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

Tracking psychosocial health in adults with epilepsy--estimates from the 2010 National Health Interview Survey.
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DOI:
10.1016/j.yebeh.2014.08.002
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发表时间:
2014-12
期刊:
Epilepsy & behavior : E&B
影响因子:
--
通讯作者:
Jobst B
Jobst B
中科院分区:
其他
文献类型:
--
作者:
Kobau R;Cui W;Kadima N;Zack MM;Sajatovic M;Kaiboriboon K;Jobst B

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这项研究提供了基于人口的估计心理社会健康的美国成人癫痫患者从2010年全国健康访谈调查。采用多项逻辑回归估计以下心理社会健康指标在癫痫和非癫痫成年人中的患病率:1)Kessler-6严重心理困扰量表; 2)认知限制;与心理问题相关的损害程度;和工作限制; 3)社会参与;和4)患者报告的结局测量信息系统全球健康量表。与无癫痫的成年人相比,癫痫患者,特别是活动性癫痫患者的心理健康状况明显较差,认知障碍更多,难以参与某些社会活动,健康相关生活质量(HRQOL)降低。美国成年癫痫患者心理健康的这些差异可作为其HRQOL的基线国家估计值,与健康人群2020国家HRQOL目标一致。
This study provides population-based estimates of psychosocial health among U.S. adults with epilepsy from the 2010 National Health Interview Survey. Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with 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. 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). 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.