Progress in Chronic Disease: Self-management for Patients With Epilepsy
Authors: Barbara C. Jobst
Journal: Annals of Internal Medicine (2019)

Editorials16 July 2019Progress in Chronic Disease: Self-management for Patients With EpilepsyBarbara C. Jobst, MD, PhDBarbara C. Jobst, MD, PhDDartmouth–Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire (B.C.J.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-1483 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Epilepsy is a chronic disease. In the United States, 3.4 million persons are affected by seizures and their consequences, representing a serious health burden not only in terms of medical care but also seizure-associated disability. Patients with epilepsy often are stigmatized, and many are prevented from driving or holding meaningful employment. Only about 70% of persons with epilepsy remain seizure-free while receiving treatment with antiseizure medication (1). Seizures may persist even after such interventions as epilepsy surgery or neuromodulation (2). However, the manifestations of epilepsy extend beyond seizures. Patients with epilepsy may have depression and cognitive impairment despite seizure cessation. ...References1. Del Felice A, Beghi E, Boero G, et al. Early versus late remission in a cohort of patients with newly diagnosed epilepsy. Epilepsia. 2010;51:37-42. [PMID: 19490039] doi:10.1111/j.1528-1167.2009.02141.x CrossrefMedlineGoogle Scholar2. Jobst BC, Cascino GD. Resective epilepsy surgery for drug-resistant focal epilepsy: a review. JAMA. 2015;313:285-93. [PMID: 25602999] doi:10.1001/jama.2014.17426 CrossrefMedlineGoogle Scholar3. Kanner AM. Management of psychiatric and neurological comorbidities in epilepsy. Nat Rev Neurol. 2016;12:106-16. [PMID: 26782334] doi:10.1038/nrneurol.2015.243 CrossrefMedlineGoogle Scholar4. McAuley JW, Elliott JO, Patankar S, et al. 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A systematic review and narrative synthesis of group self-management interventions for adults with epilepsy. BMC Neurol. 2017;17:114. [PMID: 28623909] doi:10.1186/s12883-017-0893-3 CrossrefMedlineGoogle Scholar9. Thompson NJ, Walker ER, Obolensky N, et al. Distance delivery of mindfulness-based cognitive therapy for depression: Project UPLIFT. Epilepsy Behav. 2010;19:247-54. [PMID: 20851055] doi:10.1016/j.yebeh.2010.07.031 CrossrefMedlineGoogle Scholar10. Ciechanowski P, Chaytor N, Miller J, et al. PEARLS depression treatment for individuals with epilepsy: a randomized controlled trial. Epilepsy Behav. 2010;19:225-31. [PMID: 20609631] doi:10.1016/j.yebeh.2010.06.003 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Dartmouth–Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire (B.C.J.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-1483.Corresponding Author: Barbara C. Jobst, MD, PhD, Dartmouth–Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03755; e-mail, Barbara.C.[email protected]org.This article was published at Annals.org on 2 July 2019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSelf-management of Epilepsy Matthew W. Luedke , Dan V. Blalock , Karen M. Goldstein , Andrzej S. Kosinski , Saurabh R. Sinha , Connor Drake , Jeffrey D. Lewis , Aatif M. Husain , Allison A. Lewinski , Abigail Shapiro , Jennifer M. Gierisch , Tung T. Tran , Adelaide M. Gordon , Megan G. Van Noord , Hayden B. Bosworth , and John W. Williams Metrics Cited byIn 2016, Medicaid and Medicare paid about 65% of all inpatient hospitalization costs for all-age persons hospitalized with epilepsy as the principal diagnosis 16 July 2019Volume 171, Issue 2Page: 137-138KeywordsBehaviorDisabilitiesDisclosureEpilepsyEpileptic seizuresHealth careProblem solvingPsychosocial therapySurgerySystematic reviews ePublished: 2 July 2019 Issue Published: 16 July 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...