Living with Epilepsy: Psychosocial and Clinical Determinants of Quality of Life in Patients with Epilepsy
Psychosocial and Clinical Determinants in Epilepsy
DOI:
https://doi.org/10.54393/pjhs.v4i01.337Keywords:
Social Support, Psychological Distress, Quality of Life, Resilience, EpilepsyAbstract
The present study assessed the role psychosocial (social support, resilience and psychological distress) and clinical determinants (duration of disease and number of seizures per month) in predicting quality of life in epileptic patients. Past research findings have established the role of social support and resilience in impacting psychological distress in quality of life in epileptic patients. Objectives: To evaluate the psychosocial and clinical determinants of quality of life in epileptic patients and to contribute to the gap in the literature. Methods: A quantitative research design was used for the study in which out of 230 progressive patients, 200 were recruited for the study out of which 117 suffered from generalized and 73 suffered from focal epilepsy. In terms of gender differentiation, 110 were male and 90 were females. Kessler Psychological Distress Scale, Brief Resilience Scale and Social Provisions Scale were used. Clinical determinants were assessed through measuring disease duration and number of seizures per month. Data analysis was done using Pearson Product Moment Correlation, MANOVA and Mediation Analysis. Results: Results had shown that there is a significant negative predictive association of psychological distress with quality of life, social support and resilience. However, a significant positive predictive association was identified among psychological distress, duration of disease and number of seizures per month. Conclusion: Significant differences were identified in epileptic patients with regard to psychological distress (high/low) in terms of social support, resilience and quality of life. Social support and resilience significantly mediated the association between psychological distress and quality of life.
References
Xu Y, Hackett ML, Glozier N, Nikpour A, Bleasel A, Somerville E, et al. Frequency and predictors of psychological distress after a diagnosis of epilepsy: A community-based study. Epilepsy & Behavior. 2017 Oct; 75: 190-5. doi: 10.1016/j.yebeh.2017.07.044
Hao X, Zhou D, Li Z, Zeng G, Hao N, Li E, et al. Severe psychological distress among patients with epilepsy during the COVID‐19 outbreak in southwest China. Epilepsia. 2020 Jun; 61(6): 1166-73. doi: 10.1111/epi.16544
Bushnik T, Lukow HR, Godwin EE, Marwitz JH, Mills A, Hsu NH, et al. Relationship between resilience, adjustment, and psychological functioning after traumatic brain injury: a preliminary report. Journal of Head Trauma Rehabilitation. 2015 Jul; 30(4): 241-8. doi: 10.1097/HTR.0000000000000137
de Holanda Coelho GL, Hanel PH, Medeiros Cavalcanti T, Teixeira Rezende A, Veloso Gouveia V. Brief Resilience Scale: Testing its factorial structure and invariance in Brazil. Universitas Psychologica. 2016 Jun; 15(2): 397-408. doi: 10.11144/Javeriana.upsy15-2.brst
Gargiulo ÁJ, Sarudiansky M, Videla A, Lombardi N, Korman GP, Oddo S. Perceived stress, resilience, and stress coping in patients with drug resistant epilepsy and functional dissociative seizures. Seizure. 2022 Oct; 101: 141-8. doi: 10.1016/j.seizure.2022.08.002
Geng Y, Gu J, Zhu X, Yang M, Shi D, Shang J, et al. Negative emotions and quality of life among adolescents: A moderated mediation model. International Journal of Clinical and Health Psychology. 2020 May; 20(2): 118-25. doi: 10.1016/j.ijchp.2020.02.001
Tanveer M, Ahmed A, Iqbal M, Aslam F, Saqlain M, Rehman IU, et al. Excessive Daytime Sleepiness and Sleep Quality and their Impact on Health-Related Quality of Life in People with Epilepsy: A study from Pakistan. Epilepsy & Behavior. 2022 Mar; 128. doi: 10.1016/j.yebeh.2022.108565
