Top

Published in:

01-11-2019 | Mood Disorders | Original Communication

Self-management practices associated with quality of life for adults with epilepsy

Authors: Robert Quon, Angeline Andrew, Samantha Schmidt, Cam Escoffery, Lindsay Schommer, Felicia Chu, Heidi Henninger, Keith Nagle, Nicholas Streltzov, Barbara Jobst

Published in: Journal of Neurology | Issue 11/2019

Abstract

Epilepsy self-management practices enhance a patient’s competence and confidence in managing their chronic condition, which is assumed to lead to an improved quality of life (QoL). We analyzed the relationship between the Epilepsy Self-Management Scale (ESMS) responses and the Quality of Life in Epilepsy (QOLIE-31) scores. Baseline questionnaires from HOBSCOTCH, a self-management program for cognitive problems, were administered in four New England epilepsy centers on adults (n = 100) with epilepsy and subjective memory complaints. There was no correlation between overall self-management scores and overall quality-of-life scores; however, subscale analyses indicated that certain self-management practices were strongly correlated with the overall QOLIE-31 score. Specifically, improved ESMS lifestyle management was associated with an increased quality-of-life score (adjusted p < 0.01), while enhanced ESMS safety management practices were associated with a decreased overall quality-of-life score (adjusted p < 0.01). Our item-level analysis highlighted specific items within the ESMS safety management, ESMS lifestyle management, and ESMS information management subdomains that were significant predictors for QoL. Depression was also shown to be significantly correlated with the QOLIE-31 (p < 0.01). Our study suggests that an overemphasis on safety practices may negatively affect quality of life, while enhanced lifestyle management has positive effects. Furthermore, our finding that quality of life is greatly dependent on depressive symptoms underscores the importance of treating depression in epilepsy.

Available only for authorised users

Zack MM, Kobau R (2017) National and State Estimates of the Numbers of Adults and Children with Active Epilepsy—United States, 2015. MMWR Morb Mortal Wkly Rep 66:821–825. https://doi.org/10.15585/mmwr.mm6631a1 CrossRef

Sajatovic M, Tatsuoka C, Welter E et al (2017) Correlates of quality of life among individuals with epilepsy enrolled in self-management research. Epilepsy Behav 69:177–180. https://doi.org/10.1016/j.yebeh.2016.12.005 CrossRefPubMedPubMedCentral

Team SMILE, Ridsdale L, Wojewodka G et al (2017) Characteristics associated with quality of life among people with drug-resistant epilepsy. J Neurol 264:1174–1184. https://doi.org/10.1007/s00415-017-8512-1 CrossRef

Edward K, Cook M, Giandinoto J-A (2015) An integrative review of the benefits of self-management interventions for adults with epilepsy. Epilepsy Behav 45:195–204. https://doi.org/10.1016/j.yebeh.2015.01.026 CrossRefPubMed

Taylor J, Jacoby A, Baker GA et al (2011) Factors predictive of resilience and vulnerability in new-onset epilepsy: resilience in new-onset epilepsy. Epilepsia 52:610–618. https://doi.org/10.1111/j.1528-1167.2010.02775.x CrossRefPubMed

Kobau R, Cui W, Kadima N et al (2014) Tracking psychosocial health in adults with epilepsy—estimates from the 2010 National Health Interview Survey. Epilepsy Behav 41:66–73. https://doi.org/10.1016/j.yebeh.2014.08.002 CrossRefPubMedPubMedCentral

Chung K, Liu Y, Ivey SL et al (2012) Quality of life in epilepsy (QOLIE): Insights about epilepsy and support groups from people with epilepsy (San Francisco Bay Area, USA). Epilepsy Behav 24:256–263. https://doi.org/10.1016/j.yebeh.2012.02.003 CrossRefPubMed

Luoni C, Bisulli F, Canevini MP et al (2011) Determinants of health-related quality of life in pharmacoresistant epilepsy: results from a large multicenter study of consecutively enrolled patients using validated quantitative assessments: Quality of Life in Pharmacoresistant Epilepsy. Epilepsia 52:2181–2191. https://doi.org/10.1111/j.1528-1167.2011.03325.x CrossRefPubMed

McAuley JW, McFadden LS, Elliott JO, Shneker BF (2008) An evaluation of self-management behaviors and medication adherence in patients with epilepsy. Epilepsy Behav 13:637–641. https://doi.org/10.1016/j.yebeh.2008.07.005 CrossRefPubMed

10.

