The impact of depression, seizure variables and locus of control on health related quality of life in a community dwelling sample of older adults

Mclaughlin, Deirdre P., Pachana, Nancy A. and Mcfarland, Ken (2010) The impact of depression, seizure variables and locus of control on health related quality of life in a community dwelling sample of older adults. Seizure, 19 4: 232-236. doi:10.1016/j.seizure.2010.02.008


Author Mclaughlin, Deirdre P.
Pachana, Nancy A.
Mcfarland, Ken
Title The impact of depression, seizure variables and locus of control on health related quality of life in a community dwelling sample of older adults
Journal name Seizure   Check publisher's open access policy
ISSN 1059-1311
1532-2688
Publication date 2010-05
Sub-type Article (original research)
DOI 10.1016/j.seizure.2010.02.008
Volume 19
Issue 4
Start page 232
End page 236
Total pages 5
Editor A. P. Aldenkamp
P. A .J. M. Boon
Place of publication Kidlington, Oxford, U.K.
Publisher Elsevier
Collection year 2011
Language eng
Formatted abstract
Few studies have examined the impact of epilepsy on the quality of life of older people, although epilepsy is one of the most common neurological disorders of old age. This study investigated the association of depression, seizure type and frequency and locus of control on health related quality of life in community dwelling adults aged over 60 years. Sixty-four participants were administered a clinical diagnostic interview to assess depression and dysthymia, and completed measures of HRQOL (QOLIE-31), locus of control and provided information on seizure variables. Depression, dysthymia and more frequent seizures were important predictors of HRQOL, accounting for 63% of the variance, with dysthymia the strongest individual predictor of impaired HRQOL. This study has highlighted the negative consequences of depression, dysthymia and seizure frequency on HRQOL for older people with epilepsy. Importantly, these results indicate that rather than major depression, it is the more chronic symptoms of dysthymia that are most disruptive of HRQOL. Seizure frequency, but not seizure type, was also associated with reduced HRQOL. The results of this study suggest that clinical treatment in late adulthood should address seizure control while concurrently focusing on the management of depressive symptomatology to improve overall HRQOL.
© 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
Keyword Older adults
HRQOL
Depression
Seizure variables
Locus of control
Epilepsy inventory
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
School of Psychology Publications
 
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Created: Sun, 06 Jun 2010, 00:01:16 EST