Evidence map›Paper›PMID 41984512›Full record

Trial reportEpilepsia2026

Rehabilitation of cognition and psychosocial well-being in epilepsy: Results of a randomized waiting list-controlled trial.

Kristijonas Puteikis, Gintarė Aukselė, Asta Jakonienė, Arminas Jasionis, Peter Wolf, Rūta Mameniškienė

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Epilepsia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kristijonas PuteikisFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID https://orcid.org/0000-0001-8527-3902
Gintarė AukselėFaculty of Medicine, Vilnius University, Vilnius, Lithuania.
Asta JakonienėFaculty of Medicine, Vilnius University, Vilnius, Lithuania.
Arminas JasionisClinic for Neurology and Neurosurgery, Faculty of Medicine, Institute for Clinical Medicine, Vilnius University, Vilnius, Lithuania.ORCID https://orcid.org/0000-0001-5656-4663
Peter WolfClinic for Neurology and Neurosurgery, Faculty of Medicine, Institute for Clinical Medicine, Vilnius University, Vilnius, Lithuania.ORCID https://orcid.org/0000-0003-2547-976X
Rūta MameniškienėClinic for Neurology and Neurosurgery, Faculty of Medicine, Institute for Clinical Medicine, Vilnius University, Vilnius, Lithuania.ORCID https://orcid.org/0000-0001-5719-8175

Funding

Lietuvos Mokslo Taryba P-MIP-23-333
6 · The paper itself

Abstract

objectiveLimited evidence supports the use of cognitive and psychosocial rehabilitation programs for people with epilepsy (PWE). We assessed the effects of a newly designed cognitive and psychological counseling intervention on patient-reported and neuropsychological outcomes in a mixed sample of PWE.

methodsSeventy adult PWE (57.1% female, mean age = 35.9 ± 11.7 years, 57.1% with focal epilepsy) were randomized (1:1) to either an early intervention group (EIG) or a waiting list for a late intervention group (LIG). The intervention consisted of six individual and two group counseling sessions incorporating psychoeducation, cognitive training, coping strategies, and mindfulness. Both groups were assessed at baseline and 4 and 16 weeks. Primary endpoints were quality of life (Patient-Weighted Quality of Life in Epilepsy 31-item inventory [QOLIE-31-P]) and delayed verbal and visual recall at 4 weeks; secondary endpoints included symptoms of anxiety (Generalized Anxiety Disorder seven-item scale), depression (Neurological Disorders Depression Inventory in Epilepsy), and stigma. Linear mixed models with maximum likelihood estimation were used for repeated measures analysis.

resultsFollow-up data were available for 66 participants (94.3%) at 4 weeks and 61 (87.1%) at 16 weeks. The EIG showed significant improvements on the QOLIE compared with the LIG (group by time interaction p = .006), which were maintained at both follow-ups. Anxiety symptoms were also significantly reduced in the EIG (group by time interaction p = .006). These effects were observed in both focal and generalized epilepsy. No significant group differences were found for delayed verbal or visual recall over time. However, greater long-term forgetting on the word list task was observed in the LIG at 4 weeks. No significant changes were detected for symptoms of depression or perceived stigma. SIGNIFICANCE: An 8-week cognitive and psychosocial rehabilitation program improved quality of life and reduced anxiety in PWE, with effects sustained for up to 16 weeks. Cognitive benefits were limited, with a possible transient effect on long-term verbal recall. These findings support the use of rehabilitation interventions to enhance patient-reported outcomes across epilepsy subtypes.

Indexed as

Cognitive Behavioral TherapyEpilepsyPsychological Well-BeingAdultAnxietyCognitionCognitive TrainingCounselingDepressionFemaleHumansMaleMiddle AgedNeuropsychological TestsQuality of LifeTreatment Outcomeanxietycognitive behavioral therapydepressionneuropsychologyquality of life

Identifiers

PMID41984512
PMCPMC13360915

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.