کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6010297 | 1579837 | 2015 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Psychosocial factors associated with in postsurgical prognosis of temporal lobe epilepsy related to hippocampal sclerosis
ترجمه فارسی عنوان
عوامل روانی اجتماعی مرتبط با پیش آگهی پس از جراحی صرع لوب تمپورال مربوط به اسکلروز هیپوکمپ
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کلمات کلیدی
جراحی صرع، پیگیری روانشناختی، تنظیم کیفیت زندگی،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
علوم اعصاب رفتاری
چکیده انگلیسی
We examined the long-term psychosocial trajectory in a consecutive and homogeneous series of 120 patients followed up for five years after corticoamygdalohippocampectomy (CAH). Evaluation of psychosocial variables at baseline and at five-year follow-up were compared. After five years of CAH, a significant improvement in educational level (p = 0.004) and employment status (p < 0.001) was observed, although retirement (p < 0.001) and divorce (p = 0.021) rates increased. In a long-term follow-up, a tendency to have similar QOL profile was observed between Engel classes IA and IB (p > 0.05). A more favorable surgical outcome (Engel IA) was related to better psychiatric status (p = 0.012). Poor psychosocial adjustment before surgery was the most important predictor of QOL outcome (p < 0.05). Patients' trajectory after surgical treatment showed positive effects mainly in those with better seizure outcome. Our results emphasized the influence regarding baseline psychosocial functioning on postoperative psychosocial adjustment. Furthermore, many psychosocial gains and difficulties after surgery may be similar in developing and developed countries.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Epilepsy & Behavior - Volume 53, December 2015, Pages 66-72
Journal: Epilepsy & Behavior - Volume 53, December 2015, Pages 66-72
نویسندگان
Neide Barreira Alonso, Lenon Mazetto, Gerardo Maria de Araújo Filho, Marcos Vidal-Dourado, Elza Márcia Targas Yacubian, Ricardo Silva Centeno,