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Factors affecting the quality of life in patients with epilepsy in Seoul, South Korea

Cited 111 time in Web of Science Cited 133 time in Scopus
Authors
Choi-Kwon, S; Chung, C; Kim, H; Lee, S; Yoon, S; Kho, H; Oh, j; Lee, S
Issue Date
2003
Publisher
Wiley-Blackwell
Citation
ACTA NEUROLOGICA SCANDINAVICA 2003: 108: 428-434
Keywords
epilepsyquality of life
Abstract
Objectives –The level of, and factors affecting the quality of life (QOL) in patients with epilepsy may be different in Korea where social prejudice toward them is still pronounced. However, these issues have not yet been addressed properly.

Methods –We consecutively identified 154 epilepsy patients who visited the outpatient clinic at the Seoul National University Hospital. An interview was performed by two research nurses with the use of a standardized questionnaire, which included data pertaining to seizure characteristics, symptoms of depression/anxiety, social support, family life/social life satisfaction, and the activities of daily living (ADLs). The QOL was assessed with the use of QOL in Epilepsy Inventory (QOLIE-31).

Results –Factors affecting the QOL were: age (P < 0.01), education in years (P < 0.01), employment status (P < 0.05), employment type (P < 0.05), current economic status (P < 0.05), seizure frequency (P < 0.01), the number of antiepileptic drugs (P < 0.01), family life/social life dissatisfaction (P < 0.01, respectively), social support (P < 0.01), the symptoms of anxiety and depression (P < 0.01, respectively) and ADL dysfunction (P < 0.01). In multiple regression analysis, the symptom of anxiety was the most important factor in explaining lower QOL in patients with epilepsy, while depression (P < 0.01), social life dissatisfaction (P < 0.01), ADL dysfunction (P < 0.05) and seizure frequency (P < 0.05) were also significant factors.

Conclusion –Psycho-social factors outweighed the physical factors in determining QOL in Korean epilepsy patients. Recognition of these factors will lead health professionals to develop different strategies to improve the QOL of these patients.
ISSN
1600-0404
Language
English
URI
http://hdl.handle.net/10371/48002
DOI
https://doi.org/10.1046/j.1600-0404.2003.00151.x
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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