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Optimizing memory function in temporal lobe epilepsy

Thompson, PJ; Conn, H; Baxendale, SA; Donnachie, E; McGrath, K; Geraldi, C; Duncan, JS; (2016) Optimizing memory function in temporal lobe epilepsy. Seizure , 38 pp. 68-74. 10.1016/j.seizure.2016.04.008. Green open access

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Abstract

PURPOSE: The study aimed to assess whether engagement in a memory training programme and performing internet brain training exercises improve memory function in people with temporal lobe epilepsy (TLE). METHODS: Seventy-seven people with TLE, complaining of memory difficulties, completed the study. Participants ranged in age from 19 to 67 years and 40 had left TLE. Participants were randomised to one of four conditions; Group 1: traditional memory training, Group 2: Lumosity, an on-line cognitive training programme, Group 3: traditional memory training and Lumosity, and Group 4: no training. Memory efficiency and mood were assessed at baseline and three months later. RESULTS: Group analyses indicated improved verbal recall after training (p<0.001) and improved subjective ratings (p<0.007). More participants reported a lessening of the memory burden (p<0.007) after training; differences were significant between Groups 1 and 3 compared to Group 4. Lumosity use was not associated with changes in the memory outcome measures but there was a relationship with depression ratings and the number of memory games played (p<0.01). Conventional memory training, IQ, and post-surgical status were associated with positive memory outcomes. CONCLUSIONS: The study indicates traditional memory rehabilitation techniques can help reduce the burden of memory impairment in TLE. There was no evidence that Lumosity the on-line cognitive training programme had specific advantages. Positive change was not universal and larger studies will be required to explore factors associated with successful outcomes.

Type: Article
Title: Optimizing memory function in temporal lobe epilepsy
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.seizure.2016.04.008
Publisher version: http://dx.doi.org/10.1016/j.seizure.2016.04.008
Language: English
Additional information: Copyright © 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license (http://creativecommons.org/licenses/by-nc-nd/4.0/). The published article is available at http://dx.doi.org/10.1016/j.seizure.2016.04.008
Keywords: Epilepsy; Temporal lobe epilepsy; Memory; Memory rehabilitation; On-line cognitive training
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
URI: https://discovery.ucl.ac.uk/id/eprint/1493148
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