The effect of recurrent seizures on cognitive, behavioral, and quality-of-life outcomes after 12months of monotherapy in adults with newly diagnosed or previously untreated partial epilepsy
- 주제(키워드) Behavior , Cognition , Epilepsy , Newly diagnosed , Quality of life
- 등재 SCIE, SCOPUS
- 발행기관 Academic Press Inc.
- 발행년도 2015
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000120458
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.yebeh.2015.10.020
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Purpose: The purpose of this study was to determine whether seizure recurrence has a negative impact on cognition, psychological function, and health-related quality of life (HRQoL) over a 12-month period of monotherapy in adults with newly diagnosed or previously untreated partial epilepsy. Methods: Seizure freedom (SF) was defined as no seizure recurrence during the 40-week maintenance period of medication. Neuropsychological tests, the Symptom Checklist-90 (SCL-90), and the Quality of Life in Epilepsy-31 (QOLIE-31) were administered at baseline and after 48 weeks of carbamazepine or lamotrigine monotherapy. Seventy-three patients successfully continued treatment until the 48-week follow-up time point. Fifty patients (68.5%) had SF, and the remaining 23 were not seizure-free (NSF). A seizure outcome group-by-time interaction was analyzed using a linear mixed model. Results: A group-by-time interaction was identified for the total QOLIE-31 score (p. <. 0.05) and score on two QOLIE-31 subscales (social function: p. <. 0.001 and seizure worry: p. <. 0.001), with a significant improvement over time only present in the SF group (all p. <. 0.001). There was no significant group-by-time interaction for most cognitive function tests, with the exception of the serial clustering score (p. <. 0.01) and number of recognition hits on the California Verbal Learning Test (p. <. 0.05). Serial clustering did not differ between the SF and NSF groups at baseline, but was significantly more used in the NSF group than in the SF group at 48 weeks (p. <. 0.01). There was no significant group-by-time interaction for any dimension of the SCL-90. Conclusion: Recurrent seizures had a significant effect on HRQoL, a subtle effect on cognitive performance, and no effect on psychological symptoms over one year in newly diagnosed or previously untreated adults with partial epilepsy. © 2015 Elsevier Inc.
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