Yadegary MA, Maemodan FG, Nayeri ND, Ghanjekhanlo A (2015) The effect of self-management training on health-related quality of life in patients with epilepsy. Epilepsy Behav 50:108–112. https://doi.org/10.1016/j.yebeh.2015.04.051 CrossRefPubMed

11.

Laybourne AH, Morgan M, Watkins SH et al (2015) Self-management for people with poorly controlled epilepsy: Participants’ views of the UK Self-Management in epILEpsy (SMILE) program. Epilepsy Behav 52:159–164. https://doi.org/10.1016/j.yebeh.2015.08.023 CrossRefPubMed

12.

Amir M, Roziner I, Knoll A, Neufeld MY (1999) Self-efficacy and social support as mediators in the relation between disease severity and quality of life in patients with epilepsy. Epilepsia 40:216–224. https://doi.org/10.1111/j.1528-1157.1999.tb02078.x CrossRefPubMed

13.

Bautista RED (2017) Understanding the self-management skills of persons with epilepsy. Epilepsy Behav 69:7–11. https://doi.org/10.1016/j.yebeh.2016.11.022 CrossRefPubMed

14.

Johnson EK, Fraser RT, Miller JW et al (2012) A comparison of epilepsy self-management needs: Provider and patient perspectives. Epilepsy Behav 25:150–155. https://doi.org/10.1016/j.yebeh.2012.07.020 CrossRefPubMed

15.

Schmidt SS Clinical Research Protocol. 25

16.

Di Iorio C (1997) Epilepsy Self-Management. In: Gochman DS (ed) Handbook of health behavior research II. Springer, US, Boston, MA, pp 213–230CrossRef

17.

Begley C, Shegog R, Liu H et al (2018) Correlates of epilepsy self-management in MEW network participants. Epilepsy Behav 85:243–247. https://doi.org/10.1016/j.yebeh.2018.04.011 CrossRefPubMed

18.

DiIorio C, Escoffery C, McCarty F et al (2008) Evaluation of WebEase: an epilepsy self-management Web site. Health Educ Res 24:185–197. https://doi.org/10.1093/her/cyn012 CrossRefPubMed

19.

Borghs S, de la Loge C, Cramer JA (2012) Defining minimally important change in QOLIE-31 scores: Estimates from three placebo-controlled lacosamide trials in patients with partial-onset seizures. Epilepsy Behav 23:230–234. https://doi.org/10.1016/j.yebeh.2011.12.023 CrossRefPubMed

20.

Cramer JA, Perrine K, Devinsky O et al (1998) Development and cross-cultural translations of a 31-item quality of life in epilepsy inventory. Epilepsia 39:81–88. https://doi.org/10.1111/j.1528-1157.1998.tb01278.x CrossRefPubMed

21.

Devinsky O, Vickrey BG, Cramer J et al (1995) Development of the quality of life in epilepsy inventory. Epilepsia 36:1089–1104. https://doi.org/10.1111/j.1528-1157.1995.tb00467.x CrossRefPubMed

22.

Kroenke K, Spitzer RL, Williams JBW (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x CrossRefPubMedPubMedCentral

23.

Manea L, Gilbody S, McMillan D (2012) Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. Can Med Assoc J 184:E191–E196. https://doi.org/10.1503/cmaj.110829 CrossRef

24.

Gill SJ, Lukmanji S, Fiest KM et al (2017) Depression screening tools in persons with epilepsy: A systematic review of validated tools. Epilepsia 58:695–705. https://doi.org/10.1111/epi.13651 CrossRefPubMed

25.

Escoffery C, Bamps Y, LaFrance WC et al (2015) Factor analyses of an adult epilepsy self-management measurement instrument (AESMMI). Epilepsy Behav 50:184–189. https://doi.org/10.1016/j.yebeh.2015.07.026 CrossRefPubMed

26.

Helmers SL, Kobau R, Sajatovic M et al (2017) Self-management in epilepsy: Why and how you should incorporate self-management in your practice. Epilepsy Behav 68:220–224. https://doi.org/10.1016/j.yebeh.2016.11.015 CrossRefPubMedPubMedCentral

27.

