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Men with Adult Onset Epileptic Seizures: Their Coping Strategies and Sense of Subjective Wellbeing following Elective Neurosurgery

Published online by Cambridge University Press:  21 March 2017

Martin Raffaele ,
Elias Mpofu ,
Jennifer Smith-Merry  and
Martin Mackey
Martin Raffaele
Affiliation:
Discipline of Rehabilitation Counselling, Faculty of Health Sciences, University of Sydney, Room T-428, Cumberland Campus, 75 East Street Lidcombe, NSW, 2141, Australia Health and Global Populations, Faculty of Health Sciences, University of Sydney, Room T-428, Cumberland Campus, 75 East Street Lidcombe, NSW, 2141, Australia
Elias Mpofu*
Affiliation:
Discipline of Rehabilitation Counselling, Faculty of Health Sciences, University of Sydney, Room T-428, Cumberland Campus, 75 East Street Lidcombe, NSW, 2141, Australia Educational Psychology and Inclusive Education, University of Johannesburg, Johannesburg, Auckland Park, South Africa
Jennifer Smith-Merry
Affiliation:
Discipline of Behaviour and Community Health, University of Sydney, Room T-426, Cumberland Campus, 75 East Street Lidcombe, NSW, 2141, Australia
Martin Mackey
Affiliation:
Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, C43A - Jeffrey Miller Admin Building, Cumberland Campus, 75 East Street Lidcombe, NSW, 2141, Australia
*
Address for correspondence: Elias Mpofu, Discipline of Rehabilitation Counselling, Faculty of Health Sciences, University of Sydney, Room T-428, Cumberland Campus, 75 East Street Lidcombe, NSW, 2141, Australia. E-mail: [email protected]
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Abstract

This study aimed to understand the coping strategies used by men with Adult Onset Epileptic Seizures (AOES) following elective neurosurgery, and in particular, how those adaptive skills relate to their subjective wellbeing (SWB). Open-ended qualitative interviews were conducted with five men with a history of neurosurgery for AOES (aged 34–59). The interview data was thematically analysed utilising interpretive phenomenological analysis. The findings indicated that the men experienced significant role marginalisation by family and co-workers, and also poor communication provided by health care professionals. They reported a higher sense of SWB with the use of ego-buffering strategies, such as positive reframing, threat minimisation, emotional self-acceptance and engaging in wish-fulfilling fantasies. Self-blame led to lower SWB. Findings imply that agentic behaviour is important to successful living with AOES following neurosurgery.

Keywords

qualitativeepilepsy seizurepersonal agencycontroladult menhealth and wellbeingquality-of-life
Type
Articles
Information
The Australian Journal of Rehabilitation Counselling , Volume 23 , Issue 1 , July 2017 , pp. 19 - 36
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Copyright
Copyright © The Author(s) 2017 

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Footnotes

Note. The first listed author is an individual living with adult onset epilepsy and completed the study on which this manuscript is based as part of his doctoral degree studies.

