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Psychosocial Predictors of Psychopathology in Epilepsy

Published online by Cambridge University Press:  02 January 2018

Bruce P. Hermann*
Affiliation:
Epilepsy Center, Baptist Memorial Hospital, Memphis; Department of Psychiatry, University of Tennessee – Memphis
Steven Whitman
Affiliation:
Center for Urban Affairs and Policy Research, Northwestern University, Evanston, IL
Allen R. Wyler
Affiliation:
Epilepsy Center, Baptist Memorial Hospital, Memphis; Department of Neurosurgery, University of Tennessee – Memphis; Semmes–Murphey Clinic, Memphis
Michael T. Anton
Affiliation:
Epilepsy Center, Baptist Memorial Hospital, Memphis; Department of Psychiatry, University of Tennessee – Memphis
Roger Vanderzwagg
Affiliation:
Health Services Research, Baptist Memorial Hospital, Memphis
*
Epilepsy Center, Baptist Memorial Hospital, 899 Madison Avenue, Memphis, TN 38146, USA

Abstract

The 30-item version of the GHQ was administered to 102 adults with epilepsy, and four sets of variables (neurological, psychosocial, medication, demographic) were used to predict psychiatric distress. Psychopathology was found to be associated with increased perceived stigma, elevated number of stressful life events during the past year, poor adjustment to epilepsy, financial stress, vocational problems, external locus of control, and an earlier onset of epilepsy. Multiple regression procedures reduced this list to three independent predictors of psychopathology: an increased number of stressful life events in the past year, poor adjustment to epilepsy, and financial stress.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Arangio, A. (1980) The social worker and epilepsy: a description of assessment and treatment variables. In A Multidisciplinary Handbook of Epilepsy (ed. B. P. Hermann). Springfield: Charles C. Thomas.Google Scholar
Arnston, P., Droge, D., Norton, R., et al (1986) The perceived psychosocial consequences of having epilepsy. In Psychopathology in Epilepsy: Social Dimensions (eds S. Whitman & B. P. Hermann). New York: Oxford University Press.Google Scholar
Ashkanasy, N. M. (1985) Rotter's Internal-External Scale: confirmatory factor analysis and correlation with social desirability for alternative scale formats. Journal of Personality and Social Psychology, 48, 13281341.Google Scholar
Bagley, C. (1972) Social prejudice and the adjustment of people with epilepsy. Epilepsia, 13, 3345.Google Scholar
Bagley, C. (1986) Children with epilepsy as a minority group: evidence from the National Child Development Study. In Psychopathology in Epilepsy: Social Dimensions (eds S. Whitman & B. P. Hermann). New York: Oxford University Press.Google Scholar
Betts, T. A. (1982) Psychiatry and epilepsy. In A Textbook of Epilepsy (eds J. Laidlaw & A. Richens). Edinburgh: Churchill-Livingstone.Google Scholar
Blumer, D. (1970) Hypersexual episodes in temporal lobe epilepsy. American Journal of Psychiatry, 126, 10991106.CrossRefGoogle ScholarPubMed
Blumer, D. (1984) Psychiatric Aspects of Epilepsy. Washington DC: American Psychiatric Association Press.Google Scholar
Brenner, M. H. (1973) Mental Illness and the Economy. Cambridge: Harvard University Press.Google Scholar
Brenner, M. H. (1976) Estimating the Social Costs of National Economic Policy: Implications for Mental and Physical Health and Criminal Aggression. Prepared for the use of the Joint Economic Committee, Congress of the United States, October 26, 1976. Washington DC: US Government Printing Office.Google Scholar
Bridges, K. W., & Goldberg, D. P. (1986) The validation of the GHQ–28 and the use of the MMSE in neurological patients. British Journal of Psychiatry, 148, 548553.Google Scholar
Dalos, N. P., Rabins, P. V., Brooks, B. R., et al (1983) Disease activity and emotional state in multiple sclerosis. Annals of Neurology, 13, 573577.Google Scholar
