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
Hauptverfasser: 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.
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container_end_page 195
container_issue
container_start_page 190
container_title Epilepsy & behavior
container_volume 75
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
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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. 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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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source MEDLINE; Elsevier ScienceDirect Journals
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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