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Gepubliceerd in: Mindfulness 10/2019

06-05-2019 | ORIGINAL PAPER

Coping with Seizures Through Mindfulness Meditation: a Qualitative Study of a Mindfulness-Based Intervention in Epilepsy

Auteurs: Prisca R. Bauer, Stefano Poletti, Antoine Lutz, Cécile Sabourdy

Gepubliceerd in: Mindfulness | Uitgave 10/2019

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Abstract

Objectives

Three previous clinical trials have shown that mindfulness-based interventions reduce depressive symptoms and improve quality of life in epilepsy. We conducted a qualitative study to gain more insight into the relevant aspects of mindfulness-based interventions for people with this condition.

Methods

We conducted a mindfulness-based intervention of six weekly sessions in seven adults with epilepsy (six pharmaco-resistant). Semi-structured interviews were conducted by phone immediately after the end of the intervention and repeated after 3 months. Preliminary thematic analysis allowed the identification and grouping of themes into main categories. Bottom-up descriptive categories were constructed consistent with the phenomenological paradigm.

Results

Three main areas were explored in the interviews, which lasted on average 30 min: (1) epilepsy-related issues affecting quality of life, (2) seizures and their unpredictability and (3) coping mechanisms. Overall, participants reported that they benefited from the intervention. Participants report that the group supported them in the exchange of experiences, which helped them to re-frame their condition. At the same time, mindfulness exercises encouraged participants to look within in a kind and non-evaluative way. This combination resulted in a new way of accepting and re-integrating the condition. Two new strategies emerged to cope with seizures: accepting and controlling, but without noticeable effect on seizure frequency.

