Quality of life in people with epilepsy in Sivas, Turkey
Purpose: In light of the issues associated with the quality of life in people with epilepsy that have been widely reported, this study examined these issues within a Turkey cultural context. The contributing factors to the level of QOL in Turkey where public perception toward epilepsy is relatively unfavorable, may be different from those of other countries. Methods: one hundred-thirty patients with epilepsy completed The Quality of Life in Epilepsy Inventory-89 (QOLIE-89), Beck Depression Inventory (BDI) and a questionnaire that assessed their demographic and seizure characteristics. Multiple regression procedure was used to examine the factors affecting the quality of life of these participants. Results: Psycho-social factors, such as depression, education in years, employment status, and current economic status, factors seizure-related clinical variables, such as seizure frequency, duration of epilepsy, time when seizures usually occur were more powerful affecting of QOL in people with epilepsy than the physical associated with epilepsy. In multiple regression analysis, the significant predictors of QOLIE-89 overall score included: the high level of depression (25%), unemployment status (21%), poor economic status (18%), seizure frequency (9%), low education status (8%), time when seizures usually occur (7%) and duration in years (5%). Conclusions: These findings show that psychosocial factors are significant issues for people with epilepsy in Sivas. The emerging importance of psycho-social factors as predictors of QOL in epilepsy, as compared with physical, highlights the need for developing tailored counseling therapy and social support groups for people with epilepsy. Recognition of these factors will lead health professionals to develop different strategies to improve the QOL of these patients.