La inserción académica y laboral como un factor asociado a la calidad de vida en pacientes con epilepsia farmacorresistente del lóbulo temporal

Catalán-Aguilar, Judit; Lozano-García, Alejandro; González-Bono, Esperanza; Villanueva, Vicente; Hampel, Kevin G.; Cano‐López, Irene

doi:10.33588/rn.7407.2020684

Cited by 3 publications

(1 citation statement)

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“…Secondly, the vulnerable group had higher negative affectivity, and this could be related to social problems. In this line, a study of patients with TLE found that anxiety was negatively related to both perceived social support and social functioning ( Catalán-Aguilar et al, 2022 ). Furthermore, it has been shown that social support plays an important role as a predictor of negative affectivity in epilepsy ( Gandy et al, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

Stress phenotypes in epilepsy: impact on cognitive functioning and quality of life

Catalán-Aguilar,

González-Bono,

Lozano-García

et al. 2023

Front. Psychol.

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IntroductionDrug-resistant epilepsy has been proposed as a chronic stress model. Stress can be measured in terms of chronicity (epilepsy duration) and intensity (comorbidities), with depression and anxiety among the most important comorbidities in epilepsy due to its prevalence and its relationship with cognitive functioning and quality of life. This study aims to establish phenotypes according to how patients face a stressful condition (epilepsy) and examine differences in cognition and quality of life depending on these phenotypes. We hypothesize that there will be an interrelationship between epilepsy duration and negative affectivity, and these variables will influence cognition and quality of life.Methods170 patients (82 men and 88 women) underwent a neuropsychological evaluation in which trait anxiety, depression, attention and executive function, verbal and visual memory, language, emotional recognition, and quality of life were assessed. Hierarchical clustering was performed using z-scores for three variables: trait anxiety; depression; and epilepsy duration.ResultsThree clusters were found: vulnerable (high negative affectivity and short duration); resilient (moderate negative affectivity and long duration); and low-impact group (low negative affectivity and short duration). Results show that the vulnerable group had poorer cognitive functioning and quality of life than the other groups. Specifically, the vulnerable group had poorer scores than the low-impact group on verbal memory, visual confrontation naming, and quality of life (except seizure worry). Furthermore, resilient patients had better scores than the low-impact group on cognitive flexibility variables, but lower scores on some quality-of-life subscales (i.e., overall quality of life, emotional well-being, and energy). Finally, the vulnerable group had poorer scores than the resilient group in executive functioning, naming, and quality of life.DiscussionThese results suggest that dealing with stress in patients with epilepsy is related to cognitive performance and quality of life. These findings underline the relevance of considering comorbidities in epilepsy and may be useful for detecting vulnerable or resilient profiles as risk or protective factors for cognitive and quality of life decline.

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Section: Discussionmentioning

confidence: 99%

Stress phenotypes in epilepsy: impact on cognitive functioning and quality of life

Catalán-Aguilar,

González-Bono,

Lozano-García

et al. 2023

Front. Psychol.

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The relationship between memory and quality of life is mediated by trait anxiety in patients with temporal lobe epilepsy

et al. 2022

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Epilepsia y su repercusión en el aprendizaje

Atavallo¹

2023

LATAM

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La epilepsia es una patología neurológica que se origina en el sistema nervioso central, se observa que su patrón clínico es por síndromes convulsivos principalmente, a su vez estas convulsiones se manifiestan a nivel sistémico y orgánico, como contracciones musculares temblorosas de diversos tipos como pueden ser tónica clónica generalizada, focalizada en un segmento del cuerpo o de tipo ausente, suelen acompañarse de la pérdida de conciencia por segundos o minutos, lo cual repercute en el proceso de aprendizaje de las personas, dichas alteraciones resultan de descargas neuronales anormales del cerebro, las cuales pueden evidenciarse a través de exámenes complementarios como el electroencefalograma a través de él se registra la actividad eléctrica neuronal del cerebro, observándose las ondas cerebrales alteradas o normales. En el transcurso de la historia hasta la actualidad puede evidenciarse que los pacientes epilépticos sufren de estigmas sociales por el desconocimiento de esta patología, al ser asociadas a convulsiones repetitivas, la edad temprana de su diagnóstico afectan negativamente en el neuroaprendizaje, llegando a perjudicar el desarrollo normal de las funciones ejecutivas, y habilidades sociales de las personas epilépticas, por tanto se requiere un manejo interdisciplinario, observador y de seguimiento en estos paciente por parte de educadores, neurólogos, familiares, psicopedagogos, y neuropsicologos, con enfoque hacia la mejoraría de la calidad de vida en el entorno social, educativo, y no solo el control de los signos y síntomas epileptogenos.

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La inserción académica y laboral como un factor asociado a la calidad de vida en pacientes con epilepsia farmacorresistente del lóbulo temporal

Cited by 3 publications

References 0 publications

Stress phenotypes in epilepsy: impact on cognitive functioning and quality of life

Stress phenotypes in epilepsy: impact on cognitive functioning and quality of life

The relationship between memory and quality of life is mediated by trait anxiety in patients with temporal lobe epilepsy

Epilepsia y su repercusión en el aprendizaje

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