Quality of life improves with integrated behavioral health services in pediatric new-onset epilepsy
Quality of life improves with integrated behavioral health services in pediatric new-onset epilepsy
复制标题
DOI：
10.1016/j.yebeh.2019.04.017
复制
发表时间：
2019-07-01
影响因子：
2.6
通讯作者：
Modi, Avani C.
中科院分区：
文献类型：
--
作者：
Guilfoyle, Shanna M.;Mara, Constance A.;Modi, Avani C.
本研究比较了在综合行为健康和癫痫服务中，在癫痫诊断时有和没有心理症状升高的新发癫痫青年之间的健康相关生活质量（HRQOL）差异。患者在门诊期间接受行为健康和癫痫护理。在2011年7月至2015年12月期间进行了回顾性病历审查。护理人员完成了儿童行为评估系统-2：父母评定量表（BASC-2：PRS），以评估诊断访视时的心理症状，沿着完成了诊断访视时的儿科生活质量量表（PedsQL（TM）4.0），以及治疗第一年期间的每次后续癫痫门诊访视。潜在生长曲线模型用于确定治疗第一年的HRQOL变化。与没有心理症状的人相比，在诊断时和治疗的第一年，心理症状升高的年轻人的健康相关生活质量显着降低。对于那些在诊断时有内化、注意力不集中、戒断和非典型症状的患者，与那些在诊断访视时没有心理症状升高的患者相比，在治疗的第一年检测到更大的HRQOL改善。在综合行为健康和癫痫常规护理中，有针对性的心理干预可以在治疗的第一年改善HRQOL，特别是对于那些有病前心理症状的人。(C)2019爱思唯尔公司All rights reserved.
The current study compared differences in health-related quality of life (HRQOL) between youth with new-onset epilepsy with and without elevated psychological symptoms at time of epilepsy diagnosis within an integrated behavioral health and epilepsy service. Patients received both behavioral health and epilepsy care during clinic visits. A retrospective chart review was conducted between July 2011 and December 2015. Caregivers completed the Behavior Assessment System for Children-2: Parent Rating Scale (BASC-2: PRS) to assess psychological symptoms at the diagnostic visit, along with completing the Pediatric Quality of Life Inventory (PedsQL (TM) 4.0) at the diagnostic visit and each subsequent epilepsy dinic visit during the first year of treatment. Latent growth curve modeling was used to identify HRQOL changes over the first year of treatment. Health-related quality of life was significantly lower for youth with elevated psychological symptoms at diagnosis and over the first year of treatment compared with those without psychological symptoms. For those with elevated internalizing, inattention, withdrawal, and atypical symptoms at diagnosis, greater HRQOL improvements were detected over the first year of treatment compared with those without elevated psychological symptoms at the diagnostic visit. Within integrated behavioral health and epilepsy routine care, targeted psychological interventions can improve HRQOL over the first year of treatment, particularly for those with premorbid psychological symptoms. (C) 2019 Elsevier Inc. All rights reserved.