References

Asadi-Pooya, A.A., Schilling, C.A., Glosser, D., Tracy, J.I., & Sperling, M.R. (2007). Health locus of control in patients with epilepsy and its relationship to anxiety, depression, and seizure control. Epilepsy & Behavior, 11 (3), 347–350. doi: 10.1016/j.yebeh.2007.06.008.Google Scholar
Banerjee, P.N., Filippi, D., & Hauser, W.A. (2009). The descriptive epidemiology of epilepsy. Epilepsy Research, 85 (1), 31–45.Google Scholar
Bankhead, C.R., Brett, J., Bukach, C., Webster, P., Stewart-Brown, S., Munafo, E., & Austoker, J. (2003). The impact of screening on future health-promoting behaviour and health beliefs: A system review. Health Technology Assessment: HTA, 7 (42), 1–92.Google Scholar
Barak, Y., & Achiron, A. (2009) Happiness and neurological diseases. Expert Review Neurotherapeutics, 9 (4), 445–459.CrossRefGoogle ScholarPubMed
Bellon, M., Walker, C., Peterson, C., & Cookson, P. (2013). The “e” word: Epilepsy and perceptions of unfair treatment from the 2010 Australian epilepsy longitudinal survey. Epilepsy & Behavior. 27 (1), 251–256. doi: 10.1016/j.yebeh.2013.01.016.Google Scholar
Berridge, K.C., & Kringelbach, M.L. (2011). Building a neuroscience of pleasure and well-being. Psychology of Well-Being, 1 (1), 1–26. doi: 10.1186/2211-1522-1-3.Google Scholar
Biddle, S.J.H. (2010). Physical activity. In French, D., Vedhara, K., Kaptein, A.A., & Weinman, J. (eds.). Health Psychology. (2nd ed., pp. 1–10). Oxford, UK: BPS Blackwell.Google Scholar
Bishop, M., & Allen, C.A. (2003). The impact of epilepsy on quality of life: A qualitative analysis. Epilepsy and Behavior, 4 (3), 226–233. doi: 10.1016/S1525-5050(03)00111-2.CrossRefGoogle ScholarPubMed
Bond, K.S., Mpofu, E., & Millington, M. (2015). Treating women with genito-pelvic pain/penetration disorder: Influences of patient agendas on help-seeking. Journal of Family Medicine, 2 (4), 1033–1041.Google Scholar
Bordenheimer, T., Lorig, H., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. The Journal of the American Medical Association, 288 (19), 2469–2475. doi: 10.1001/jama288.19.2469.Google Scholar
Braiker, H.B. (2006). Who's Pulling Your Strings? How to Break the Cycle of Manipulation. New York: McGraw-Hill.Google Scholar
Bressi, C., Cornaggia, C.M., Beghi, M., Iandoli, I.I., & Invernizzi, G., (2007). Epilepsy and family expressed emotion: Results of a prospective study. Seizure: European Journal of Epilepsy, 16 (5), 417–423. doi: 10.1016/j.seisure.2007.02.015.CrossRefGoogle ScholarPubMed
Buckner, R.L., Andrews-Hanna, J.R., & Schacter, D.L. (2008). The brain's default network: Anatomy, function and relevance to disease. Anals of the New York Academy of Sciences, 1124 (1), 1–38. doi: 10.1196/annals.1440.011.CrossRefGoogle ScholarPubMed
Connell, R. (2014). Margin becoming centre: For a world-centred rethinking of masculinities. NORMA: International Journal for Masculinity Studies, 9 (4), 217–231.Google Scholar
Croyle, R.T., Sun, Y.C., & Louie, D.H. (1993). Psychological minimization of cholesterol test results: Moderators of appraisal in college students and community residents. Health Psychology, 12, 503–507.CrossRefGoogle ScholarPubMed
Cummings, R. A. (2013). The relationship between subjective wellbeing and health. In Caltabiano, M. L. & Ricciardelli, L. (eds.). Applied Topics in Health Psychology (pp. 101.111). Chichester, UK: Wiley-Blackwell.Google Scholar
Diener, E., Oishi, S., & Lucas, R.E. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual Review of Psychology, 54, 403–425. doi: 10.1146/annurev.psych.54.101601.145056.Google Scholar
