Abstract

Epilepsy is a chronic neurological disorder that can have profound physical, social and psychological consequences. We aimed to assess the clinical predictors of quality of life of people with epilepsy. We recruited 31 patients suffering from epilepsy in this cross-sectional study. Their clinical profile was recorded. Quality Of Life in Epilepsy (QOLIE-31) was used to assess quality of life of our patients. Depression was screened by Neurological Disorders Depression Inventory in Epilepsy (NDDI-E). Among all the clinical variables, only seizure frequency significantly correlated with seizure worry (P=0.002), emotional well-being (P=0.026) and social functions (P=0.013) subscales of QOLIE-31. NDDIE score showed a significant negative correlation with all the subscales of QOLIE-31 except medication effects (P=0.993). A significant positive correlation was also noted between seizure frequency and NDDI-E score (r=0.417, P=0.020). Seizure frequency and depression are the most important predictors of quality of life in epilepsy patients. The management of patients with epilepsy should not only be aimed at just preventing seizures but the treating clinicians should also be cognizant about depression which itself can significantly affect the quality of life of patients.

Highlights

  • Epilepsy is a chronic neurological disorder that affects individuals of all ages regardless of gender

  • This was a cross-sectional study in design. 31 patients with epilepsy who were attending the follow-up at our psychiatry outpatient department were recruited for this study

  • The subjects were not categorized according to type of epilepsy as the previous studies suggest that type of epilepsy is not an important predictor of quality of life (QOL).[11,12]

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Summary

Introduction

Epilepsy is a chronic neurological disorder that affects individuals of all ages regardless of gender. The impact of living with epilepsy can be enormous than the seizure itself. A World Health Organization (WHO) report estimated that 10% of the global burden of brain and mental disorders is caused by epilepsy, calcu-. This was a cross-sectional study in design. 31 patients with epilepsy who were attending the follow-up at our psychiatry outpatient department were recruited for this study. We included only the patients of epilepsy who had been diagnosed for at least one year. The subjects were not categorized according to type of epilepsy as the previous studies suggest that type of epilepsy is not an important predictor of QOL.[11,12] People with psychotic disorders, higher is suggestive of the possibility of a major depressive disorder and serves as a indicator to carry out a more in-depth evaluation

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