Epilepsziás betegek életminoség-vizsgálata a megküzdési stratégiákkal és a betegségészleléssel összefüggésben

Translated title of the contribution: Assessment of health related quality of life among epileptic patients in the context of coping strategies and subjective disease perception

Daniella Kováts, Noémi Császár-Nagy, Vera Juhos, Viola Sallay, Judit Békés, Dániel Fabó, A. Kelemen, Tamás Kurimay

Research output: Contribution to journalArticle

Abstract

Purpose - Psychosocial condition and life quality of epileptic patients are greatly determined by the existence of the disease-related comorbid disorders, like depression, anxiety, and the subjective disease perception, as well as the neuropsychological consequences of the seizures. (Whitehead et al. 2015; Goldstein et al. 2005). It has been examined in patients living with epilepsy how subjective disease perception and coping strategies influence life quality, comorbid depression and the condition of anxiety. Methods - Study patients were asked to fill in a self-completion questionnaire, which examined their psychosocial condition (HADS, Beck Depression Scale), life quality (Qolie-31), coping strategies (FKV-LIS), and subjective disease perception (IPQ-R), as well as sociodemographic and disease variables.The subjects of the study: the data of epileptic patients between the age of 18 to 70 was recorded. Patients were selected from the adult outpatients of a national centre, a regional hospital and two private health care centres located in Budapest. Results - Based on the multiple regression analysis. Beck's depression (β coefficient=-0.351, t=-4.703, p<0.001∗∗). Depressive coping strategy (FKV Dep) (β coefficient = -0.235, t=-3.123, p=0.002∗∗). Subjective health perception (β coefficient =0.232. T=3.643, p<0.001∗∗). Sex (women; β coefficient =-0.162, t=-3.008, p=0.003∗∗). IPQ consequences (β coefficient =-0.161, t=-2.572, p=0.012∗).Active coping strategy (FKV Act; β coefficient =0.146, t=2.572, p=0.012∗). Type of seizure (β coefficient =-0.138, t=-2.527, p=0.013∗), and Sleep quality (β coefficient =-0.125, t=-1.995, p=0.049) explain some 75.6% of the variance of life quality's total score (model3: F=33.333, p<0.001∗∗.Adjusted R2=0.733). Conclusions - Among the factors of the subjective disease perception (IPQ-R), the physical, mental and social consequences play the most important role. Similarly, the impact of negative emotional representation, as well as the erratic nature of the seizures are decisive. Emotional representation, cyclicity and disease coherence have an important role in coping with disease-related negative emotions.

Translated title of the contributionAssessment of health related quality of life among epileptic patients in the context of coping strategies and subjective disease perception
Original languageHungarian
Pages (from-to)184-196
Number of pages13
JournalIdeggyogyaszati Szemle
Volume71
Issue number5-6
DOIs
Publication statusPublished - May 30 2018

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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