Epilepsy and quality of life: socio-demographic and clinical aspects, and psychiatric co-morbidity
Objective To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients. Methods One hundred and thirty-two individuals diagnosed with epilepsy were evaluated from neurological/clinical and psychiatric points of vi...
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| Published in: | Arquivos de neuro-psiquiatria Vol. 71; no. 6; pp. 385 - 391 |
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01-06-2013
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| Abstract | Objective To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients. Methods One hundred and thirty-two individuals diagnosed with epilepsy were evaluated from neurological/clinical and psychiatric points of view and by the Quality of Life in Epilepsy Inventory (QOLIE-31). Predictive factors for the QOLIE-31 scores were studied. Results The regression analyses indicated the existence of psychiatric co-morbidity (total score, seizure worry, emotional well-being, energy/fatigue, social function and cognitive function) and a greater seizure frequency (total score, cognitive function and energy/fatigue) as predictive factors for lower scores in the total QOLIE-31 score and in various dimensions. Abnormalities in the neurological exam and poly-therapy with anti-epileptic drugs were negative factors limited to one of the dimensions cognitive function and social function, respectively. Conclusion The presence of psychiatric co-morbidity and a greater seizure frequency were the main factors influencing the quality of life in epileptic patients as evaluated by QOLIE-31. |
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| AbstractList | Objective To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients. Methods One hundred and thirty-two individuals diagnosed with epilepsy were evaluated from neurological/clinical and psychiatric points of view and by the Quality of Life in Epilepsy Inventory (QOLIE-31). Predictive factors for the QOLIE-31 scores were studied. Results The regression analyses indicated the existence of psychiatric co-morbidity (total score, seizure worry, emotional well-being, energy/fatigue, social function and cognitive function) and a greater seizure frequency (total score, cognitive function and energy/fatigue) as predictive factors for lower scores in the total QOLIE-31 score and in various dimensions. Abnormalities in the neurological exam and poly-therapy with anti-epileptic drugs were negative factors limited to one of the dimensions cognitive function and social function, respectively. Conclusion The presence of psychiatric co-morbidity and a greater seizure frequency were the main factors influencing the quality of life in epileptic patients as evaluated by QOLIE-31. Objective To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients. Methods One hundred and thirty-two individuals diagnosed with epilepsy were evaluated from neurological/clinical and psychiatric points of view and by the Quality of Life in Epilepsy Inventory (QOLIE-31). Predictive factors for the QOLIE-31 scores were studied. Results The regression analyses indicated the existence of psychiatric co-morbidity (total score, seizure worry, emotional well-being, energy/fatigue, social function and cognitive function) and a greater seizure frequency (total score, cognitive function and energy/fatigue) as predictive factors for lower scores in the total QOLIE-31 score and in various dimensions. Abnormalities in the neurological exam and poly-therapy with anti-epileptic drugs were negative factors limited to one of the dimensions cognitive function and social function, respectively. Conclusion The presence of psychiatric co-morbidity and a greater seizure frequency were the main factors influencing the quality of life in epileptic patients as evaluated by QOLIE-31. Objetivo Estudar os aspectos sociodemográficos, clínicos e comorbidades psiquiátricas que influenciam a qualidade de vida de pacientes adultos com epilepsia. Métodos Cento e trinta e dois indivíduos com diagnóstico de epilepsia foram avaliados do ponto de vista clínico-neurológico e psiquiátrico e pelo Quality of Life in Epilepsy Inventory (QOLIE-31). Foram estudados os fatores preditores dos escores do QOLIE-31. Resultados As análises de regressão indicaram a existência de comorbidade psiquiátrica (escore total, crises epilépticas, bem-estar emocional, energia/fadiga, função social e cognição) e a maior frequência de crises (escore total, cognição e energia/fadiga) como fatores preditivos de escores menores no escore total do QOLIE-31 e em várias dimensões. Anormalidade ao exame neurológico e politerapia com drogas antiepiléticas foram fatores negativos limitados a uma das dimensões função cognitiva e função social, respectivamente. Conclusão