Validation of the Subjective Handicap of Epilepsy (SHE) in Brazilian patients with epilepsy

Monteiro, Edna de Almeida; Osório, Flávia de Lima; Alexandre, Veriano; Molina, Roberto Souza; Funayama, Sandra Souza; Velasco, Tonicarlo Rodrigues; Guarnieri, Ricardo; Bianchin, Marino M.; Assirati, João Alberto; Sakamoto, Américo Ceiki; Hallak, Jaime Eduardo Cecílio

doi:10.1016/j.yebeh.2012.04.129

Cited by 4 publications

(7 citation statements)

References 25 publications

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“…Describing quality of life is an individual and highly complex issue for every patient. Those who display a similar condition from a medical perspective (the same number and severity of seizures, similar course and results of treatment) may still bear everyday limitations differently and assess their life capabilities in a completely different manner [16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Selected aspects of psychosocial functioning of epileptics

Szpringer¹,

Karyś²,

Karyś³

et al. 2014

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Introduction: Despite advances in medicine, epilepsy remains a mysterious and fearsome disease, which induces social stigma and alienation of those who suffer from it. Such attitudes are perceived by epileptics themselves, who often feel stigmatised by the sheer fact of being sick, which implies an experience of social isolation. Aim of the research: To assess the life quality of epileptic outpatients. Material and methods:The study, conducted in Q4 2013 (October-December), included 185 adult people with diagnosed epilepsy. To collect the information about the subject matter of the thesis, the authors used the method of a diagnostic survey and two questionnaires as tools -one, the authors' own and another standardised Life Satisfaction Scale questionnaire, adopted by Z. Juczyński. Results:The obtained study results reveal that the majority of respondents consider their health condition to be poor. The satisfaction of life was higher among urban residents and those with higher education. The lowest quality of life was found among people in the 50-plus age bracket, and nearly half of respondents felt alienated due to the disease. Conclusions: A subjective assessment of satisfaction of life constitutes a significant aspect of functioning for every person. For each respondent, determination of life quality is an individual and highly complex issue. Patients who are in a similar situation from a clinical perspective may perceive their everyday limitations in a completely different way and, as a result, assess their life capabilities differently.

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Section: Discussionmentioning

confidence: 99%

Selected aspects of psychosocial functioning of epileptics

Szpringer¹,

Karyś²,

Karyś³

et al. 2014

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“…Its validity is also established, with satisfactory content validity developed through literature review, expert consultations, and patient input [ 18 ]. Construct validity revealed a high discriminative capacity in distinguishing between different levels of disability, and concurrent validity was confirmed through moderate to strong correlations with the Epilepsy Surgery Inventory-55 (ESI-55) instrument [ 17 , 18 ]. The SHE scale has shown sensitivity to detect quality-of-life changes after epilepsy surgery [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, the SHE scale is applicable across cultures, as demonstrated in the Brazilian population, providing consistent, reliable, valid assessments of the quality of life distinct to epilepsy patients [ 17 ]. The scale is concise, user-friendly, can be completed in approximately 8 minutes, and is minimally influenced by minor variations in seizure control [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…The scale is concise, user-friendly, can be completed in approximately 8 minutes, and is minimally influenced by minor variations in seizure control [ 18 ]. It is designed for use in both surgical settings and clinical research and offers predictive value for therapeutic outcomes [ 17 ]. This instrument accentuates the subjective dimensions of disability, thus prioritizing the individual's perspective on their quality of life [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, the SHE scale proves to be a reliable and effective tool for evaluating the quality of life in epilepsy across various settings, including developing regions. Additionally, it is worth mentioning that both the SHE scale and the Beck Depression Inventory (BDI) have been validated for use in Brazilian patients [ 17 , 18 ]. By conducting this research, our goal is to evaluate how epilepsy surgery affects the quality of life in patients with DRE, with a particular focus on understanding how depressive symptoms impact their self-perception of changes in quality of life brought about by surgical interventions for seizure control.…”

Section: Introductionmentioning

confidence: 99%

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Enhancement of Subjective Quality of Life Following Surgical Intervention in Patients With Drug-Resistant Epilepsy: A Depressive Symptom-Independent Outcome

Morillos,

Santos,

Cunha

et al. 2024

Cureus

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Purpose: To evaluate the impact of depressive symptoms on the subjective perception of quality of life in patients with drug-resistant epilepsy (DRE) after surgical treatment for seizures. Methods: A case-control study with DRE patients who received surgical treatment (n=19) and matched non-operated patients (n=23). We assessed the quality of life using the Subjective Handicap of Epilepsy (SHE) scale, alongside measuring depressive symptoms using the Beck Depression Inventory (BDI). Results: The mean age of the participants was 45 years, with females constituting 52.4% of the patients. A majority (73.8%) had been diagnosed with temporal lobe epilepsy. Those who had undergone surgical intervention showed significantly enhanced performance across all quality-of-life domains on the SHE scale independently of depressive symptoms. The domains of "Work and Activity," "Physical Health," and "Self-Perception" displayed the greatest improvements, with the surgical group's averages outperforming the control group by factors of 1.87, 2.53, and 2.81, respectively. Influential differences impacting the quality-of-life scores included seizure frequency, the quantity of antiepileptic drugs utilized, and the incidence of convulsive seizures. Conclusion: The findings suggest that surgical control of seizures in drug-resistant focal epilepsy is associated with improvement in quality of life across various domains, independently of the depressive symptoms of the patients.

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Tools for assessing quality of life in epilepsy patients

Jacoby

Baker

Crossley

et al. 2013

Expert Review of Neurotherapeutics

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In this review, we attempt to bring the reader up to date with recent developments in the area of assessment of quality of life (QOL) of patients with epilepsy, in both the research and clinical contexts. We present evidence from recent publications on the major and most commonly used QOL instruments for both adults and children with epilepsy, including both strengths and limitations. We discuss both generic measures and ones that have been developed specifically for use in the epilepsy population. We draw attention to some of the broader issues that render the QOL assessment endeavor a somewhat complex one - in particular, that epilepsy is not a single condition, with a common clinical trajectory; and that QOL measures as currently configured almost universally focus on its negative impacts, largely neglecting the possibility of those affected being able to retain reasonable social adjustment and life satisfaction. Finally, we suggest that further work needs to focus on plugging the current evidence gaps in relation to psychometric and cross-cultural applicability issues; and on the value of QOL instruments in the clinical care setting. We conclude by highlighting a number of issues from the QOL literature that will, in our view, be the focus of increasing research interest in the next few years.

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Validation of the Subjective Handicap of Epilepsy (SHE) in Brazilian patients with epilepsy

Cited by 4 publications

References 25 publications

Selected aspects of psychosocial functioning of epileptics

Selected aspects of psychosocial functioning of epileptics

Enhancement of Subjective Quality of Life Following Surgical Intervention in Patients With Drug-Resistant Epilepsy: A Depressive Symptom-Independent Outcome

Tools for assessing quality of life in epilepsy patients

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