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Mindfulness-based intervention to promote psychological wellbeing in people with epilepsy: A randomized controlled trial.

Epilepsy & behavior : E&B
May 1, 2021
Siew-Tim Lai et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the efficacy of mindfulness-based intervention (MBI) in improving psychological wellbeing and quality of life in people with epilepsy (PWE).

Results Summary

The study found that MBI significantly reduced depression, increased mindfulness, and improved quality of life in PWE immediately after the intervention and at 6-week follow-up, though anxiety and life satisfaction did not show significant changes.

Population

People with epilepsy (PWE)

Effective Dosage

Six 2.5-hour weekly sessions

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based intervention (MBI)
decrease
depression (BDI-II)
people with epilepsy (PWE)
-
showed significant reduction
#1
mindfulness-based intervention (MBI)
increase
level of mindfulness (MAAS)
people with epilepsy (PWE)
-
significant increases
#2
mindfulness-based intervention (MBI)
increase
epilepsy-related quality of life (QOLIE-31)
people with epilepsy (PWE)
-
significant increases
#3
mindfulness-based intervention (MBI)
no change
anxiety (BAI)
people with epilepsy (PWE)
-
were not significant
#4
mindfulness-based intervention (MBI)
no change
satisfaction with life (SWLS)
people with epilepsy (PWE)
-
were not significant
#5
mindfulness-based intervention (MBI)
increase
levels of mindfulness
people with epilepsy (PWE)
45.45% vs. 21.43%
showed a significant improvement
#6
mindfulness-based intervention (MBI)
decrease
depression
people with epilepsy (PWE)
45.45% vs. 0.00%
showed a significant improvement
#7
mindfulness-based intervention (MBI)
increase
quality of life
people with epilepsy (PWE)
45.45% vs. 14.29%
showed a significant improvement
#8
Abstract

BACKGROUND: We investigated the efficacy of mindfulness-based intervention (MBI) in promoting psychological wellbeing in people with epilepsy (PWE) using an assessor-blinded randomized controlled design. METHODS: A total of 28 PWE were randomly assigned to either intervention (n = 14 cases) or control group (n = 14 controls). The intervention group received a six 2.5-hour weekly MBI, while the control group did not receive any intervention. They were assessed at three timepoints (T0: before intervention, T1: immediately after intervention, and T2: 6 weeks after intervention). Repeated measures of analyses of variance (RM-ANOVAs) were used for inter-group comparisons to determine intervention effect from baseline -to T1 and -to T2 for all outcome measures. The individual changes were calculated using the reliable change index (RCI). Key outcomes included depression (BDI-II), anxiety (BAI), epilepsy-related quality of life (QOLIE-31), satisfaction with life (SWLS), and level of mindfulness (MAAS). RESULTS: Participants who participated in the MBI showed significant reduction in BDI-II (p = 0.001), significant increases in MAAS (p = 0.027) and QOLIE-31 (p = 0.001) at T1 when compared with the control group. However, BAI and SWLS were not significant. The trend was similar at 6-week follow-up, all outcome measures of MBI remained significant (p < 0.05) except for BAI and SWLS. Beyond the 6-week intervention, RCI analysis showed a significant improvement in levels of mindfulness (45.45% vs. 21.43%, p = 0.009), depression (45.45% vs. 0.00%, p = 0.016), quality of life (45.45% vs. 14.29%, p = 0.017) with MBI, as compared to the no-intervention phase. CONCLUSION: Mindfulness-based intervention is effective in reducing psychological distress and improving the quality of life in PWE.

Medical Subject Headings (MeSH)
AnxietyDepressionEpilepsyHumansMindfulnessPsychological DistressQuality of LifeStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations8
Citations/Year2.0
Relative Citation Ratio0.98
NIH Percentile49.5%
Research Impact Scores
APT Score0.50
Weight Score2.34
Normalized Score0.69
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