Design and feasibility of a memory intervention with focus on self-management for cognitive impairment in epilepsy

被引：15

作者：

Caller, Tracie A. ^{[1
]}

Secore, Karen L. ^{[1
]}

Ferguson, Robert J. ^{[3
]}

Roth, Robert M. ^{[2
]}

Alexandre, Faith P. ^{[1
]}

Henegan, Patricia L. ^{[1
]}

Harrington, Jessica J. ^{[1
]}

Jobst, Barbara C. ^{[1
]}

机构：

[1] Dartmouth Hitchcock Med Ctr, Dept Neurol, Lebanon, NH 03753 USA

[2] Geisel Sch Med Dartmouth, Dept Psychiat, Neuropsychol Program, Lebanon, NH USA

[3] Eastern Maine Med Ctr, Bangor, ME USA

来源：

EPILEPSY & BEHAVIOR | 2015年 / 44卷

关键词：

Epilepsy; Comorbidity; Cognition; Memory; Self-management; TEMPORAL-LOBE EPILEPSY; WORKING-MEMORY; BRAIN-INJURY; QUALITY; REHABILITATION; PERFORMANCE; DEPRESSION; ADULTS; CARE;

D O I：

10.1016/j.yebeh.2014.12.036

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

The aim of this study was to assess the feasibility of a self-management intervention targeting cognitive dysfunction to improve quality of life and reduce memory-related disability in adults with epilepsy. The intervention incorporates (1) education on cognitive function in epilepsy, (2) self-awareness training, (3) compensatory strategies, and (4) application of these strategies in day-to-day life using problem-solving therapy. In addition to the behavioral modification, formal working memory training was conducted by utilizing a commercially available program in a subgroup of patients. Our findings suggest that a self-management intervention targeting cognitive dysfunction was feasible for delivery to a rural population with epilepsy, with 13 of 16 enrolled participants completing the 8-session program. Qualitative data indicate high satisfaction and subjective improvement in cognitive functioning in day-to-day life. These findings provide support for further evaluation of the efficacy of this intervention through a randomized controlled trial. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：192 / 194

页数：3

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