Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11087
Title: Psychological outcome profiles in childhood-onset temporal lobe epilepsy.
Authors: Micallef, Silvana;Spooner, Claire G;Harvey, A Simon;Wrennall, Jacquie A;Wilson, Sarah J
Affiliation: School of Behavioral Science, University of Melbourne, Vic., Australia. silvana.micallef@austin.org.au
Issue Date: 1-Oct-2010
Citation: Epilepsia; 51(10): 2066-73
Abstract: To examine the effect of childhood-onset temporal lobe epilepsy (TLE) on long-term psychological function and to identify outcome profiles related to the natural course and treatment of TLE.Psychological function was studied in a prospective, community-based cohort of childhood-onset TLE, approximately 13 years following seizure onset. Fifty-three patients were assessed using a semi-structured psychosocial interview, supplemented by self-report questionnaires measuring quality-of-life, depression, self-esteem, and anxiety.Common patterns were observed, giving rise to four distinct patient groups and psychological outcomes: (1) patients who experienced spontaneous remission of their seizures fared best; their psychological profile was characterized by heightened worry about the possibility of seizure recurrence; (2) patients who progressed to surgery and were seizure free reported adjustment difficulties associated with learning to become "well"; (3) patients who progressed to surgery and were not seizure free had the poorest psychological outcomes, with depression featuring prominently; and (4) patients with ongoing intractable epilepsy reported psychological and social features consistent with the effects of their chronic illness.Patients with childhood-onset TLE face distinctive long-term psychological challenges. The specific nature of these challenges can be understood in terms of the natural evolution and treatment of their epilepsy.
Internal ID Number: 20662892
URI: http://ahro.austin.org.au/austinjspui/handle/1/11087
DOI: 10.1111/j.1528-1167.2010.02664.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/20662892
Type: Journal Article
Subjects: Adaptation, Psychological
Adolescent
Adult
Age of Onset
Child
Disease-Free Survival
Epilepsy, Temporal Lobe.diagnosis.psychology.surgery
Female
Humans
Longitudinal Studies
Male
Outcome Assessment (Health Care)
Personality Inventory
Psychiatric Status Rating Scales
Quality of Life
Questionnaires
Self Concept
Social Adjustment
Temporal Lobe.surgery
Treatment Outcome
Appears in Collections:Journal articles

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