Postoperative Evaluation of the Quality of Life, Depression, and Anxiety of Temporal Lobe Epilepsy Cohort: A Single Institute Experience in Indonesia.

Autor:	Bakhtiar Y; Department of Neurosurgery, Faculty of Medicine Diponegoro University/Dr Kariadi Hospital, Semarang, Indonesia.; Department of Physiology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia., Pratama Brilliantika S; Department of Neurosurgery, Faculty of Medicine Diponegoro University/Dr Kariadi Hospital, Semarang, Indonesia., Bunyamin J; Department of Neurosurgery, Faculty of Medicine Diponegoro University/Dr Kariadi Hospital, Semarang, Indonesia., Arifin MT; Department of Neurosurgery, Faculty of Medicine Diponegoro University/Dr Kariadi Hospital, Semarang, Indonesia., Hardian H; Department of Physiology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia., Bintoro AC; Department of Neurology, Faculty of Medicine Diponegoro University/Dr Kariadi Hospital, Semarang, Indonesia., Muttaqin Z; Department of Neurosurgery, Faculty of Medicine Diponegoro University/Dr Kariadi Hospital, Semarang, Indonesia.
Jazyk:	angličtina
Zdroj:	Frontiers in neurology [Front Neurol] 2021 Sep 14; Vol. 12, pp. 708064. Date of Electronic Publication: 2021 Sep 14 (Print Publication: 2021).
DOI:	10.3389/fneur.2021.708064
Abstrakt:	Background: Besides seizure control, quality of life (QoL) should be considered as an equally important outcome for epilepsy surgery service providers. The paucity of QoL reports from developing countries has enlarged the representation gap between wealthy countries and countries with fewer resources. In this study, we evaluated postoperative QoL in the Indonesian drug-resistant epilepsy cohort where the epilepsy surgery service faces limited resource availability. Methods: We evaluated the QoL in patients with temporal lobe epilepsy who underwent surgery in our epilepsy surgery center in Semarang, Indonesia, from 2001 until 2015. The follow-up period started in 2018 through 2019. Postoperative QoL, depression, and anxiety were evaluated with self-reporting questionnaires including the Quality of Life in Epilepsy Inventory-31, Beck Depression Inventory-II, and Zung Self-Rating Anxiety Scales. Results: Forty returned questionnaires were included in the analysis (male 25, 62.5%; mean age 27.6 ± 9.05 years). The seizure-free cohort ( n = 22, 55.0%) reported higher scores in most QoL dimensions particularly adjustment, overall QoL, and seizure worry compared to those with persistent seizures. The overall QoL level was correlated with seizure freedom and surgery type. QoL dimensions were negatively correlated with anxiety and depression levels. Conclusions: Postoperative seizure freedom was a major factor of postoperative QoL level. Besides seizure freedom, anxiety and depression levels were also negatively correlated with QoL levels in the Indonesian population. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Bakhtiar, Pratama Brilliantika, Bunyamin, Arifin, Hardian, Bintoro and Muttaqin.)
Databáze:	MEDLINE
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