Health concerns predicts poor quality of life in well-controlled epilepsy

Seizure. 2009 Sep;18(7):487-91. doi: 10.1016/j.seizure.2009.04.008. Epub 2009 May 9.

Abstract

Purpose: Most studies of quality of life (QOL) in seizure-free epilepsy patients suggest normal or near-normal function. Previous studies on QOL in well-controlled epilepsy have not investigated determinants for QOL from a database that includes a wide range of health related and epilepsy related variables, as well as demographical data, neuropsychological data, data from a comprehensive personality inventory and results from a QOL-questionnaire. Thus, the aim of this study was to analyze predictors of QOL based on such a range of variables.

Methods: Adults with epilepsy on antiepileptic (AED) monotherapy and without epileptic seizures for at least 2 years (n=158) were assessed with the QOLIE-89.

Results: The main findings were that QOL in well-controlled epilepsy patients was in the normal range and that presence of substantial health related concerns was a significant predictor of poor QOL.

Discussion: The findings that substantial health concerns predict poor QOL may have clinical implications, as seizure-free epilepsy is a relatively benign condition, and careful information and counselling about this may alleviate health concerns and improve quality of life.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anticonvulsants / therapeutic use
  • Electroencephalography
  • Epilepsy / drug therapy
  • Epilepsy / physiopathology*
  • Epilepsy / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Personality Inventory
  • Predictive Value of Tests
  • Psychiatric Status Rating Scales
  • Quality of Life*
  • Severity of Illness Index
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Anticonvulsants