Self-management practices associated with quality of life for adults with epilepsy.
Document Type
Article
Publication Date
11-1-2019
Institution/Department
Neurology and Neuroscience
Journal Title
Journal of neurology
MeSH Headings
Adult, Epilepsy, Female, Humans, Male, Middle Aged, Quality of Life, Self-Management, Surveys and Questionnaires
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.
ISSN
1432-1459
First Page
2821
Last Page
2828
Recommended Citation
Quon, Robert; Andrew, Angeline; Schmidt, Samantha; Escoffery, Cam; Schommer, Lindsay; Chu, Felicia; Henninger, Heidi; Nagle, Keith; Streltzov, Nicholas; and Jobst, Barbara, "Self-management practices associated with quality of life for adults with epilepsy." (2019). MaineHealth Maine Medical Center. 1615.
https://knowledgeconnection.mainehealth.org/mmc/1615