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Social Functioning, Psychological Functioning, and Quality of Life in Epilepsy
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Summary: Purpose: Part of our research intended to explain “ Q uality o f Life” ( QoL ) differences between people with epilepsy. To this end, a series of already existing generic and disease‐specific health status measures were used. In this study, they were considered as determinants of people's QoL, whereas QoL itself was conceived as a general “value judgment” about one's life. Methods: From the records of four outpatient clinics, 210 persons with epilepsy were randomly selected. During their visit to the outpatient clinic, they completed a questionnaire assessing, among other things, health perceptions and social and psychological functioning. Additional information about their medical and psychosocial status was gathered from the patient files. Data were analysed by using a hierarchical regression analysis. Results: In decreasing order of importance, “psychological distress,”“loneliness,”“adjustment and coping,” and “stigma perception” appeared to contribute most significantly to the outcome QoL as judged by the patients themselves, regardless of their physical status. In the final model, none of the clinical variables (onset, seizure frequency, side effects of antiepileptic drugs) contributed significantly anymore to the patients' “quality‐of‐life judgement.” Apparently the effect of other variables such as seizure frequency and health perceptions, medication and side effects, life fulfilment, self‐esteem, and mastery is mediated by these variables. Conclusions: Because all of the variance in QoL of the patients was explained by the psychosocial variables included in this study, health professionals should be aware of the significance of the psychosocial functioning of the patients and the role it plays in the achievement of a good QoL. Both informal and professional support may be an adjunct to conventional treatment. In future research, this issue should be given high priority.
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“Unlike in patients with psychogenic nonepileptic seizures, there remains a significant relationship between HRQoL and epilepsy severity markers when psychopathology is introduced as a covariate. 11”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [11]
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Brabcova, D. B., Lovasová, V., Kohout, J., Zárubová, J., & Komárek, V. (2012) · Seizure · doi:10.1016/j.seizure.2012.11.017 · Cited by 42
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Shibre, T., Alem, A., Tekle‐Haimanot, R., & Medhin, G. (2009) · Ethiopian Journal of Health Development · doi:10.4314/ejhd.v20i3.46843 · Cited by 42
Kaddumukasa, M., Nalubwama, H., Kaddumukasa, M. N., Lhatoo, S. D., Sewankambo, N. K., Katabira, E., Sajatovic, M., & Blixen, C. E. (2019) · BMC Neurology · doi:10.1186/s12883-019-1398-z · Cited by 42
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Thomson, L., Fayed, N., Sedarous, F., & Ronen, G. M. (2013) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12335 · Cited by 41
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Moore, J. L., Elliott, J. O., Lü, B., Klatte, E. T., & Charyton, C. (2009) · Epilepsia · doi:10.1111/j.1528-1167.2008.01996.x · Cited by 40
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Zou, X., Hong, Z., Chen, J., & Zhou, D. (2014) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2013.11.028 · Cited by 39
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Psychological treatments for people with epilepsy
Michaelis, R., Tang, V., Nevitt, S. J., Wagner, J. L., Modi, A. C., LaFrance Jr, W. C., Goldstein, L. H., Gandy, M., Bresnahan, R., Valente, K., et al. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012081.pub3 · Cited by 37
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Metadata
- Authors
- Suurmeijer, T. P. B. M., Reuvekamp, M. F., & Aldenkamp, B. P.
- Affiliations
- University of Groningen (NL)
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2001-09
- Volume
- 42
- Issue
- 9
- Pages
- 1160-1168
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W2033674445
- Cited by
- 364
- References
- 65
- Citations by year
- 2026: 9 · 2025: 6 · 2024: 16 · 2023: 10 · 2022: 5 · 2021: 19 · 2020: 14 · 2019: 13 · 2018: 21 · 2017: 20 · 2016: 19 · 2015: 19 · 2014: 16 · 2013: 16 · 2012: 18
- FWCI
- 4.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epilepsia (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- epilepsy, quality of life, social functioning, psychological functioning, psychological distress, loneliness, coping, perceived stigma, psychosocial functioning, health perception, antiepileptic drug adverse effects, seizure frequency, self-esteem, mastery
- MeSH terms
- Adaptation, Psychological, Adult, Ambulatory Care, Anticonvulsants, Attitude to Health, Epilepsy, Female, Health Status, Humans, Male, Netherlands, Quality of Life, Regression Analysis, Research Design, Social Adjustment, Social Support, Stress, Psychological, Thiocarbamates, Comorbidity, Sickness Impact Profile, Self Efficacy
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