Neuroticism in Temporal Lobe Epilepsy: Assessment and Implications for Pre‐ and Postoperative Psychosocial Adjustment and Health‐Related Quality of Life

Rose, Kristopher J.; Derry, Paul A.; McLachlan, Richard S.

doi:10.1111/j.1528-1157.1996.tb00595.x

Cited by 43 publications

(24 citation statements)

References 41 publications

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“…Neuroticism has been reported as the best predictor of general well-being irrespective of seizure frequency in preoperative and postoperative populations of patients with epilepsy (22,29). Hence, its influence on the patient's subjective perception is noteworthy, and although actual memory impairment does exist, person-S. CMIZARES ET AL.…”

Section: Discussionmentioning

confidence: 99%

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Does Neuroticism Influence Cognitive Self‐Assessment After Epilepsy Surgery?

et al. 2000

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Summary:Purpose: To examine how cognitive, personality, and seizure outcome variables influence the subjective cognitive functioning of patients with refractory temporal lobe seizures after epilepsy surgery.Methods: Thirty-three consecutive patients with drugresistant partial epilepsy who underwent surgical treatment at a tertiary referral university epilepsy center were tested before surgery and 1 year after surgery. Objective cognitive and subjective cognitive functioning tests were used, and personality was assessed. Seizure control was operationalized as a dichotomous variable.Results: A significant inverse relationship was found between neuroticism and subjective cognitive functioning. None of the other pre-and postoperative cognitive and surgery outcome variables were significant predictors of subjective cognitive functioning, even after controlling for the effect of neuroticism.Conclusions: Subjective and objective memory functioning are independent in patients with epilepsy after surgical treatment. Subjective memory functioning appears to be related not to seizure relief but to neuroticism. These data suggest that psychological factors such as personality traits predisposing to emotional distress should be taken into consideration in the clinical management and counseling of patients undergoing epilepsy surgery. Key Words: Epilepsy-Epilepsy surgery -Memory-Memory complaints-Neuropsychology -Quality of life.Most patients with epilepsy report poor cognitive functioning, in particular memory difficulties (1). This is especially true in patients with temporal lobe seizures, who often show memory impairment (2). However, the degree of impairment varies. Several factors have been related to memory functioning, including age at onset of seizures, duration of epilepsy, frequency and type of seizures, interictal epileptic discharges, and the number of anticonvulsant therapies administered (3,4).Clinicians caring for patients with epilepsy often note a discrepancy between subjective complaints and objective performance on memory tests. In fact, it is a common clinical finding that some patients with average or even good memory performance regard their memory as poor, whereas patients with low neuropsychological performance do not complain at all.The relationship between subjective memory complaints and objective performance on neuropsychological

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Section: Discussionmentioning

confidence: 99%

“…Neuroticism is defined as being prone to a chronic dysphoric mood, instability, and a specific vulnerability to negative affective states (27,28). Neuroticism has been negatively related to several variables in quality-of-life research in epilepsy (22,29). It also correlates with subjective memory complaints in patients with refractory epilepsy (5).…”

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confidence: 99%

Does Neuroticism Influence Cognitive Self‐Assessment After Epilepsy Surgery?

et al. 2000

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“…It may cause a response bias in overreporting of negative symptoms and a decreased self-assessment of QOL. A negative affect that includes high degrees of anxiety may present a surgery-associated risk factor because these tendencies seem to get worse after surgery regardless of the surgical outcome (13). Indeed, these patients are often in need of psychotherapy after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, self-report can reflect bias, for example, exaggeration or diminution of symptoms (10). It has been suggested that mood states, particularly that of depression, influence patients' perceptions and self-reporting of cognitive status (11)(12)(13). In these studies, increased complaints of problems with memory have been associated with abnormalities of the mood state.…”

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confidence: 89%

Quality of Life Self‐Assessment as a Function of Lateralization of Lesion in Candidates for Epilepsy Surgery

2001

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Summary:Purpose: This prospective study aimed to investigate the relationship(s) of the laterality of the epileptogenic lesion to personality factors, emotional processing, and the subjective experience of quality-of-life (QOL) self-assessment in candidates for epilepsy surgery.Methods: Patients who were candidates for epilepsy surgery were studied. Eighteen of them (aged 19-61 years) had localization-related epilepsy in the right temporal lobe (RTLE), 18 (aged 21-50 years) had localization-related epilepsy in the left temporal lobe (LTLE), and 20 were demographically matched normal subjects. The Spielberger Trait/State Anxiety questionnaire and the QOLIE-31 questionnaire for selfassessment of quality of life were used. One-way analysis of variance, Pearson correlations, and linear regression analyses were performed on group and anxiety levels and QOLIE variables.Results: LTLE patients systematically showed higher levels of anxiety and lower self-estimates of the quality of their lives when compared with RTLE patients. All anxiety measures were highly correlated with Total QOL in LTLE (p < 0.05) but not in RTLE patients; however, different parameters of QOL showed different relationships with measures of anxiety. Results of multiple regression analyses suggested that the level of anxiety was relatively stable and less affected by QOL factors in LTLE as compared with RTLE patients (p ‫ס‬ 0.03).Conclusions: A high level of anxiety shown by LTLE patients may represent a personality trait and cause a response bias in overreporting of negative symptoms and a decreased self-assessment of QOL. It may also present a presurgical risk factor, particularly for patients with LTLE lesions. Appropriate patient counseling is advised.

