Control perceptions in epilepsy: A transcultural case-control study with focus on auras.

Abstract

OBJECTIVE:

General Locus of Control (GLoC) is used to measure the extent to which people perceive life events as results of their own actions or external factors. This study analyzes the relationship between GLoC and people with epilepsy's (PWE) clinical characteristics, levels of anxiety, depression, religiosity/spirituality, and quality of life, with particular attention to possible influences of auras.

METHODS:

A case-control study was carried out with 186 consecutive patients with a definite diagnosis of epilepsy in Brazil and Lithuania. Besides clinical and demographic data, all patients answered to internationally validated scales: Rotter's GLoC, Hospital Anxiety and Depression Scale (HADS), Quality of Life in Epilepsy (QOLIE-31), and Index of Core Spiritual Experiences-Revised (INSPIRIT-R).

RESULTS:

Patient's mean age was 36.15 ± 13.75 years, 61.3% were female, mean age at onset of epilepsy was 17.27 ± 13.59 years, and monthly seizure frequency was 8.22 ± 20.00. People with epilepsy were more depressed than controls, (p = 0.03). Within the group with epilepsy, patients reporting auras and reacting to them had higher levels of depression (p = 0.002) and anxiety (p = 0.004) and lower QOLIE-31 (p = 0.01) score but did not differ in GLoC (p = 0.73) or INSPIRIT-R (p = 0.71). Patients with perceived ability to prevent seizures in response to auras had no increased levels of depression and anxiety.

CONCLUSIONS:

General Locus of Control externalization in PWE was not confirmed. To perceive and be able to react to auras is associated with increased anxiety and depressive symptoms in PWE but not if it results in preventing seizures. No transcultural differences in these parameters were found.

• Authors: Jorge Luís Wollstein Moritz, Rūta Mameniškienė, Justė Rimšienė, Atėnė Budriūnienė, Gabriel de Almeida Calado, Isadora Barazzetti Rigon, Pietro Lentz Martins Cantú, Caroline Meneguzzi, Roger Walz, Kátia Lin, Peter Wolf
• Journal: Epilepsy & behavior : E&B (Epilepsy Behav) Vol. 88 Pg. 130-138 (11 2018) ISSN: 1525-5069 [Electronic] United States
• PMID: 30269031 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2018 Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Adult
• Age of Onset
• Aged
• Anxiety (diagnosis, etiology)
• Brazil
• Case-Control Studies
• Cross-Cultural Comparison
• Cross-Sectional Studies
• Depression (diagnosis, etiology)
• Epilepsy (psychology)
• Female
• Health Status Indicators
• Humans
• Internal-External Control
• Lithuania
• Male
• Middle Aged
• Perception
• Quality of Life
• Young Adult