Dell, J. L. (1986) Social dimensions of epilepsy: stigma and response. In Psychopathology in Epilepsy: Social Dimensions (eds S. Whitman & B. P. Hermann). New York: Oxford University Press.Google Scholar
DePaulo, J. R., & Folstein, M. F. (1978) Psychiatric disturbances in neurological patients: detection, recognition and hospital course. Annals of Neurology, 4, 225228.Google Scholar
DePaulo, J. R., Folstein, M. F. & Gordon, B. (1980) Psychiatric screening on a neurological ward. Psychological Medicine, 10, 125132.Google Scholar
Dodrill, C. B., Batzel, L. W., Queisser, H. R., et al (1980) An objective method for the assessment of psychological and social difficulties among epileptics. Epilepsia, 21, 123135.CrossRefGoogle ScholarPubMed
Edeh, J. & Toone, B. (1983) A General Practice Study of the Prevalence of Psychiatric Morbidity and Social Handicap in Epilepsy and Related Clinical, Neurological, Biochemical and Therapeutic Aspects. Presented at the XVth Epilepsy International Symposium, Washington, DC.Google Scholar
Fenwick, P. (1987) Epilepsy and psychiatric disorders. In Epilepsy (ed. A. Hopkins). New York: Demos Publications.Google Scholar
Fraser, R. T. (1980) Vocational aspects of epilepsy. In A Multidisciplinary Handbook of Epilepsy (ed. B. Hermann). Springfield: Charles C. Thomas.Google Scholar
Fraser, R. T. & Clemmons, D. C. (1989) Vocational and psychosocial interventions for youth with seizure disorders. In The Childhood Epilepsies: Neuropsychological, Psychosocial, and Treatment Issues (eds B. P. Hermann & M. Seidenberg). Chichester: John Wiley.Google Scholar
Gibbs, F. A., Gibbs, E. L. & Fuster, B. (1948) Psychomotor epilepsy. Archives of Neurology and Psychiatry, 60, 331339.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Goldberg, D. P., Kay, C. & Thompson, L. (1976) Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565569.Google Scholar
Goldberg, D. P. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139145.Google Scholar
Gudmundsson, G. (1966) Epilepsy in Iceland: a clinical and epidemiological investigation. Acta Neurologia Scandinavica, 23 (suppl. 25), 100114.Google Scholar
Guerrant, J., Anderson, W. W., Fischer, A., et al (1962) Personality in Epilepsy. Springfield: Charles C. Thomas.Google Scholar
Hermann, B. P. & Whitman, S. (1984) Behavioural and personality correlates of the epilepsies: a review, methodological critique, and conceptual model. Psychological Bulletin, 95, 451497.Google Scholar
Jastak, S. & Wilkinson, G. S. (1984) The Wide Range Achievement Test - Revised: Administration Manual. Wilmington: Jastak Associates.Google Scholar
Kaplan, G. A., Roberts, R. E., Camacho, T. C., et al (1987) Psychosocial predictors of depression. American Journal of Epidemiology, 125, 206220.Google Scholar
Kogeorgos, J., Fonagy, P. & Scott, D. F. (1982) Psychiatric symptom profiles of chronic epileptics attending a neurologic clinic: a controlled investigation. British Journal of Psychiatry, 140, 236243.Google Scholar
Lefourt, H. (1976) Locus of Control: Current Trends in Research & Theory. New York: Wiley.Google Scholar
Lewinsohn, P., Hoberman, H. M. & Rosenbaum, M. A. (1988) A prospective study of risk factors for unipolar depression. Journal of Abnormal Psychology, 97, 251264.Google Scholar
Matthews, W. S., Barabas, G. & Ferrari, M. (1982) Emotional concomitants of childhood epilepsy. Epilepsia, 23, 671681.Google Scholar
Matthews, W. S. & Barabas, G. (1986) Perceptions of control among children with epilepsy. In Psychopathology in Epilepsy: Social Dimensions (eds S. Whitman & B. P. Hermann). New York: Oxford University Press.Google Scholar
Mittan, R. J. & Locke, G. E. (1982) The other half of epilepsy: psychosocial problems. Urban Health, 11, 3839.Google Scholar
National Commission for the Control of Epilepsy and Its Consequences (1978) Plan for Nationwide Action on Epilepsy (DHEW Publication No. NIH 78–276). Washington DC: National Institute of Health.Google Scholar
Notkin, J. (1928) Is there an epileptic personality make-up? Archives of Neurology and Psychiatry, 20, 799803.Google Scholar
