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The effect of recurrent seizures on cognitive, behavioral, and quality-of-life outcomes after 12 months of monotherapy in adults with newly diagnosed or previously untreated partial epilepsy

Title
The effect of recurrent seizures on cognitive, behavioral, and quality-of-life outcomes after 12 months of monotherapy in adults with newly diagnosed or previously untreated partial epilepsy
Authors
Lee, Sang-AhmKim, Min JuLee, Hyang-WoonHeo, KyoungShin, Dong-JinSong, Hong-KiKim, Ok-JoonKim, Seon-OkLee, Byung-In
Ewha Authors
이향운
SCOPUS Author ID
이향운scopus
Issue Date
2015
Journal Title
EPILEPSY & BEHAVIOR
ISSN
1525-5050JCR Link1525-5069JCR Link
Citation
vol. 53, pp. 202 - 208
Keywords
EpilepsyCognitionBehaviorQuality of lifeNewly diagnosed
Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Purpose: The purpose of this study was to determine whether seizure recurrence has a negative impact on cognition, psychological function, and health-related quality of life (HRQoL) over a 12-month period of monotherapy in adults with newly diagnosed or previously untreated partial epilepsy. Methods: Seizure freedom (SF) was defined as no seizure recurrence during the 40-week maintenance period of medication. Neuropsychological tests, the Symptom Checklist-90 (SCL-90), and the Quality of Life in Epilepsy-31 (QOLIE-31) were administered at baseline and after 48 weeks of carbamazepine or lamotrigine monotherapy. Seventy-three patients successfully continued treatment until the 48-week follow-up time point. Fifty patients (68.5%) had SF, and the remaining 23 were not seizure-free (NSF). A seizure outcome group-by-time interaction was analyzed using a linear mixed model. Results: A group-by-time interaction was identified for the total QOLIE-31 score (p < 0.05) and score on two QOLIE-31 subscales (social function: p < 0.001 and seizure worry: p < 0.001), with a significant improvement over time only present in the SF group (all p < 0.001). There was no significant group-by-time interaction for most cognitive function tests, with the exception of the serial clustering score (p < 0.01) and number of recognition hits on the California Verbal Learning Test (p < 0.05). Serial clustering did not differ between the SF and NSF groups at baseline, butwas significantly more used in the NSF group than in the SF group at 48 weeks (p < 0.01). Therewas no significant group-by-time interaction for any dimension of the SCL-90. Conclusion: Recurrent seizures had a significant effect on HRQoL, a subtle effect on cognitive performance, and no effect on psychological symptoms over one year in newly diagnosed or previously untreated adults with partial epilepsy. (C) 2015 Elsevier Inc. All rights reserved.
DOI
10.1016/j.yebeh.2015.10.020
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의학전문대학원 > 의학과 > Journal papers
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