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Cited by 56Epilepsy research and treatmentMedicine, History, and PhilosophyHealth, psychology, and well-being

The biopsychosocial model and quality of life in persons with active epilepsy

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Elliott, John O., Richardson, Virginia E.·2014·Epilepsy & Behavior
DOI 10.1016/j.yebeh.2014.09.035
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Abstract

Background Despite a long recognized need in the field of the importance of the psychological and social factors in persons with epilepsy (PWE), the medical community has continued to focus primarily on seizures and their treatment (the biological-biomedical model). From the biopsychosocial perspective, a person's lived experience needs to be incorporated into the understanding of quality of life. While the biopsychosocial model has gained prominence over the years, it has not been studied much in epilepsy.Methods The study sample included 1720 PWE from the 2003 and the 2005 Canadian Community Health Survey (CCHS). Data were analyzed using set correlation, as it allows for the examination of the relative contribution of sets of independent variables (biological, psychological, and social domains) and a set of dependent variables (quality of life) of interest, defined as self-rated health status, self-rated mental health status, and life satisfaction.Results Results provide strong evidence that the full biopsychosocial model explained a significantly larger amount of variance in quality of life (R(2) = 55.0%) compared with the biological-biomedical model alone (R(2) = 24.8%). When the individual domains of the biopsychosocial model were controlled for, the psychological (R(2) = 24.6%) and social (R(2) = 18.5%) domains still explained a greater amount of the variance in quality of life compared with the biological-biomedical model (R(2) = 14.3%).Conclusions While seizure freedom will continue to be an important treatment goal in epilepsy, the psychological and social domains are an important consideration for both interventional programs and clinical research designed to improve quality of life in PWE. Better integration of social workers and psychologists into routine care may help address these disparities.

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  • In the UK, national epilepsy treatment guidelines state that psychological treatment should be available to all patients with complex or refractory epilepsy.

    “in the United Kingdom (UK) national epilepsy treatment guidelines state that psychological treatment should be available to all patients with complex or refractory epilepsy [7].”

    From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [7]

    The Introduction and Mental health services sections discuss unmet psychological needs in people with epilepsy, but do not describe UK national treatment guidelines. Searches for UK guidelines, NICE, and the recommendation for patients with complex or refractory epilepsy found no passage stating the claimed recommendation. The Conclusions discuss evidence-based practice guidelines for psychological therapy, a different point. (LLM, conf=0.74)

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Research works printed but not linked: 5

  1. Centers for Disease Control and Prevention. Living well with epilepsy: Report of the 2003 National Conference on Public Health and Epilepsy. 2003:1-52.
  2. Guidelines for epidemiologic studies on epilepsy. Commission on epidemiology and prognosis, International League Against Epilepsy. Epilepsia 1993;34:592-596.
  3. Constitution of the world health organization. Am J Public Health Nations Health 1946;36:1315-1323.
  4. The world health organization quality of life assessment (WHOQOL): Position paper from the world health organization. Soc Sci Med 1995;41:1403-1409.
  5. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health- related quality of life. J Nurs Scholarsh 2005;37:336-342.

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Authors
Elliott, J. O., & Richardson, V. E.
Affiliations
  • OhioHealth (US)
  • The Ohio State University (US)
Corresponding author
  • Elliott, John O.
  • Richardson, Virginia E.
Venue
Epilepsy & Behavior
Publisher
Elsevier BV
Published
2014-12
Volume
41
Pages
55-65
ISSN
1525-5050 (ISSN-L)
DOI
10.1016/j.yebeh.2014.09.035
OpenAlex
W2007492325
Cited by
56
References
386
Citations by year
2026: 4 · 2025: 4 · 2024: 6 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 6 · 2016: 4 · 2015: 8 · 2014: 2
FWCI
5.09
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Epilepsy & Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • OhioLink ETD Center (Ohio Library and Information Network) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
  • Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Keywords
biopsychosocial model, epilepsy, quality of life, psychological factors, social factors, self-rated health, mental health, life satisfaction, lived experience, Canadian Community Health Survey
MeSH terms
Adolescent, Adult, Aged, Canada, Child, Epilepsy, Female, Health Status, Humans, Male, Middle Aged, Models, Psychological, Quality of Life, Young Adult

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