Pond, D. A. & Bidwell, B. H. (1960) A survey of epilepsy in fourteen general practices - II. Social and psychological aspects. Epilepsia, 1, 285299.Google Scholar
Rabins, P. V. & Brooks, B. R. (1981) Emotional disturbance in multiple sclerosis patients: validity of the General Health Questionnaire. Psychological Medicine, 11, 425427.Google Scholar
Read, J. A. (Chman) (1969) People with Epilepsy. London: HMSO.Google Scholar
Reynolds, E. H. (1982) Anticonvulsants and mental symptoms. In Psychopharmacology of Anticonvulsants (ed. M. Sandler). New York: Oxford University Press.Google Scholar
Reynolds, E. H. (1986) Antiepileptic drugs and personality. In Aspects of Epilepsy and Psychiatry (eds M. R. Trimble & T. G. Bolwig). Chichester: John Wiley.Google Scholar
Robinson, R. G. & Price, T. R., (1982) Post-stroke depressive disorders: a follow-up study of 103 patients. Stroke, 13, 635641.Google Scholar
Rotter, J. B. (1966) Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80, (1. Whole No. 609).Google Scholar
Rutter, M., Graham, P. & Yule, W. (1970) A Neuropsychiatry Study in Childhood. Philadelphia: Lippincott.Google Scholar
Ryan, R., Kempner, K. & Emlen, A. C. (1980) The stigma of epilepsy as a self-concept. Epilepsia, 21, 433444.Google Scholar
Sarason, I. G., Johnson, J. H. & Siegel, J. M. (1978) Assessing the impact of life changes: development of the Life Experiences Survey. Journal of Consulting and Clinical Psychology, 46, 932946.Google Scholar
Sarason, I. G., Levine, H. M., Basham, R. B., et al (1983) Assessing social support: the social support questionnaire. Journal of Personality and Social Psychology, 44, 127139.Google Scholar
Schneider, J. W. & Conrad, P. (1980) In the closet with epilepsy: epilepsy stigma potential and information control. Social Problems, 28, 3244.Google Scholar
Schneider, J. W. & Conrad, P. (1983) Having Epilepsy: The Experience and Control of Illness. Philadelphia: Temple University Press.Google Scholar
Serafetinides, E. A. (1965) Aggressiveness in temporal lobe epileptics and its relation to cerebral dysfunction and environmental factors. Epilepsia, 6, 3342.Google Scholar
Stevens, J. R. (1975) Interictal clinical manifestations of complex partial seizures. In Advances in Neurology (vol. 11) (eds J. K. Penry & D. D. Daly). New York: Raven Press.Google Scholar
Stevens, J. R. (1980) Biologic background of psychosis in epilepsy. In Advances in Epileptology: XIth International Symposium (ed. R. Conger, F. Angeleri & J. K. Penry). New York: Raven Press.Google Scholar
Temkin, O. (1971) The Falling Sickness: a History of Epilepsy from the Greeks To The Beginning of Modern Neurology (2nd edn). Baltimore: Johns Hopkins University Press.Google Scholar
Trimble, M. R. (1983) Personality disturbances in epilepsy. Neurology, 33, 13321334.Google Scholar
Trimble, M. R. & Reynolds, E. H. (1976) Anticonvulsant drugs and mental symptoms: a review. Psychological Medicine, 6, 169178.Google Scholar
Trimble, M. R. & Bolwig, T. G. (1986) Aspects of Epilepsy and Psychiatry. Chichester: John Wiley.Google Scholar
Wechsler, D. (1981) Wechsler Adult Intelligence Scale - Revised: Manual. New York: Psychological Corporation.Google Scholar
Weddell, R. A. (1987) Social, functional, and neuropsychological determinants of the psychiatric symptoms of stroke patients receiving rehabilitation and living at home. Scandinavian Journal of Rehabilitation Medicine, 19, 9398.Google Scholar
Whitman, S., Hermann, B. P. & Gordon, A. (1984) Psychopathology in epilepsy: How great is the risk? Biological Psychiatry, 19, 213236.Google Scholar
Whitman, S. & Hermann, B. P. (1989) The architecture of research in the epilepsy-psychopathology field. Epilepsy Research, 3, 9399.Google Scholar
Ziegler, R. G. (1981) Impairments of control and competence in epileptic children and their families. Epilepsia, 22, 339346.Google Scholar
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