Frequency and predictors of psychological distress after a diagnosis of epilepsy: A community-based study
The objective of the study was to determine the frequency and predictors of psychological distress after a diagnosis of epilepsy. The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people of all ages with newly diagn...
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Veröffentlicht in: | Epilepsy & behavior 2017-10, Vol.75, p.190-195 |
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creator | Xu, Ying Hackett, Maree L. Glozier, Nick Nikpour, Armin Bleasel, Andrew Somerville, Ernest Lawson, John Jan, Stephen Hyde, Lorne Todd, Lisa Martiniuk, Alexandra Ireland, Carol Anderson, Craig S. |
description | The objective of the study was to determine the frequency and predictors of psychological distress after a diagnosis of epilepsy.
The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people of all ages with newly diagnosed epilepsy in Sydney, Australia. Analyses involved multivariate logistic regression and multinomial logit regression to identify predictors of psychological distress, assessed using the Hospital Anxiety and Depression Scale (HADS) and the Strengths and Difficulties Questionnaire (SDQ), as part of structured interviews.
Psychological distress occurred in 33% (95% confidence interval [CI] 26 to 40%) and 24% (95% CI 18 to 31%) of 180 adults at baseline and 12months, respectively, and 23% (95% CI 14 to 33%) of 77 children at both time points. Thirty adults and 7 children had distress at baseline who recovered at 12months, while 15 adults and 7 children had new onset of distress during this period. History of psychiatric or behavioral disorder (for adults, odds ratio [OR] 6.82, 95% CI 3.08 to 15.10; for children, OR 28.85, 95% CI 2.88 to 288.60) and higher psychosocial disability (adults, OR 1.17, 95% CI 1.07 to 1.27) or lower family functioning (children, OR 1.80, 95% CI 1.08 to 3.02) were associated with psychological distress (C statistics 0.80 and 0.78).
Psychological distress is common and fluctuates in frequency after a diagnosis of epilepsy. Those with premorbid psychological, psychosocial, and family problems are at high risk of this adverse outcome.
•Psychological distress (i.e. anxiety, depression) is common after a diagnosis of epilepsy•Premorbid psychological problems and family dysfunction predict maladjustment after this diagnosis•Low household income, economic hardship, other illness, frequent seizures, and stigma are risk factors for psychological distress•Approximately a quarter of adult participants had evidence anxiety during the year after diagnosis. |
doi_str_mv | 10.1016/j.yebeh.2017.07.044 |
format | Article |
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The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people of all ages with newly diagnosed epilepsy in Sydney, Australia. Analyses involved multivariate logistic regression and multinomial logit regression to identify predictors of psychological distress, assessed using the Hospital Anxiety and Depression Scale (HADS) and the Strengths and Difficulties Questionnaire (SDQ), as part of structured interviews.
Psychological distress occurred in 33% (95% confidence interval [CI] 26 to 40%) and 24% (95% CI 18 to 31%) of 180 adults at baseline and 12months, respectively, and 23% (95% CI 14 to 33%) of 77 children at both time points. Thirty adults and 7 children had distress at baseline who recovered at 12months, while 15 adults and 7 children had new onset of distress during this period. History of psychiatric or behavioral disorder (for adults, odds ratio [OR] 6.82, 95% CI 3.08 to 15.10; for children, OR 28.85, 95% CI 2.88 to 288.60) and higher psychosocial disability (adults, OR 1.17, 95% CI 1.07 to 1.27) or lower family functioning (children, OR 1.80, 95% CI 1.08 to 3.02) were associated with psychological distress (C statistics 0.80 and 0.78).
Psychological distress is common and fluctuates in frequency after a diagnosis of epilepsy. Those with premorbid psychological, psychosocial, and family problems are at high risk of this adverse outcome.
