Trial reportEpilepsy & behavior : E&B2023
Sense of control, selective attention, cognitive inhibition, and psychosocial outcomes after Retraining and Control Therapy (ReACT) in pediatric functional seizures.
Trial report in Epilepsy & behavior : E&B, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Systematic review of assessment instruments measuring outcomes in psychological interventions for pediatric functional neurological disorders.Journal of pediatric psychology · 2025Pooled it
- Telehealth provision of Retraining and Control Therapy (ReACT) on cognitive and biopsychosocial functioning in pediatric functional neurological disorder.Journal of psychosomatic research · 2025Observational
- Primum non nocere: Endotracheal Intubation for Prolonged Functional/Dissociative Seizures in an Adolescent.Journal of Brown hospital medicine · 2025Article
- Retraining and control therapy: sense of control and catastrophic symptom expectations as targets of a cognitive behavioral treatment for pediatric functional seizures.Frontiers in psychiatry · 2025Article
- Illness-Promoting Psychological Processes in Children and Adolescents with Functional Neurological Disorder.Children (Basel, Switzerland) · 2023Article
- Evidence-Based Mind-Body Interventions for Children and Adolescents with Functional Neurological Disorder.Harvard review of psychiatryArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDifferences in sense of control, cognitive inhibition, and selective attention in pediatric functional seizures (FS) versus matched controls implicate these as potential novel treatment targets. Retraining and Control Therapy (ReACT), which targets these factors, has been shown in a randomized controlled trial to be effective in improving pediatric FS with 82% of patients having complete symptom remission at 60 days following treatment. However, post-intervention data on sense of control, cognitive inhibition, and selective attention are not yet available. In this study, we assess changes in these and other psychosocial factors after ReACT.
methodsChildren with FS (N = 14, M
resultsAwareness that control was manipulated in the turbulence condition of the MAT increased at post-1 vs. pre- (p = 0.02, η
conclusionSense of control improved after ReACT, and this improvement was proportional to a decrease in FS, suggesting this as a possible mechanism by which ReACT treats pediatric FS. Selective attention and cognitive inhibition were significantly increased 60 days after ReACT. The lack of improvement in QOL after controlling for change in FS suggests QOL changes may be mediated by decreases in FS. ReACT also improved general somatic symptoms independent of FS changes.
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