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Control perceptions in epilepsy: A transcultural case-control study with focus on auras.
Jorge Luís Wollstein Moritz1, Rūta Mameniškienė2, Justė Rimšienė2
1Programa de Pós-Graduação em Ciências Médicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Epilepsy & Behavior : E&B
|October 1, 2018
Summary
General Locus of Control (GLoC) in people with epilepsy (PWE) was not found to be externalized. Perceiving and reacting to auras increases anxiety and depression in PWE, unless seizures are prevented.
Area of Science:
- Neurology
- Psychology
- Psychiatry
Background:
- General Locus of Control (GLoC) assesses whether individuals attribute life events to internal or external factors.
- Epilepsy significantly impacts patients' clinical characteristics, mental health, and quality of life.
- Auras preceding seizures are a key aspect of epilepsy management and patient experience.
Purpose of the Study:
- To investigate the relationship between GLoC and clinical factors in people with epilepsy (PWE).
- To examine the association of GLoC with anxiety, depression, religiosity/spirituality, and quality of life in PWE.
- To specifically analyze the influence of auras on these parameters in PWE.
Main Methods:
- A case-control study involving 186 patients with epilepsy from Brazil and Lithuania.
- Utilized validated scales: Rotter's GLoC, Hospital Anxiety and Depression Scale (HADS), Quality of Life in Epilepsy (QOLIE-31), and INSPIRIT-R.
- Collected clinical and demographic data, including age, epilepsy onset, seizure frequency, and aura experiences.
Main Results:
- People with epilepsy (PWE) exhibited higher depression levels compared to controls (p=0.03).
- Patients reporting and reacting to auras showed increased depression (p=0.002) and anxiety (p=0.004), and lower quality of life (p=0.01).
- No significant differences in GLoC or religiosity/spirituality were found based on aura perception or reaction, nor were transcultural differences observed.
Conclusions:
- Externalization of General Locus of Control (GLoC) was not confirmed in people with epilepsy (PWE).
- Perceiving and reacting to auras is linked to heightened anxiety and depressive symptoms in PWE.
- The negative psychological impact of auras is mitigated if patients can prevent seizures in response to them.
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