•Psychological distress (i.e. anxiety, depression) is common after a diagnosis of epilepsy•Premorbid psychological problems and family dysfunction predict maladjustment after this diagnosis•Low household income, economic hardship, other illness, frequent seizures, and stigma are risk factors for psychological distress•Approximately a quarter of adult participants had evidence anxiety during the year after diagnosis.</description><identifier>ISSN: 1525-5050</identifier><identifier>EISSN: 1525-5069</identifier><identifier>DOI: 10.1016/j.yebeh.2017.07.044</identifier><identifier>PMID: 28881320</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Anxiety ; Anxiety - epidemiology ; Anxiety - etiology ; Australia - epidemiology ; Child ; Child, Preschool ; Depression ; Depression - epidemiology ; Depression - etiology ; Epilepsy ; Epilepsy - diagnosis ; Epilepsy - psychology ; Family function ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Prospective Studies ; Risk Factors ; Stigma ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Young Adult</subject><ispartof>Epilepsy & behavior, 2017-10, Vol.75, p.190-195</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-1a960dcf60e4d1501ef7a9e80ac4d776ea6d655fb4a7b9f33e243221a9d4b5093</citedby><cites>FETCH-LOGICAL-c359t-1a960dcf60e4d1501ef7a9e80ac4d776ea6d655fb4a7b9f33e243221a9d4b5093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1525505017302664$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28881320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Ying</creatorcontrib><creatorcontrib>Hackett, Maree L.</creatorcontrib><creatorcontrib>Glozier, Nick</creatorcontrib><creatorcontrib>Nikpour, Armin</creatorcontrib><creatorcontrib>Bleasel, Andrew</creatorcontrib><creatorcontrib>Somerville, Ernest</creatorcontrib><creatorcontrib>Lawson, John</creatorcontrib><creatorcontrib>Jan, Stephen</creatorcontrib><creatorcontrib>Hyde, Lorne</creatorcontrib><creatorcontrib>Todd, Lisa</creatorcontrib><creatorcontrib>Martiniuk, Alexandra</creatorcontrib><creatorcontrib>Ireland, Carol</creatorcontrib><creatorcontrib>Anderson, Craig S.</creatorcontrib><title>Frequency and predictors of psychological distress after a diagnosis of epilepsy: A community-based study</title><title>Epilepsy & behavior</title><addtitle>Epilepsy Behav</addtitle><description>The objective of the study was to determine the frequency and predictors of psychological distress after a diagnosis of epilepsy.
The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people of all ages with newly diagnosed epilepsy in Sydney, Australia. Analyses involved multivariate logistic regression and multinomial logit regression to identify predictors of psychological distress, assessed using the Hospital Anxiety and Depression Scale (HADS) and the Strengths and Difficulties Questionnaire (SDQ), as part of structured interviews.
Psychological distress occurred in 33% (95% confidence interval [CI] 26 to 40%) and 24% (95% CI 18 to 31%) of 180 adults at baseline and 12months, respectively, and 23% (95% CI 14 to 33%) of 77 children at both time points. Thirty adults and 7 children had distress at baseline who recovered at 12months, while 15 adults and 7 children had new onset of distress during this period. History of psychiatric or behavioral disorder (for adults, odds ratio [OR] 6.82, 95% CI 3.08 to 15.10; for children, OR 28.85, 95% CI 2.88 to 288.60) and higher psychosocial disability (adults, OR 1.17, 95% CI 1.07 to 1.27) or lower family functioning (children, OR 1.80, 95% CI 1.08 to 3.02) were associated with psychological distress (C statistics 0.80 and 0.78).
Psychological distress is common and fluctuates in frequency after a diagnosis of epilepsy. Those with premorbid psychological, psychosocial, and family problems are at high risk of this adverse outcome.
•Psychological distress (i.e. anxiety, depression) is common after a diagnosis of epilepsy•Premorbid psychological problems and family dysfunction predict maladjustment after this diagnosis•Low household income, economic hardship, other illness, frequent seizures, and stigma are risk factors for psychological distress•Approximately a quarter of adult participants had evidence anxiety during the year after diagnosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - etiology</subject><subject>Australia - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Epilepsy</subject><subject>Epilepsy - diagnosis</subject><subject>Epilepsy - psychology</subject><subject>Family function</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Stigma</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - etiology</subject><subject>Young Adult</subject><issn>1525-5050</issn><issn>1525-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMofv8CQXL00jVpknYreJDFLxC86DmkyVSztE3NtEL_vXFXPQoDGcLzzjAPIWecLTjjxeV6MUMN74uc8XLBUkm5Qw65ylWmWFHt_vWKHZAjxDVjnCvB98lBvlwuucjZIfF3ET4m6O1MTe_oEMF5O4aINDR0wNm-hza8eWta6jyOERCpaUaI1KQP89YH9BsWBt9CClzRG2pD1029H-esNgiO4ji5-YTsNaZFOP15j8nr3e3L6iF7er5_XN08ZVaoasy4qQrmbFMwkI4rxqEpTQVLZqx0ZVmAKVyhVFNLU9ZVIwTkUuR5ijlZK1aJY3KxnTvEkC7DUXceLbSt6SFMqHklSsUrVRYJFVvUxoAYodFD9J2Js-ZMfzvWa71xrL8da5ZKypQ6_1kw1R24v8yv1ARcbwFIZ356iBqtT4qT2gh21C74fxd8AfNCj-Y</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Xu, Ying</creator><creator>Hackett, Maree L.