Changes in quality of life and self-perspective related to surgery in patients with temporal lobe epilepsy

Epilepsy & Behavior : E&B
Nuran AydemirAli Tekcan

Abstract

To evaluate changes in intractable epilepsy patients in terms of quality of life, depression, anxiety, stigma, and impact of epilepsy before and after surgery. Twenty patients with intractable temporal lobe epilepsy who were waiting for surgery (pre-SAH group) and 21 patients who had already undergone surgery (post-SAH group) were studied. All patients received SF-36, Beck Depression Inventory, State-Trait Anxiety Inventory, stigma and impact of epilepsy inventories, and a form asking their own perspectives about epilepsy and surgery. Post-SAH group scored higher on all subscales of SF-36, with only RE scores being significantly better (t=-1.98, P=.05). Although depression, anxiety, and stigma scores were higher in pre-SAH group, only impact of epilepsy scores were significantly higher in pre-SAH group (t=-2.951, P=.005). Seizure frequency and comorbidity had significant effects on QOL where amount of AEDs and QOL were negatively related (r=-0.318, P<0.05). Both groups stated lack of independence and social activities as the main concern (48.8%) and recovery from epilepsy as the most important expectation from surgery (85.4%). Post-surgical group mentioned the difference in their life after surgery as independence and increase ...Continue Reading

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Citations

Mar 29, 2011·Neuroscience Letters·Ram ManiMarc A Dichter
Mar 5, 2010·Epilepsy & Behavior : E&B·Inês Cunha, Jorge Oliveira
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May 15, 2020·Seizure : the Journal of the British Epilepsy Association·Nuran Aydemir

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