Mahrer-Imhof R, Jaggi S, Bonomo A et al (2013) Quality of life in adult patients with epilepsy and their family members. Seizure 22:128–135. https://doi.org/10.1016/j.seizure.2012.11.012 CrossRefPubMed

28.

McCagh J (2014) Quality of Life Issues in Epilepsy. In: Holmes MD (ed) Epilepsy Topics. InTech

29.

Robinson E, DiIorio C, DePadilla L et al (2008) Psychosocial predictors of lifestyle management in adults with epilepsy. Epilepsy Behav 13:523–528. https://doi.org/10.1016/j.yebeh.2008.05.015 CrossRefPubMedPubMedCentral

30.

Chen E, Sajatovic M, Liu H et al (2018) Demographic and clinical correlates of seizure frequency: findings from the managing epilepsy well network database. J Clin Neurol 14:206. https://doi.org/10.3988/jcn.2018.14.2.206 CrossRefPubMedPubMedCentral

31.

Ertem DH, Dirican AC, Aydın A et al (2017) Exploring psychiatric comorbidities and their effects on quality of life in patients with temporal lobe epilepsy and juvenile myoclonic epilepsy: psychiatric comorbidity in epilepsy. Psychiatry Clin Neurosci 71:280–288. https://doi.org/10.1111/pcn.12499 CrossRefPubMed

32.

Johnson EK, Jones JE, Seidenberg M, Hermann BP (2004) The relative impact of anxiety, depression, and clinical seizure features on health-related quality of life in epilepsy. Epilepsia 45:544–550. https://doi.org/10.1111/j.0013-9580.2004.47003.x CrossRefPubMed

33.

Meneses RF, Pais-Ribeiro JL, da Silva AM, Giovagnoli AR (2009) Neuropsychological predictors of quality of life in focal epilepsy. Seizure 18:313–319. https://doi.org/10.1016/j.seizure.2008.11.010 CrossRefPubMed

34.

Pulsipher DT, Seidenberg M, Jones J, Hermann B (2006) Quality of life and comorbid medical and psychiatric conditions in temporal lobe epilepsy. Epilepsy Behav 9:510–514. https://doi.org/10.1016/j.yebeh.2006.07.014 CrossRefPubMed

35.

Tracy JI, Dechant V, Sperling MR et al (2007) The association of mood with quality of life ratings in epilepsy. Neurology 68:1101–1107. https://doi.org/10.1212/01.wnl.0000242582.83632.73 CrossRefPubMed

36.

Chen Y, Huang S, Wu W, et al (2018) Associated and predictive factors of quality of life in patients with temporal lobe epilepsy. Epilepsy Behav. https://doi.org/10.1016/j.yebeh.2018.06.025 CrossRef

37.

Fraser RT, Johnson EK, Miller JW et al (2011) Managing epilepsy well: Self-management needs assessment. Epilepsy Behav 20:291–298. https://doi.org/10.1016/j.yebeh.2010.10.010 CrossRefPubMed

Title: Self-management practices associated with quality of life for adults with epilepsy
Authors: Robert Quon
Angeline Andrew
Samantha Schmidt
Cam Escoffery
Lindsay Schommer
Felicia Chu
Heidi Henninger
Keith Nagle
Nicholas Streltzov
Barbara Jobst
Publication date: 01-11-2019
Publisher: Springer Berlin Heidelberg
Keywords: Mood Disorders
Affective Disorder
Epilepsy
Published in: Journal of Neurology / Issue 11/2019
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI: https://doi.org/10.1007/s00415-019-09503-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Self-management practices associated with quality of life for adults with epilepsy

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 11/2019

RCVS and TGA: a common pathophysiology?

Motor and non-motor symptoms in blepharospasm: clinical and pathophysiological implications

Brachial multisegmental amyotrophy caused by cervical anterior horn cell disorder associated with a spinal CSF leak: a report of five cases

Integrative analysis revealed potential causal genetic and epigenetic factors for multiple sclerosis

Amyloid-β and Parkinson’s disease

Zona incerta deep-brain stimulation in orthostatic tremor: efficacy and mechanism of improvement