Factors associated with impaired quality of life in younger and older adults with epilepsy

被引：76

作者：

Canuet, Leonides ^{[1
,2
]}

Ishii, Ryouhei ^{[1
]}

Iwase, Masao ^{[1
]}

Ikezawa, Koji ^{[1
,3
]}

Kurimoto, Ryu ^{[1
]}

Azechi, Michiyo ^{[1
]}

Takahashi, Hidetoshi ^{[1
]}

Nakahachi, Takayuki ^{[1
]}

Teshima, Yoshio ^{[3
]}

Takeda, Masatoshi ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Clin Neurosci & Psychiat, Suita, Osaka 5650871, Japan

[2] Saturnino Lora Prov Hosp, Dept Neurol, Santiago De Cuba, Cuba

[3] Osaka Koseinenkin Hosp, Dept Neuropsychiat, Osaka, Japan

来源：

EPILEPSY RESEARCH | 2009年 / 83卷 / 01期

关键词：

Quality of life; Elderly; Epilepsy; Depression; TEMPORAL-LOBE EPILEPSY; RESISTANT EPILEPSY; DEPRESSION; PEOPLE; INVENTORY; VARIABLES; IMPACT;

D O I：

10.1016/j.eplepsyres.2008.09.001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The purpose of this study is to weigh psychological state, patients' demographics, seizure-related factors, and medical comorbidity in older adults with epilepsy against the same parameters in younger adults in an attempt to identify best quality of life (QoL) predictors. The Quality of Life in Epilepsy Inventory for Adults (QOLIE-31) and the Beck Depression Inventory-II (BDI-II) were completed by 146 patients with localization-related epilepsy. There was no statistical difference in the QOLIE-31 total score between younger and older adults. Best QoL predictors were BDI-II and seizure frequency, with BDI-II providing more than 3 times the impact of seizure frequency. BDI-II also substantively predicted most QOLIE-31 domains. Additionally, epilepsy duration positively correlated with overall QoL only among older adults. In summary, in younger as well as older adult epilepsy patients, depressive symptoms emerge as the strongest predictor of QoL. However, older adults appear to adapt better to their chronic health problem. (C) 2008 Elsevier B.V. All rights reserved.

引用

页码：58 / 65

页数：8

共 38 条

[1] The quality of life of older people with epilepsy: findings from a UK community study [J].

Baker, GA ;

Jacoby, A ;

Buck, D ;

Brooks, J ;

Potts, P ;

Chadwick, DW .

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2001, 10 (02) :92-99

[2] Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients [J].

Beck, AT ;

Steer, RA ;

Ball, R ;

Ranieri, WF .

JOURNAL OF PERSONALITY ASSESSMENT, 1996, 67 (03) :588-597

[3] Emotional and affective disturbances in patients with epilepsy [J].

Beghi, E ;

Spagnoli, P ;

Airoldi, L ;

Fiordelli, E ;

Appollonio, I ;

Bogliun, G ;

Zardi, A ;

Paleari, F ;

Gamba, P ;

Frattola, L ;

Da Prada, L .

EPILEPSY & BEHAVIOR, 2002, 3 (03) :255-261

[4] Seizure reduction and quality of life improvements in people with epilepsy [J].

Birbeck, GL ;

Hays, RD ;

Cui, XP ;

Vickrey, BG .

EPILEPSIA, 2002, 43 (05) :535-538

[5] Depression but not seizure frequency predicts quality of life in treatment-resistant epilepsy [J].

Boylan, LS ;

Flint, LA ;

Labovitz, DL ;

Jackson, SC ;

Starner, K ;

Devinsky, O .

NEUROLOGY, 2004, 62 (02) :258-261

[6] Cephalic auras of supplementary motor area origin:: An ictal MEG and SAM(g2) study [J].

Canuet, Leonides ;

Ishii, Ryouhei ;

Iwase, Masao ;

Kurimoto, Ryu ;

Ikezawa, Kouji ;

Azechi, Michiyo ;

Takahashi, Hidetoshi ;

Nakahachi, Takayuki ;

Takeda, Masatoshi .

EPILEPSY & BEHAVIOR, 2008, 13 (03) :570-574

[7] Epidemiological and medical aspects of epilepsy in the elderly [J].

Cloyd, J ;

Hauser, W ;

Towne, A ;

Ramsay, R ;

Mattson, R ;

Gilliam, F ;

Walczak, T .

EPILEPSY RESEARCH, 2006, 68 :S39-S48

[8] The influence of comorbid depression on quality of life for people with epilepsy [J].

Cramer, JA ;

Blum, D ;

Reed, M ;

Fanning, K .

EPILEPSY & BEHAVIOR, 2003, 4 (05) :515-521

[9] Development and cross-cultural translations of a 31-item quality of life in epilepsy inventory [J].

Cramer, JA ;

Perrine, K ;

Devinsky, O ;

Bryant-Comstock, L ;

Meador, T ;

Hermann, B .

EPILEPSIA, 1998, 39 (01) :81-88

[10] Quality of life in the elderly with epilepsy [J].

Devinsky, O .

EPILEPSY & BEHAVIOR, 2005, 6 (01) :1-3

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