Diener, E., & Ryan, K. (2009). Subjective well-being: A general overview. South African Journal of Psychology 39 (4), 391–406.CrossRefGoogle Scholar
Dune, T., & Mpofu, E. (2015). Evaluating person-centered measures to understand sexuality with cerebral palsy: Procedures and applications. International Journal of Social Sciences, 3 (4), 144–155.Google Scholar
Eifert, G.H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 30, 293–312.Google Scholar
Elliott, J.O. (2014). A fiteen-year annivessary for epilepsy and behavior: Reflections on the past and suggestions for the future. Epilepsy and Behavior, 40, 92–95. doi: 10.1016/j.yebeh.2014.08.125.Google Scholar
Elliott, J.O., & Richardson, V.E. (2014). The biopsychosocial model and quality of life in persons with active epilepsy. Epilepsy and Behavior, 41, 55–65. doi: 10.1016/j.yebeh.2014.09.125.Google Scholar
Englot, D.J., Wang, D.D., Rolston, J.D., Shih, T.T., & Chang, E.F. (2012). Rates and predictors of long-term seizure freedom after frontal lobe epilepsy surgery: A systematic review and meta-analysis: Clinical article. Journal of Neurosurgery, 116 (5), 1042–1048.Google Scholar
Feinberg, T.A. (2013). Neuropathologies of the self and the right hemisphere: A window into productive personal pathologies. Frontiers in Human Neuroscience, 20 August 2013 doi: https://doi.org/10.3389/fnhum.2013.00472.Google Scholar
Fisher, R.S., Vickrey, B.G., Gibson, P., Hermann, B., Penovich, P., Scherer, A., & Walker, S. (2000). The impact of epilepsy from a patient's perspective II: Views about therapy and health care. Epilepsy Research, 41 (1), 53–61. doi: 10.1016/S0920-1211(00)00126-1.Google Scholar
Gandy, M., Sharpe, L., & Perry, N.K. (2012). Psychosocial predictors of depression and anxiety in patients with epilepsy: A systematic review. Journal of Affective Disorders, 140 (3), 222–232. doi: 10.1016/j.jad.2011.11.039.Google Scholar
Hixson, J.D., & Kirsch, H.E. (2009). The effects of epilepsy and its treatments on affect and emotion. Neuroscience, 15 (3), 206–216. doi: 10.1080/13554790802632876.Google ScholarPubMed
Jacoby, A. (2002). Stigma, epilepsy, and quality of life. Epilepsy & Behavior, 3 (6, Supplement 2), 10–20. doi: 10.1016/S1525-5050(02)00545-0.Google Scholar
Jacoby, A., Baker, G.A., Crossley, J., & Schachter, S. (2013). Tools for assessing quality of life in epilepsy patients. Expert Review of Neurotherapeuitics, 13 (12), 1355–1369. doi:10.1586/1473715.2013.850032.Google Scholar
Jacoby, A., Ring, A., Whitehead, M., Marson, A., & Baker, G.A., (2014). Exploring loss and replacement of loss for understanding the impact of epilepsy onset: A qualitative investigation. Epilepsy and Behavior, 33, 59–68. doi: 10.1111/j.1528.1992.tb01769.x.Google Scholar
Jacoby, A., Snape, D., & Baker, A. (2009). Determinants of quality of life in people with epilepsy. Neorologic Clinics, 27 (4), 843–863. doi: 10.1016/j.ncl.2009.06.003.Google Scholar
Keyes, C.L.M., Fredrickson, B.A. & Park, N. (2012). Positive psychology and the quality of life. In Keyes, C., Fredrickson, B., & Park, N. (eds.). Handbook of Social Indicators and Quality of Life Research (pp. 99–112). The Netherlands: Springer.Google Scholar
Krause, J.S., & Broderick, L. (2004). Outcomes after spinal cord injury: Comparisons as a function of gender and race and ethnicity. Archives of Physical Medicine & Rehabilitation, 85 (3), 355–362. doi: 10.1016/S0003-9993(03)00615-4.Google Scholar
Kvale, S. (1996). InterViews: An Introduction to Qualitative Research lnterviewing. Thousand Oaks: Sage Publications.Google Scholar