</creator><creator>Glozier, Nick</creator><creator>Nikpour, Armin</creator><creator>Bleasel, Andrew</creator><creator>Somerville, Ernest</creator><creator>Lawson, John</creator><creator>Jan, Stephen</creator><creator>Hyde, Lorne</creator><creator>Todd, Lisa</creator><creator>Martiniuk, Alexandra</creator><creator>Ireland, Carol</creator><creator>Anderson, Craig S.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Frequency and predictors of psychological distress after a diagnosis of epilepsy: A community-based study</title><author>Xu, Ying ; Hackett, Maree L. ; Glozier, Nick ; Nikpour, Armin ; Bleasel, Andrew ; Somerville, Ernest ; Lawson, John ; Jan, Stephen ; Hyde, Lorne ; Todd, Lisa ; Martiniuk, Alexandra ; Ireland, Carol ; Anderson, Craig S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-1a960dcf60e4d1501ef7a9e80ac4d776ea6d655fb4a7b9f33e243221a9d4b5093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - etiology</topic><topic>Australia - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Epilepsy</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy - psychology</topic><topic>Family function</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Stigma</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - etiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Ying</creatorcontrib><creatorcontrib>Hackett, Maree L.</creatorcontrib><creatorcontrib>Glozier, Nick</creatorcontrib><creatorcontrib>Nikpour, Armin</creatorcontrib><creatorcontrib>Bleasel, Andrew</creatorcontrib><creatorcontrib>Somerville, Ernest</creatorcontrib><creatorcontrib>Lawson, John</creatorcontrib><creatorcontrib>Jan, Stephen</creatorcontrib><creatorcontrib>Hyde, Lorne</creatorcontrib><creatorcontrib>Todd, Lisa</creatorcontrib><creatorcontrib>Martiniuk, Alexandra</creatorcontrib><creatorcontrib>Ireland, Carol</creatorcontrib><creatorcontrib>Anderson, Craig S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsy & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Ying</au><au>Hackett, Maree L.</au><au>Glozier, Nick</au><au>Nikpour, Armin</au><au>Bleasel, Andrew</au><au>Somerville, Ernest</au><au>Lawson, John</au><au>Jan, Stephen</au><au>Hyde, Lorne</au><au>Todd, Lisa</au><au>Martiniuk, Alexandra</au><au>Ireland, Carol</au><au>Anderson, Craig S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency and predictors of psychological distress after a diagnosis of epilepsy: A community-based study</atitle><jtitle>Epilepsy & behavior</jtitle><addtitle>Epilepsy Behav</addtitle><date>2017-10</date><risdate>2017</risdate><volume>75</volume><spage>190</spage><epage>195</epage><pages>190-195</pages><issn>1525-5050</issn><eissn>1525-5069</eissn><abstract>The objective of the study was to determine the frequency and predictors of psychological distress after a diagnosis of epilepsy.
The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people of all ages with newly diagnosed epilepsy in Sydney, Australia. Analyses involved multivariate logistic regression and multinomial logit regression to identify predictors of psychological distress, assessed using the Hospital Anxiety and Depression Scale (HADS) and the Strengths and Difficulties Questionnaire (SDQ), as part of structured interviews.
Psychological distress occurred in 33% (95% confidence interval [CI] 26 to 40%) and 24% (95% CI 18 to 31%) of 180 adults at baseline and 12months, respectively, and 23% (95% CI 14 to 33%) of 77 children at both time points. Thirty adults and 7 children had distress at baseline who recovered at 12months, while 15 adults and 7 children had new onset of distress during this period. History of psychiatric or behavioral disorder (for adults, odds ratio [OR] 6.82, 95% CI 3.08 to 15.10; for children, OR 28.85, 95% CI 2.88 to 288.60) and higher psychosocial disability (adults, OR 1.17, 95% CI 1.07 to 1.27) or lower family functioning (children, OR 1.80, 95% CI 1.08 to 3.02) were associated with psychological distress (C statistics 0.80 and 0.78).
Psychological distress is common and fluctuates in frequency after a diagnosis of epilepsy. Those with premorbid psychological, psychosocial, and family problems are at high risk of this adverse outcome.
•Psychological distress (i.e. anxiety, depression) is common after a diagnosis of epilepsy•Premorbid psychological problems and family dysfunction predict maladjustment after this diagnosis•Low household income, economic hardship, other illness, frequent seizures, and stigma are risk factors for psychological distress•Approximately a quarter of adult participants had evidence anxiety during the year after diagnosis.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28881320</pmid><doi>10.1016/j.yebeh.2017.07.044</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Anxiety Anxiety - epidemiology Anxiety - etiology Australia - epidemiology Child Child, Preschool Depression Depression - epidemiology Depression - etiology Epilepsy Epilepsy - diagnosis Epilepsy - psychology Family function Female Humans Logistic Models Male Middle Aged Prospective Studies Risk Factors Stigma Stress, Psychological - epidemiology Stress, Psychological - etiology Young Adult |
title | Frequency and predictors of psychological distress after a diagnosis of epilepsy: A community-based study |
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