Journal of Clinical Psychology 1984, 40 (4):930-5.
6. .May TW, Pfäfflin M. The efficacy of an educational treatment program for patients with epilepsy (MOSES): results of a controlled,randomized study. Modular Service Package Epilepsy. Epilepsia. 2002 May;43(5):539-49.
7. Olley BO, Osinowo HO, Brieger WR. Psycho-educational therapy among Nigerian adult patients with epilepsy: a controlled outcome study. Patient Educ Couns. 2001 Jan;42(1):25-33.
8. Pramuka M, Hendrickson R, Zinski A, Van Cott AC. A psychosocial self-management program for epilepsy: a randomized pilot study in adults. Epilepsy Behav. 2007 Dec;11(4):533-45. Epub 2007 Sep 29.
9. Puskarich CA, Whitman S, Dell J, Hughes JR, Rosen AJ, Hermann BP. Controlled examination of effects of progressive relaxation training on seizure reduction. Epilepsia. 1992 Jul-Aug;33(4):675-80.
10. Rousseau A, Hermann B, Whitman S. Effects of progressive relaxation on epilepsy: analysis of a series of cases. Psychol Rep. 1985 Dec;57(3 Pt 2):1203-12.
11. Synder M. Effect of relaxation on psychosocial functioning in persons with epilepsy. J Neurosurg Nurs. 1983 Aug;15(4):250-4.
12. Tan SY, Bruni J. Cognitive-behavior therapy with adult patients with epilepsy: a controlled outcome study. Epilepsia. 1986 May-Jun;27(3):225-33.
13. Betts T. Epilepsy and stress. BMJ. 1992 Aug 15;305(6850):378-9.
14. Cobral RJ,Scott Df. Effects of two desensitization techniques ,biofeedback and relaxation on intractable epilepsy:follow-up study. Journal of Neurdogy,Neurosurgeryand Ps
ychiatry1976:39:504-7.
15. Dahl JA, Melin L, Leissner P. Effects of a behavioral intervention on epileptic seizure behavior and paroxysmal activity: a systematic replication of three cases of children with intractable epilepsy. Epilepsia. 1988 Mar-Apr;29(2):172-83.
16. Fenwick PB. The relationship between mind, brain, and seizures. Epilepsia. 1992;33 Suppl 6:S1-6.
17. Fenwick P. The behavioral treatment of epilepsy generation and inhibition of seizures.
Neurol Clin. 1994 Feb;12(1):175-202.
18. Forster FM, Paulsen WA, Baughman FA Jr. Clinical therapeutic conditioning in reading epilepsy. Neurology. 1969 Aug;19(8):717-23.
19. Goldstein LH. Behavioural and cognitive-behavioural treatments for epilepsy: a progress review. Br J Clin Psychol. 1990 Sep;29 ( Pt 3):257-69.
20. Goldstein LH. Effectiveness of psychological interventions for people with poorly controlled epilepsy. J Neurol Neurosurg Psychiatry. 1997 Aug;63(2):137-42.
21.Miller L. Psychotherapy of epilepsy: Seizure Control and Psychosocial Adjustment. Journal of cognitive Rehabitation 1994; 12:14-30.
22. Pritchard PB 3rd, Holmstrom VL, Giacinto J. Self-abatement of complex partial seizures. Ann Neurol. 1985 Aug;18(2):265-7.
23. Temkin NR, Davis GR. Stress as a risk factor for seizures among adults with epilepsy. Epilepsia. 1984 Aug;25(4):450-6.
24. Wolf P.Behaviouraltherapy in: Engel J.JR,Pedley TA Editor Epilepsy: a Comprehensive Textbook. Philadelphia : Lippincott Raven,1997 : 1359-64.