Skin conductance biofeedback training in adults with drug-resistant temporal lobe epilepsy and stress-triggered seizures: a proof-of-concept study.

The present proof-of-concept study investigated the feasibility of skin conductance biofeedback training in reducing seizures in adults with drug-resistant temporal lobe epilepsy (TLE), whose seizures are triggered by stress. Skin conductance biofeedback aims to increase levels of peripheral sympathetic arousal in order to reduce cortical excitability. This might seem somewhat counterintuitive, since such autonomic arousal may also be associated with increased stress and anxiety. Thus, this sought to verify that patients with TLE and stress-triggered seizures are not worsened in terms of stress, anxiety, and negative emotional response to this nonpharmacological treatment. Eleven patients with drug-resistant TLE with seizures triggered by stress were treated with 12 sessions of biofeedback. Patients did not worsen on cognitive evaluation of attentional biases towards negative emotional stimuli (P>.05) or on psychometric evaluation with state anxiety inventory (P = .059); in addition, a significant improvement was found in the Negative Affect Schedule (P = .014) and in the Beck Depression Inventory (P = .009). Biofeedback training significantly reduced seizure frequency with a mean reduction of -48.61% (SD = 27.79) (P = .005). There was a correlation between the mean change in skin conductance activity over the biofeedback treatment and the reduction of seizure frequency (r(11) = .62, P = .042). Thus, the skin conductance biofeedback used in the present study, which teaches patients to achieve an increased level of peripheral sympathetic arousal, was a well-tolerated nonpharmacological treatment. Further, well-controlled studies are needed to confirm the therapeutic value of this nonpharmacological treatment in reducing seizures in adults with drug-resistant TLE with seizures triggered by stress.

Word superiority, pseudoword superiority, and learning to read: a comparison of dyslexic and normal readers.

Identification of letters embedded in briefly presented words (e.g., TABLE), pseudowords (e.g., TOBLE), and illegal nonwords (e.g., TPBFE) was measured using the Reicher-Wheeler paradigm. Children diagnosed as dyslexic and showing a clear disadvantage in recognizing and reading aloud words and pseudowords (compared to chronological age-matched controls) showed a pattern of results that was qualitatively identical to both reading age and chronological age control children. In all three groups a small nonsignificant advantage was obtained for letter identification in words compared to pseudowords, and a massive advantage for letter identification in pseudowords compared to illegal nonwords. A group of adult participants tested with the same materials showed the classic word superiority effect as well as a pseudoword advantage over illegal nonwords. These results suggest that the pseudoword superiority effect is subtended by regularities operating at the level of sublexical orthographic representations (orthotactic constraints). This phenomenon could provide a useful tool for future investigations of the development of orthotactic constraints during reading acquisition.