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“…A QV sofre influência de vários fatores relacionados a: estratégias de adaptação psicossocial 10 , traços de personalidade do indivíduo 11 , sua história e expectativas em relação a vida 12 , seu auto-conceito 10 e auto-eficiência 13 , suporte social que recebe das pessoas que lhe são significativas 13 , seu locus de controle 10-13-14-15 e percepção de controle de crises. Dentre estes fatores, esta última foi a variável subjetiva pesquisada neste estudo.…”

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Qualidade de vida em epilepsia e percepção de controle de crises

Salgado

Souza

2001

Arq. Neuro-Psiquiatr.

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RESUMO -As avaliações afetivo-cognitivas do sujeito são importantes fatores que controlam a maneira como o indivíduo sente o impacto da doença no cotidiano de sua vida. Neste sentido, a percepção de controle de crises é mais importante na avaliação da Qualidade de Vida (QV) do que as variáveis que caracterizam a doença, como sua severidade, tipo, duração e frequência de crises. Este estudo considerou a relação das variáveis subjetivas (percepção de controle de crises) e das características da doença, para avaliar a QV. .oram avaliados 60 sujeitos com diagnóstico de epilepsia, aleatoriamente selecionados no ambulatório de epilepsia do HC/UNICAMP, com idade entre 18 e 70 anos (M=37,05; DP=11,25), através do Questionário de Qualidade de Vida 65. As variáveis da doença não apresentaram relação significativa com a QV, com exceção da frequência de crises que apareceu associada à piora na QV, entre crises controladas e crises com frequência acima de 10 por mês (p=0,021). A percepção do controle de crises apareceu significantemente associada à QV (p= 0,005).PALAVRAS-CHAVE: qualidade de vida, percepção de controle de crises, epilepsia. Quality of life in epilepsy and perception of seizures controlABSTRACT -The individual affective-cognitive evaluations are important factors that control the way he feels the disease impact in his life. Then, the perception of seizure control is a more important factor to evaluate Quality of Life (QoL) than the illness characteristics, such as the severity, type, sickening period and seizure frequency. This study searched for the relationship among the subjective variables (perception of seizure control) and the illness characteristics to evaluate QoL. The sample consisted of 60 individuals with chronic epilepsy, aging 18 to 70 (M=37.05; SD=11.25), chosen at randon from the ambulatory of epilepsy -HC/ UNICAMP, by the Questionnaire 65. The illness characteristics were not significant, except the seizures frequency, when associated to the impairment in QoL among controlled seizures and seizures with frequency higher than 10 per month (p=0.021). The perception of control was significantly associated to QoL (p=0.005).KEY WORDS: quality of life, perception of seizures control, epilepsy. A epilepsia não pode ser considerada um estado, ela é um distúrbio episódico; no entanto, é um distúrbio estigmatizado 1 . Devinsky e Penry 2 apontam para a diferenciação existente entre crise e epilepsia. Segundo os autores, a crise tem um limite de duração, ela termina, enquanto que a epilepsia, para muitas pessoas, é uma condição crônica, que limita os pacientes em suas atividades diárias. A epilepsia afeta cada pessoa de forma diferente. Apenas os portadores de epilepsia percebem as limitações e restrições de cada dia. Todas as crises tem um significado dependente da história de vida de cada sujeito, determinando assim padrões de resposta em relação à doença. A epilepsia tem um impacto maior na saúde mental e social do que na saúde física, comparando-a com outras doenças crônicas 3 . Uma doença crônica afeta...

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Neuroticism in Temporal Lobe Epilepsy: Assessment and Implications for Pre‐ and Postoperative Psychosocial Adjustment and Health‐Related Quality of Life

Cited by 43 publications

References 41 publications

Does Neuroticism Influence Cognitive Self‐Assessment After Epilepsy Surgery?

Does Neuroticism Influence Cognitive Self‐Assessment After Epilepsy Surgery?

Quality of Life Self‐Assessment as a Function of Lateralization of Lesion in Candidates for Epilepsy Surgery

Qualidade de vida em epilepsia e percepção de controle de crises

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