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Title: Psychological outcome profiles in childhood-onset temporal lobe epilepsy.
Austin Authors: Micallef, Silvana ;Spooner, Claire G;Harvey, A Simon;Wrennall, Jacquie A;Wilson, Sarah J
Affiliation: School of Behavioral Science, University of Melbourne, Victoria, Australia
Issue Date: 1-Oct-2010
Publication information: 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.
Gov't Doc #: 20662892
DOI: 10.1111/j.1528-1167.2010.02664.x
Journal: Epilepsia
Type: Journal Article
Subjects: Adaptation, Psychological
Age of Onset
Disease-Free Survival
Epilepsy, Temporal
Longitudinal Studies
Outcome Assessment (Health Care)
Personality Inventory
Psychiatric Status Rating Scales
Quality of Life
Self Concept
Social Adjustment
Treatment Outcome
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