癫痫手术后延长的社会心理随访：来自前瞻性队列的1-2年结果。

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-09-27 DOI:10.1016/j.yebeh.2025.110712

Özge Selçukoğlu Kilimci , Şenol Turan , Cihan İşler , Beril Kara Esen , Gülçin Baş , Çiğdem Özkara

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引用次数: 0

摘要

目的：癫痫手术是治疗耐药癫痫的有效方法，可使癫痫发作完全控制。各种因素，包括应对方式、临床特征和社会人口变量，都会影响手术后的心理社会结局。本研究旨在检查癫痫手术后综合社会心理结果的变化，并评估手术前变量如何影响这些结果。方法：本研究为我们前期研究的后续研究，采用社会适应自我评价量表（SASS）、癫痫自我效能量表（ESES）、病耻感量表（FSS）、Rosenberg自尊量表（RSES）和问题应对倾向量表（COPE）对患者进行术前和术后6个月的评估。27例术后1-2年可随访的患者使用SASS、ESES、RSES和FSS进行重新评估。量表分数随时间的变化使用弗里德曼测试进行评估，并使用斯皮尔曼分析检查相关性。结果：术后患者自我效能水平明显提高（p = 0.008）。术后社会适应水平与术前积极应对、情感社会支持使用、情绪聚焦应对呈正相关（p = 0.006, p = 0.038, p = 0.037）。术后耻感与术前情绪聚焦应对呈负相关（p = 0.023）。术前癫痫发作频率与术后ESES、SASS呈负相关（p = 0.002, p = 0.020）。此外，术前有工作的个体在手术后表现出更好的社会适应（p = 0.007）。结论：癫痫手术后的心理社会结局受癫痫发作控制以外的因素影响。更好地了解其他因素可以阐明心理社会结果的可变性，并使医疗保健提供者能够就手术后的预期结果进行更彻底和更现实的对话。我们的研究结果强调了在手术前预测心理社会结果的关键因素，并从一年的随访中提供了有价值的见解。这些发现支持需要进行全面的术前评估，以确定癫痫手术患者的社会心理挑战并改善其长期预后。

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Extended psychosocial follow-up after epilepsy surgery: 1–2-year results from a prospective cohort

Objective

Epilepsy surgery is an effective treatment for patients with drug-resistant epilepsy, often resulting in complete seizure control. Various factors, including coping styles, clinical features, and sociodemographic variables, influence psychosocial outcomes following surgery. This study aimed to examine changes in comprehensive psychosocial outcomes following epilepsy surgery and to assess how presurgical variables influenced these results.

Methods

This study serves as a follow-up to our previous research, in which we evaluated patients preoperatively and 6 months postoperatively using the Social Adaptation Self-Evaluation Scale (SASS), Epilepsy Self-Efficacy Scale (ESES), Felt Stigma Scale (FSS), Rosenberg Self-Esteem Scale (RSES), and the Coping Orientation to Problems Experienced (COPE) Inventory. Twenty-seven participants who were reachable 1–2 years after surgery were re-assessed using the SASS, ESES, RSES, and FSS. Changes in scale scores over time were evaluated using the Friedman test, and correlations were examined with Spearman’s analysis.

Results

Patients demonstrated increased self-efficacy levels following surgery (p = 0.008). Social adaptation levels after surgery were positively correlated with the presurgical active coping, use of emotional social support, and emotional-focused coping (p = 0.006, p = 0.038, p = 0.037, respectively). Postsurgical stigma was negatively correlated with presurgical emotional-focused coping (p = 0.023). The presurgical seizure frequency was negatively correlated with the postsurgical ESES and SASS (p = 0.002, p = 0.020, respectively). Furthermore, individuals who were employed before surgery demonstrated better social adaptation following the procedure (p = 0.007).

Conclusions

The psychosocial outcomes following epilepsy surgery are influenced by factors beyond seizure control. A better understanding of additional factors can elucidate the variability in psychosocial outcomes and empower healthcare providers to engage in more thorough and realistic dialogue about expected outcomes following surgery. Our results highlight key factors to predict psychosocial outcomes before surgery and provide valuable insights from a one-year follow-up. These findings support the need for comprehensive presurgical evaluations to identify psychosocial challenges and improve long-term outcomes for epilepsy surgery patients.

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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.