Looking beyond epilepsy management: The impact of mental health, quality of life, and transition-readiness on transition-aged adolescents with epilepsy and varying cognitive abilities

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-04-26 DOI:10.1016/j.yebeh.2025.110429

Sarah A. Healy , Maryam Nabavi-Nouri , Juan Toro-Perez , Nicholas Mitsakakis , Andrea Andrade , Sharon Whiting , Katherine Muir

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引用次数: 0

Abstract

Objectives

Clinicians, researchers, and families consistently agree on the importance of transition clinics for adolescents with epilepsy. In order to ensure that all adolescents have a successful transition, it is important to consider and address the unique needs of each adolescent. The literature suggests that adolescents with varying cognitive abilities may have different needs when preparing for transition. In order to explore this further, this study aimed to better understand the unique psychosocial needs of adolescents with typical cognitive development, mild intellectual disability (MID), and of caregivers of adolescents with moderate-to-severe ID.

Methods

Baseline mental health, QoL, and transition readiness data from 231 transition-aged adolescents (aged 14 to 18) enrolled in an epilepsy transition clinic were analyzed for this study. For analyses, adolescents were separated by cognitive ability.

Results

Results showed that adolescents with differing cognitive abilities had different needs. Adolescents with typical cognitive development did not have all the skills needed for a successful transition, suggesting the need for more epilepsy education. Adolescents with MID had significantly fewer transition skills, suggesting the need for more accessible epilepsy information and education. Mental health comorbidities were significant considerations for both of these groups. When looking at caregivers of adolescents with moderate-to-severe cognitive impairment, results suggest that although they have necessary transition skills, they require supports in other areas.

Significance

In order to ensure best outcomes for these adolescents, it may be important to develop separate transition guidelines and programs for adolescents with differing cognitive abilities; helping to ensure that the needs of all adolescents are addressed.

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超越癫痫管理：心理健康、生活质量和过渡准备对患有癫痫和不同认知能力的过渡年龄青少年的影响

目的临床医生、研究人员和家庭一致同意过渡诊所对青少年癫痫患者的重要性。为了确保所有青少年都有一个成功的过渡，重要的是要考虑和解决每个青少年的独特需求。文献表明，不同认知能力的青少年在准备过渡时可能有不同的需求。为了进一步探讨这一问题，本研究旨在更好地了解典型认知发育轻度智障青少年和中重度智障青少年照顾者的独特心理社会需求。方法对在癫痫过渡诊所登记的231名过渡年龄青少年（14 - 18岁）的基线心理健康、生活质量和过渡准备数据进行分析。为了进行分析，青少年的认知能力被分开。结果不同认知能力的青少年存在不同的需求。具有典型认知发展的青少年并不具备成功过渡所需的所有技能，这表明需要更多的癫痫教育。患有MID的青少年的过渡技能明显较少，这表明需要提供更容易获得的癫痫信息和教育。精神健康合并症是这两组的重要考虑因素。当研究患有中度至重度认知障碍的青少年的照顾者时，结果表明，尽管他们具有必要的过渡技能，但他们需要其他领域的支持。为了确保这些青少年的最佳结果，为具有不同认知能力的青少年制定单独的过渡指南和计划可能是重要的；帮助确保所有青少年的需要得到满足。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.