Johnson EK, Jones JE, Seidenberg M, Hermann BP. The relative impact of anxiety, depression, and clinical seizure features on health‐related quality of life in epilepsy. Epilepsia. 2004 May; 45(5): 544-50. doi: 10.1111/j.0013-9580.2004.47003.x
Kyriazos T, Stalikas A. Psychometric Evidence of the 10-Item Connor-Davidson Resilience Scale (CD-RISC10, Greek Version) and the Predictive Power of Resilience on Well-Being and Distress. Open Journal of Social Sciences. 2021 Nov; 9(11): 280-308. doi: 10.4236/jss.2021.911022
Lai ST, Tan WY, Wo MC, Lim KS, Ahmad SB, Tan CT. Burden in caregivers of adults with epilepsy in Asian families. Seizure. 2019 Oct; 71: 132-9. doi: 10.1016/j.seizure.2019.07.008
Oguz A, Kurul S, Dirik E, Eylül D. Relationship of epilepsy-related factors to anxiety and depression scores in epileptic children. Journal of Child Neurology. 2002 Jan; 17(1): 37-40. doi: 10.1177/088307380201700109
Rawlings GH, Brown I, Reuber M. Predictors of health-related quality of life in patients with epilepsy and psychogenic nonepileptic seizures. Epilepsy & behavior. 2017 Mar; 68: 153-8. doi: 10.1016/j.yebeh.2016.10.035
Andrews G and Slade T. Interpreting scores on the Kessler psychological distress scale (K10). Australian and New Zealand journal of public health. 2001 Dec; 25(6): 494-7. doi: 10.1111/j.1467-842X.2001.tb00310.x
Russell DW and Cutrona CE. Social provisions scale. Iowa State University. 1984.
Ring A, Jacoby A, Baker GA, Marson A, Whitehead MM. Does the concept of resilience contribute to understanding good quality of life in the context of epilepsy?. Epilepsy & Behavior. 2016 Mar; 56: 153-64. doi: 10.1016/j.yebeh.2016.01.002
Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. International journal of behavioral medicine. 2008 Sep; 15(3): 194-200. doi: 10.1080/10705500802222972
Vahedi S. World Health Organization Quality-of-Life Scale (WHOQOL-BREF): analyses of their item response theory properties based on the graded responses model. Iranian journal of psychiatry. 2010; 5(4): 140-153.
Seid S, Demilew D, Yimer S, Mihretu A. Prevalence and associated factors of mental distress among caregivers of patients with epilepsy in ethiopia: a cross-sectional study design. Psychiatry journal. 2018 Sep; 2018. doi: 10.1155/2018/2819643
Semple BD, Zamani A, Rayner G, Shultz SR, Jones NC. Affective, neurocognitive and psychosocial disorders associated with traumatic brain injury and post-traumatic epilepsy. Neurobiology of disease. 2019 Mar; 123: 27-41. doi: 10.1016/j.nbd.2018.07.018
Tedrus GM, Souza DC, Crepaldi CR, Petrarca YM. Suicide risk in epilepsy: Clinical variables, psychiatric disorders, and social support. Revue neurologique. 2022 Sep. doi: 10.1016/j.neurol.2022.05.009
Wang H, Yue H, Ren M, Feng D. Dyadic effects of family-functioning and resilience on quality of life in advanced lung cancer patients and caregivers: an actor-partner interdependence mediation model. European Journal of Oncology Nursing. 2021 Jun; 52. doi: 10.1016/j.ejon.2021.101963
Wei W, Yang R, Zhang J, Chen H, Ye J, Su Q, et al. The Mediating Roles of Family Resilience and Social Support in the Relationship Between Illness Severity and Depressive Symptoms Among Primary Caregivers of Children With Epilepsy in China. Frontiers in Neurology. 2022 Feb: 277-285. doi: 10.3389/fneur.2022.831899
Ring A, Jacoby A, Baker GA, Marson A, Whitehead MM. Does the concept of resilience contribute to understanding good quality of life in the context of epilepsy?. Epilepsy & Behavior. 2016 Mar; 56: 153-64. doi: 10.1016/j.yebeh.2016.01.002
Jakobsen AV and Elklit A. Self-control and coping responses are mediating factors between child behavior difficulties and parental stress and family impact in caregivers of children with severe epilepsy. Epilepsy & Behavior. 2021 Sep; 122.. doi: 10.1016/j.yebeh.2021.108224
Evett D, Hutchinson K, Bierbaum M, Perikic N, Proctor C, Rapport F, et al. Peer support and social network groups among people living with epilepsy: A scoping review. Epilepsy & Behavior. 2021 Nov 1; 124: 108381. doi: 10.1016/j.yebeh.2021.108381
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