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Cited by 43Epilepsy research and treatmentMental Health Treatment and AccessPharmacological Effects and Toxicity Studies

Beyond seizures and medications: normal activity limitations, social support, and mental health in epilepsy

Lu, Bo, Elliott, John O.·2012·Epilepsia
DOI 10.1111/j.1528-1167.2011.03331.x
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Abstract

Although seizure control is a critical goal for persons with epilepsy (PWE) from the biomedical perspective, there is growing support for approaches that take into account the effect of epilepsy on the whole person (the biopsychosocial perspective). We hypothesized that PWE who report normal activity limitations due to epilepsy and poor social/emotional support would report poor mental health regardless of whether they report having seizures in the past 3 months or currently taking medication for their epilepsy. In 2005 and 2006, twenty-two states asked about epilepsy in the Behavioral Risk Factor Surveillance System (BRFSS). A set of survey weight-adjusted logistic regression analyses were conducted to examine self-reported poor mental health. Our findings reveal that both normal activity limitations due to epilepsy and poor social/emotional support are significant predictors of reporting poor mental health. After controlling for social support, demographics, comorbidities, and health behaviors we determined that those reporting normal activity limitations due to epilepsy are more likely to report poor mental health (odds ratio [OR] 3.05, 95% confidence interval [CI] 1.41-6.58). Similarly, after controlling for the same factors, PWE with poor social/emotional support are more likely to report poor mental health (OR 3.22, 95% CI 1.84-5.61). In contrast, reported seizures in the past 3 months (OR 1.12, 95% CI 0.56-2.25) or current use of medication (OR 0.58, 95% CI 0.30-1.10) were not significantly associated with poor mental health. These population-based findings support the need for clinical approaches that address psychosocial issues in addition to seizure control and treatment.

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  • The initial diagnosis of epilepsy can cause adjustment disorders, refractory epilepsy can challenge coping resources, and epilepsy can give rise to specific anxieties about seizures, which may cause significant restrictions of patients' independence and social functioning.

    “The initial diagnosis of epilepsy can cause adjustment disorders, refractory epilepsy can challenge coping resources, and epilepsy can give rise to specific anxieties about seizures, which may cause significant restrictions of patients' independence and social functioning [2-4].”

    From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [3]

  • Epilepsy is associated with a wide range of comorbidities and psychosocial complications that may be more disabling and detrimental to patients' quality of life than the seizures themselves.

    “Epilepsy is a complex condition. It is associated with a wide range of comorbidities, and psychosocial complications, which may be more disabling and detrimental to the patients' quality of life than the seizures itself.”

    From A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy (2015) · cites this paper as [3]

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Authors
Lu, B., & Elliott, J. O.
Affiliations
OhioHealth (US)
Corresponding author
Elliott, John O.
Venue
Epilepsia
Publisher
Wiley
Published
2011-11-16
Volume
53
Issue
2
Pages
e25-8
ISSN
  • 0013-9580 (ISSN-L)
  • 1528-1167
DOI
10.1111/j.1528-1167.2011.03331.x
OpenAlex
W1581391838
Cited by
43
References
11
Citations by year
2024: 3 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 4 · 2016: 3 · 2015: 6 · 2014: 4 · 2013: 4 · 2012: 2
FWCI
2.19
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Epilepsia (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmacological Effects and Toxicity Studies
Keywords
epilepsy, mental health, activity limitation, social support, emotional support, biopsychosocial model, seizure control, antiepileptic drugs, psychosocial aspects of epilepsy, Behavioral Risk Factor Surveillance System
MeSH terms
Activities of Daily Living, Epilepsy, Humans, Mental Health, Quality of Life, Seizures, Social Support, Behavioral Risk Factor Surveillance System

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