A presença de comorbidade psiquiátrica e a maior frequência de crises foram os principais fatores a influenciar a qualidade de vida avaliada pelo QOLIE-31 em pacientes com epilepsia. Objective: To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients. Methods: One hundred and thirty-two individuals diagnosed with epilepsy were evaluated from neurological/clinical and psychiatric points of view and by the Quality of Life in Epilepsy Inventory (QOLIE-31). Predictive factors for the QOLIE-31 scores were studied. Results: The regression analyses indicated the existence of psychiatric co-morbidity (total score, seizure worry, emotional well-being, energy/fatigue, social function and cognitive function) and a greater seizure frequency (total score, cognitive function and energy/fatigue) as predictive factors for lower scores in the total QOLIE-31 score and in various dimensions. Abnormalities in the neurological exam and polytherapy with anti-epileptic drugs were negative factors limited to one of the dimensions cognitive function and social function, respectively. Conclusion: The presence of psychiatric co-morbidity and a greater seizure frequency were the main factors influencing the quality of life in epileptic patients as evaluated by QOLIE-31.Original Abstract: Objetivo: Estudar os aspectos sociodemograficos, clinicos e comorbidades psiquiatricas que influenciam a qualidade de vida de pacientes adultos com epilepsia. Metodos: Cento e trinta e dois individuos com diagnostico de epilepsia foram avaliados do ponto de vista cliniconeurologico e psiquiatrico e pelo Quality of Life in Epilepsy Inventory (QOLIE-31). Foram estudados os fatores preditores dos escores do QOLIE-31. Resultados: As analises de regressao indicaram a existencia de comorbidade psiquiatrica (escore total, crises epilepticas, bem-estar emocional, energia/fadiga, funcao social e cognicao) e a maior frequencia de crises (escore total, cognicao e energia/fadiga) como fatores preditivos de escores menores no escore total do QOLIE-31 e em varias dimensoes. Anormalidade ao exame neurologico e politerapia com drogas antiepileticas foram fatores negativos limitados a uma das dimensoes funcao cognitiva e funcao social, respectivamente. Conclusao: A presenca de comorbidade psiquiatrica e a maior frequencia de crises foram os principais fatores a influenciar a qualidade de vida avaliada pelo QOLIE-31 em pacientes com epilepsia. |
| Author | Tedrus, Gloria Maria de Almeida Souza Carvalho, Rachel Marin Fonseca, Lineu Corrêa |
| AuthorAffiliation | Pontifícia Universidade Católica de Campinas |
| AuthorAffiliation_xml | – name: Pontifícia Universidade Católica de Campinas |
| Author_xml | – sequence: 1 givenname: Gloria Maria de Almeida Souza surname: Tedrus fullname: Tedrus, Gloria Maria de Almeida Souza email: gmtedrus@uol.com.br organization: Faculdade de Medicina, PUC-Campinas, Campinas,SP, Brazil. gmtedrus@uol.com.br – sequence: 2 givenname: Lineu Corrêa surname: Fonseca fullname: Fonseca, Lineu Corrêa – sequence: 3 givenname: Rachel Marin surname: Carvalho fullname: Carvalho, Rachel Marin |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23828532$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1111/j.1528-1157.1997.tb01128.x 10.1111/j.1528-1157.2000.tb01510.x 10.1016/j.yebeh.2006.08.022 10.1212/01.WNL.0000103282.62353.85 10.1111/j.1528-1167.2007.01222.x 10.1111/j.0013-9580.2004.47003.x 10.2165/00019053-200220150-00002 10.1016/j.yebeh.2004.08.019 10.1016/j.yebeh.2005.04.012 10.1111/j.1528-1157.1998.tb01278.x 10.1016/j.yebeh.2008.09.027 10.1186/1477-7525-2-51 10.1212/01.wnl.0000242582.83632.73 10.1111/j.1528-1157.2000.tb00239.x 10.1046/j.1528-1157.2001.10401.x 10.1111/j.0013-9580.2004.17504.x 10.1212/WNL.53.1.162 10.1136/jnnp.74.5.570 10.1590/S1676-26492009000300003 10.1111/j.1528-1157.2000.tb00255.x 10.1016/j.yebeh.2003.10.003 10.1111/j.1528-1167.2010.02582.x 10.1111/j.1528-1167.2008.01938.x 10.1016/j.yebeh.2007.05.002 10.1046/j.1528-1157.2001.37000.x 10.1016/j.yebeh.2011.08.039 10.1111/j.1528-1167.2011.03213.x |
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| Snippet | Objective To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients.... Objective: To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients.... |
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| SubjectTerms | Adult Cognition - physiology Comorbidity Depression - psychology Epidemiologic Methods epilepsia Epilepsy - physiopathology Epilepsy - psychology Female Humans Male Middle Aged NEUROSCIENCES Personality Inventory PSYCHIATRY qualidade de vida Quality of Life - psychology Reference Values sindrome epileptica Socioeconomic Factors |
| Title | Epilepsy and quality of life: socio-demographic and clinical aspects, and psychiatric co-morbidity |
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