Acceptance and Commitment Therapy and Yoga for drug refractory: A randomized controlled trial
Lundgren, T., Dahl, J., Yardi, N., & Melin, J. (2008). Acceptance and Commitment Therapy and Yoga for drug refractory: A randomized controlled trial. Epilepsy and Behavior.
Purpose: There is a need for controlled outcome studies on behavior treatment of epilepsy. The purpose of this study was to evaluate Acceptance and Commitment Therapy and Yoga in the treatment of epilepsy.
Methods: The design consisted of a RCT with repeated measures (N=18). All participants had an EEG verified epilepsy diagnosis with drug refractory seizures. Participants were randomized into one of two groups ACT or Yoga. Therapeutic effects were measured using seizure index (frequency x duration) and quality of life (SWLS, WHOQOL-Bref). The treatment protocols consisted of 12 hours of professional therapy distributed in two individual sessions, two group sessions during a five-week period and booster sessions at 6 month and 12-month post treatment. Seizure index was continuously assessed during the 3-month baseline and 12-month follow up. Quality of life was measured after treatment and at 6 month and 1 year follow up.
Results: The results showed that both ACT and Yoga significantly reduced their seizure index and increased quality of life over time. The ACT group reduced seizure index significantly more as compared to the Yoga group. Participants in both the ACT and the Yoga group improved their quality of life significantly in one of two life quality instruments. The ACT group increased the quality of life significantly as compared to the Yoga group at the WHOQOL-Bref and the Yoga group increased their quality of life significantly as compared to the ACT group at the SWLS.
Conclusions: The results of this study suggest that complementary treatments, such as ACT and Yoga decrease seizure index and increase quality of life.
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