Conclusions

This study contributes to a better understanding of the psychological mechanisms at work in mindfulness-based interventions in the context of epilepsy.
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Literatuur
go back to reference Bowker, G.C., Star, S.L. (2000).Classification, coding and coordination. In Sorting things out. Classification and its consequences. Cambridge, MA: MIT Press. 135–162. Bowker, G.C., Star, S.L. (2000).Classification, coding and coordination. In Sorting things out. Classification and its consequences. Cambridge, MA: MIT Press. 135–162.
go back to reference Boylan, L., Flint, L., Labovitz, D., Jackson, S., Starner, K., & Devinsky, O. (2004). Depression but not seizure frequency predicts quality of life in treatment-resistant epilepsy. Neurology, 62(2), 258–261.CrossRefPubMed Boylan, L., Flint, L., Labovitz, D., Jackson, S., Starner, K., & Devinsky, O. (2004). Depression but not seizure frequency predicts quality of life in treatment-resistant epilepsy. Neurology, 62(2), 258–261.CrossRefPubMed
go back to reference Flick, U. (2009).Thousand Oaks, CA: Sage. An introduction to qualitative research(4th ed.). Flick, U. (2009).Thousand Oaks, CA: Sage. An introduction to qualitative research(4th ed.).
go back to reference Gandy, M., Karin, E., Fogliati, V. J., McDonald, S., Titov, N., & Dear, B. F. (2016). A feasibility trial of an Internet-delivered and transdiagnostic cognitive behavioral therapy treatment program for anxiety, depression, and disability among adults with epilepsy. Epilepsia, 57(11), 1887–1896. https://doi.org/10.1111/epi.13569.CrossRefPubMed Gandy, M., Karin, E., Fogliati, V. J., McDonald, S., Titov, N., & Dear, B. F. (2016). A feasibility trial of an Internet-delivered and transdiagnostic cognitive behavioral therapy treatment program for anxiety, depression, and disability among adults with epilepsy. Epilepsia, 57(11), 1887–1896. https://​doi.​org/​10.​1111/​epi.​13569.CrossRefPubMed
go back to reference Lindahl, J. R., Fisher, N. E., Cooper, D. J., & Rosen, R. K. (2017). The varieties of contemplative experience: a mixed-methods study of meditation-related challenges in Western Buddhists. PLoS One, 12(5), e0176239.CrossRefPubMedPubMedCentral Lindahl, J. R., Fisher, N. E., Cooper, D. J., & Rosen, R. K. (2017). The varieties of contemplative experience: a mixed-methods study of meditation-related challenges in Western Buddhists. PLoS One, 12(5), e0176239.CrossRefPubMedPubMedCentral
go back to reference May, T. W., & Pfäfflin, M. (2002). The efficacy of an educational treatment program for patients with epilepsy (MOSES): results of a controlled, randomized study. Modular service package epilepsy. Epilepsia, 43(5), 539–549.CrossRefPubMed May, T. W., & Pfäfflin, M. (2002). The efficacy of an educational treatment program for patients with epilepsy (MOSES): results of a controlled, randomized study. Modular service package epilepsy. Epilepsia, 43(5), 539–549.CrossRefPubMed
go back to reference Michaelis, R., Tang, V., Wagner, J. L., Modi, A. C., Curt LaFrance, W., Goldstein, L. H., et al. (2018). Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life. Epilepsia, 59(2), 315–332. https://doi.org/10.1111/epi.13989.CrossRefPubMed Michaelis, R., Tang, V., Wagner, J. L., Modi, A. C., Curt LaFrance, W., Goldstein, L. H., et al. (2018). Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life. Epilepsia, 59(2), 315–332. https://​doi.​org/​10.​1111/​epi.​13989.CrossRefPubMed
go back to reference Michaelis, R., Niedermann, C., Reuber, M., Kuthe, M., & Berger, B. (2018a). “Seizures have become a means of somehow learning things about myself” — a qualitative study of the development of self-efficacy and mastery during a psychotherapeutic intervention for people with epilepsy. Epilepsy and Behavior, 84, 152–161.CrossRefPubMed Michaelis, R., Niedermann, C., Reuber, M., Kuthe, M., & Berger, B. (2018a). “Seizures have become a means of somehow learning things about myself” — a qualitative study of the development of self-efficacy and mastery during a psychotherapeutic intervention for people with epilepsy. Epilepsy and Behavior, 84, 152–161.CrossRefPubMed
go back to reference Michaelis, R., Tang, V., Goldstein, L. H., Reuber, M., LaFrance, W. C., Lundgren, T., Modi, A. C., & Wagner, J. L. (2018b). Psychological treatments for adults and children with epilepsy: evidence-based recommendations by the international league against epilepsy psychology task force. Epilepsia, 59, 1282–1302.CrossRefPubMed Michaelis, R., Tang, V., Goldstein, L. H., Reuber, M., LaFrance, W. C., Lundgren, T., Modi, A. C., & Wagner, J. L. (2018b). Psychological treatments for adults and children with epilepsy: evidence-based recommendations by the international league against epilepsy psychology task force. Epilepsia, 59, 1282–1302.CrossRefPubMed
go back to reference Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage. Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.
go back to reference Thompson, N. J., Patel, A. H., Selwa, L. M., Stoll, S. C., Begley, C. E., Johnson, E. K., & Fraser, R. T. (2015). Expanding the efficacy of project UPLIFT: distance delivery of mindfulness-based depression prevention to people with epilepsy. Journal of Consulting and Clinical Psychology, 83(2), 304–313. https://doi.org/10.1037/a0038404.CrossRefPubMed Thompson, N. J., Patel, A. H., Selwa, L. M., Stoll, S. C., Begley, C. E., Johnson, E. K., & Fraser, R. T. (2015). Expanding the efficacy of project UPLIFT: distance delivery of mindfulness-based depression prevention to people with epilepsy. Journal of Consulting and Clinical Psychology, 83(2), 304–313. https://​doi.​org/​10.​1037/​a0038404.CrossRefPubMed
Metagegevens
Titel
Coping with Seizures Through Mindfulness Meditation: a Qualitative Study of a Mindfulness-Based Intervention in Epilepsy
Auteurs
Prisca R. Bauer
Stefano Poletti
Antoine Lutz
Cécile Sabourdy
Publicatiedatum
06-05-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 10/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01168-w

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