Livneh, H., Wilson, L.M., Duchesneau, A., & Antonak, R.F. (2001). Psychosocial adaptation to epilepsy: The role of coping strategies. Epilepsy and Behavior, 2 (6), 533–544. doi: 10.1006/ebeh.2001.0284.Google Scholar
Luborsky, M. (1994). The identification and analysis of themes and patterns. Gubrium, J., & Sankar, A. (eds.). Qualitative Methods in Aging Research (pp. 189–210). Sage: Thousand Oaks.Google Scholar
Mahoney, M.J. & Arnkoff, D.B. (1978). Cognitive and self-control therapies. In Garfield, S. & Bergin, A.E. (eds.). Handbook of Psychotherapy and Behaviour Changes (pp. 75–96). New York, NY: Wiley.Google Scholar
Nelson, A. (2001). Rehabilitation. In Nelson, A., Zejdlik, C.P., & Love, L. (eds.). Nursing Practice Related to Spinal Cord Injury and Disorders (pp. 409–22). Chicago: Demos Medical Publishing.Google Scholar
Ng, K.C., Chan, K.L., & Straughan, P.T. (1995). A study of post-stroke depression in a rehabilitative center. Acta Psychiatrica Scandinavica, 92 (1), 75–79.CrossRefGoogle Scholar
Ouimet, M.A., Primeau, F., & Cole, M.G. (2001). Psychosocial risk factors in poststroke depression: A systematic review. Canadian Journal of Psychiatry, 46 (9), 819–828.Google Scholar
Poochikian-Sarkissian, S., Sidani, S., Wennberg, R., & Devins, G.M., (2008). Psychological impact of illness instrusiveness in epilepsy: Comparison of treatments. Psychology, Health and Medicine, 13 (2), 129–145. doi: 10.1080/135485000701294515.Google Scholar
Shariff, A.F., & Tracy, J.L. (2011). What are emotion expressions for? Current Directions in Psychological Science, 20, 395–399.Google Scholar
Shepard, K.F., Jensen, G.M., Schmoll, B.J., Hack, L.M., & Gwyer, J. (1993). Alternative approaches to research in physical therapy: Positivism and phenomenology. Physical Therapy, 73, 34–47.Google Scholar
Smith, J.A., Flowers, P., & Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory Method and Research. London: Sage.Google Scholar
Sweeny, K., Melnyk, D., Miller, W., & Shepperd, J.A. (2010). Information avoidance: Who, what, when, and why. Review of General Psychology, 14 (4), 340–353. doi: 10.1037/a0021288.Google Scholar
Tenev, V.T., Robinson, R.G., & Jorge, R.E. (2009). Is family history of depression a risk factor for poststroke depression? Meta-analysis. The American Journal of Geriatric Psychiatry, 17 (4), 276–280. doi: https://doi.org/10.1097/JGP.0b013e3181953b6e.Google Scholar
Thompson, P.J., & Upton, D. (1992). The impact of chronic epilepsy on the family. Seizure, 1 (1), 43–48.CrossRefGoogle ScholarPubMed
Wedlund, E.W., Nilsoon, L., Tomson, T., & Erdner, A. (2013). What is important in the rehabilitation for persons with epilepsy? Experiences from focus group interviews with patents and staff. Epilepsy and Behavior, 28 (3), 347–353. doi: 10.1016/j.yebeh.2013.05.022.Google Scholar
Wheless, J.W. (2006). Intractable epilepsy: A survey of patients and caregivers. Epilepsy Behavior, 8 (4), 756–764. doi: 10.1016/j.yebeh.2006.03.010.Google Scholar
Willis, J. (2007). Foundations of Qualitative Research: Interpretive and Critical Approaches. Thousand Oaks: Sage Publications.Google Scholar
World Health Organization: WHO (2016). Epilepsy Fact Sheet. Retrieved from: http://whoint/mediacentre/factsheets/fr999/en.Google Scholar
Zangi, H.A., Hauge, M.I., Steen, E., Finset, A., & Hagen, K.B. (2011). I am not only a disease, I am so much more". Patients with rheumatic diseases' experiences of an emotion-focused group intervention. Patient Educational Counselling, 85 (3), 419–424. doi: 10.1016/j.pec.2010.12.032.Google Scholar