AI Article Synopsis
- This study investigates how childhood-onset temporal lobe epilepsy (TLE) affects long-term psychological health, analyzing outcomes related to the condition and its treatment.
- Approximately 13 years post-seizure onset, researchers assessed 53 patients through interviews and self-report questionnaires on quality of life, depression, self-esteem, and anxiety.
- Four distinct psychological outcome groups emerged: those with spontaneous remission had minimal issues, surgery patients had varied adjustments, non-seizure-free surgical patients experienced significant depression, and those with ongoing epilepsy faced severe chronic illness effects.
Article Abstract
Purpose: 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.
Methods: 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.
Results: 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.
Discussion: 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.
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| http://dx.doi.org/10.1111/j.1528-1167.2010.02664.x | DOI Listing |
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