Tracking psychosocial health in adults with epilepsy--estimates from the 2010 National Health Interview Survey

Epilepsy Behav. 2014 Dec;41:66-73. doi: 10.1016/j.yebeh.2014.08.002. Epub 2014 Oct 7.

Abstract

Objective: This study provides population-based estimates of psychosocial health among U.S. adults with epilepsy from the 2010 National Health Interview Survey.

Methods: Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with epilepsy and those without epilepsy: 1) the Kessler-6 scale of serious psychological distress; 2) cognitive limitation, the extent of impairments associated with psychological problems, and work limitation; 3) social participation; and 4) the Patient-Reported Outcome Measurement Information System Global Health Scale.

Results: Compared with adults without epilepsy, adults with epilepsy, especially those with active epilepsy, reported significantly worse psychological health, more cognitive impairment, difficulty in participating in some social activities, and reduced health-related quality of life (HRQOL).

Conclusions: These disparities in psychosocial health in U.S. adults with epilepsy serve as baseline national estimates of their HRQOL, consistent with Healthy People 2020 national objectives on HRQOL.

Keywords: Cognition; Epilepsy; Limitations; Pain; Psychological distress; Quality of life; Social participation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cognition Disorders / epidemiology
  • Cognition Disorders / etiology
  • Cognition Disorders / psychology*
  • Epilepsy / complications
  • Epilepsy / epidemiology
  • Epilepsy / psychology*
  • Female
  • Health Surveys / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Social Participation / psychology*
  • United States / epidemiology
  • Young Adult