The Importance of Assessing and Treating Mental Health in Transition-Aged Adolescents with Epilepsy: A 1-Year Follow-up

IF 0.2 Q4 PEDIATRICS

Journal of Pediatric Epilepsy Pub Date : 2020-09-18 DOI:10.1055/s-0040-1716867

S. Healy, T. Fantaneanu, S. Whiting

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引用次数: 0

Abstract

Abstract Mental health issues become especially problematic when adolescents with epilepsy are preparing to transition from pediatric to adult care. Consistent with guidelines, a transition clinic with ongoing mental health assessment was created, providing treatment to patients scoring in the moderate severity range or higher. In order to examine the effectiveness of our epilepsy transition clinic and the impact of mental health in transition-aged adolescents, baseline and one-year follow-up data were compared in 36 participants (M = 15.82 years, 24 males). Results showed that the majority of participants had improved or comparable mental health scores at follow-up. Furthermore, participants who met threshold for mental health treatment had significantly improved mental health (t = 3.19, p = 0.015), while those who did not showed worsened mental health (t = − 2.50, p = 0.019). Looking specifically at mental health impact, those with worsened mental health showed significantly worsened quality of life (t = 3.35, p = 0.012). Furthermore, those without mental health issues showed improved transition skills (t = − 3.86, p = 0.002), while those with mental health issues did not. Results suggest that the transition clinic is effective in helping transition-aged adolescents with their mental health. Additionally, findings suggest that addressing these mental health issues are essential to ensuring successful transitions and the best outcomes in these patients.

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评估和治疗过渡年龄青少年癫痫患者心理健康的重要性:1年随访

当患有癫痫的青少年准备从儿科护理过渡到成人护理时，心理健康问题变得尤其成问题。根据指导方针，建立了一个过渡性诊所，进行持续的心理健康评估，为评分在中度或更高严重程度范围内的患者提供治疗。为了检验我们的癫痫过渡诊所的有效性和对过渡年龄青少年心理健康的影响，我们比较了36名参与者(M = 15.82岁，24名男性)的基线和一年随访数据。结果显示，在随访中，大多数参与者的心理健康得分有所改善或相当。此外，达到心理健康治疗阈值的参与者心理健康状况显著改善(t = 3.19, p = 0.015)，而未达到阈值的参与者心理健康状况恶化(t = - 2.50, p = 0.019)。具体来看心理健康影响，那些心理健康状况恶化的人的生活质量明显恶化(t = 3.35, p = 0.012)。此外，那些没有心理健康问题的人表现出改善的过渡技能(t = - 3.86, p = 0.002)，而那些有心理健康问题的人则没有。结果表明，过渡性门诊对过渡性青少年心理健康的帮助是有效的。此外，研究结果表明，解决这些心理健康问题对于确保这些患者的成功过渡和最佳结果至关重要。

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来源期刊

Journal of Pediatric Epilepsy PEDIATRICS-

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期刊介绍： The Journal of Pediatric Epilepsy is an English multidisciplinary peer-reviewed international journal publishing articles on all topics related to epilepsy and seizure disorders, epilepsy surgery, neurology, neurosurgery, and neuropsychology in childhood. These topics include the basic sciences related to the condition itself, the differential diagnosis, natural history, and epidemiology of seizures, and the investigation and practical management of epilepsy (including drug treatment, neurosurgery and non-medical and behavioral treatments). Use of model organisms and in vitro techniques relevant to epilepsy are also acceptable. Journal of Pediatric Epilepsy provides an in-depth update on new subjects and current comprehensive coverage of the latest techniques used in the diagnosis and treatment of childhood epilepsy.