TY - JOUR
T1 - Acceptance of disability predicts quality of life in patients with epilepsy
AU - Ogawa, Maimi
AU - Fujikawa, Mayu
AU - Jin, Kazutaka
AU - Kakisaka, Yosuke
AU - Ueno, Takashi
AU - Nakasato, Nobukazu
N1 - Funding Information:
This work was supported by Japan Society for the Promotion of Science Grant-in-Aid for Young Scientists (B) [grant number K17K16623 ], Health Labour Sciences Research Grant Comprehensive Research on Disability Health and Welfare [grant number 19GC1006 ], and the Japan Epilepsy Research Foundation Grant [grant number TENKAN17011 ].
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021/7
Y1 - 2021/7
N2 - Background: Acceptance of disability (AOD) is a key concept in rehabilitation psychology that enhances psychosocial adjustment of individuals with disability. However, the impact of AOD on well-being has never been examined for patients with epilepsy. The present study investigated whether AOD affects quality of life (QOL) in patients with epilepsy in the presence of other multiple aspects of epilepsy based on the biopsychosocial model. Methods: We retrospectively reviewed 151 consecutive patients with epilepsy (77 men, aged 18–74 years) who underwent comprehensive assessment including long-term video-EEG monitoring, neuroimaging studies, and neuropsychological and psychosocial assessment in our epilepsy monitoring unit. Data were obtained from medical records and self-reported questionnaires. The outcome variable was QOL. Predictive variables included demographic characteristics, seizure-related variables (i.e., duration of epilepsy, seizure frequency, and number of antiepileptic drugs), psychological factors (i.e., AOD, depression, and self-stigma), and social factors (i.e., social support and education level). Acceptance of disability was measured by the Adaptation of Disability Scale-Revised (ADS-R), which we translated into Japanese with the original author's approval, and examined its internal consistency reliability. Data were analyzed using four hierarchical multiple regression analysis models. Results: The mean ADS-R score was 80 (range 45–115). The predictors accounted for 42% of the variance in QOL (R2 = 0.45, ΔR2 = 0.42, F[8, 141] = 14.47, p = 0.00). Higher AOD (p < 0.01), higher social support (p < 0.01), and lower depression scores (p = 0.02) were found to contribute significantly to higher overall QOL. Conclusion: The present study revealed AOD as an important psychological concept, in addition to social support and depression as previously reported, to improve the QOL of patients with epilepsy. Acceptance of disability should be incorporated in the intervention to increase QOL of patients with epilepsy.
AB - Background: Acceptance of disability (AOD) is a key concept in rehabilitation psychology that enhances psychosocial adjustment of individuals with disability. However, the impact of AOD on well-being has never been examined for patients with epilepsy. The present study investigated whether AOD affects quality of life (QOL) in patients with epilepsy in the presence of other multiple aspects of epilepsy based on the biopsychosocial model. Methods: We retrospectively reviewed 151 consecutive patients with epilepsy (77 men, aged 18–74 years) who underwent comprehensive assessment including long-term video-EEG monitoring, neuroimaging studies, and neuropsychological and psychosocial assessment in our epilepsy monitoring unit. Data were obtained from medical records and self-reported questionnaires. The outcome variable was QOL. Predictive variables included demographic characteristics, seizure-related variables (i.e., duration of epilepsy, seizure frequency, and number of antiepileptic drugs), psychological factors (i.e., AOD, depression, and self-stigma), and social factors (i.e., social support and education level). Acceptance of disability was measured by the Adaptation of Disability Scale-Revised (ADS-R), which we translated into Japanese with the original author's approval, and examined its internal consistency reliability. Data were analyzed using four hierarchical multiple regression analysis models. Results: The mean ADS-R score was 80 (range 45–115). The predictors accounted for 42% of the variance in QOL (R2 = 0.45, ΔR2 = 0.42, F[8, 141] = 14.47, p = 0.00). Higher AOD (p < 0.01), higher social support (p < 0.01), and lower depression scores (p = 0.02) were found to contribute significantly to higher overall QOL. Conclusion: The present study revealed AOD as an important psychological concept, in addition to social support and depression as previously reported, to improve the QOL of patients with epilepsy. Acceptance of disability should be incorporated in the intervention to increase QOL of patients with epilepsy.
KW - Acceptance of disability
KW - Biopsychosocial model
KW - Epilepsy
KW - Hierarchical multiple regression analysis
KW - Quality of life
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U2 - 10.1016/j.yebeh.2021.107979
DO - 10.1016/j.yebeh.2021.107979
M3 - Article
C2 - 33962248
AN - SCOPUS:85105327369
SN - 1525-5050
VL - 120
JO - Epilepsy and Behavior
JF - Epilepsy and Behavior
M1 - 107979
ER -