1. Epilepsy Behav. 2014 Dec;41:66-73. doi: 10.1016/j.yebeh.2014.08.002. Epub 2014
Oct 7.

Tracking psychosocial health in adults with epilepsy--estimates from the 2010
National Health Interview Survey.

Kobau R(1), Cui W(2), Kadima N(3), Zack MM(2), Sajatovic M(4), Kaiboriboon K(5), 
Jobst B(6).

Author information: 
(1)Centers for Disease Control and Prevention, National Center for Chronic
Disease Prevention and Health Promotion, Division of Population Health, Epilepsy 
Program, 4770 Buford Highway NE, MS K-78, Atlanta, GA 30341, USA. Electronic
address: rmk4@cdc.gov.
(2)Centers for Disease Control and Prevention, National Center for Chronic
Disease Prevention and Health Promotion, Division of Population Health, Epilepsy 
Program, 4770 Buford Highway NE, MS K-78, Atlanta, GA 30341, USA.
(3)SciMetrika, 100 Capitola Drive, Suite 106, Durham, NC 27713, USA.
(4)Neurological Outcomes Center, University Hospitals Case Medical Center, 10524 
Euclid Avenue, Cleveland, OH 44106, USA.
(5)San Francisco VA Medical Center, 4150 Clement St, Box 127-E, San Francisco, CA
94121-1545, USA.
(6)Geisel School of Medicine at Dartmouth, Department of Neurology,
Dartmouth-Hitchcock Epilepsy Center, One Medical Center Drive, Lebanon, NH 03756,
USA.

OBJECTIVE: This study provides population-based estimates of psychosocial health 
among U.S. adults with epilepsy from the 2010 National Health Interview Survey.
METHODS: Multinomial logistic regression was used to estimate the prevalence of
the following measures of psychosocial health among adults with epilepsy and
those without epilepsy: 1) the Kessler-6 scale of serious psychological distress;
2) cognitive limitation, the extent of impairments associated with psychological 
problems, and work limitation; 3) social participation; and 4) the
Patient-Reported Outcome Measurement Information System Global Health Scale.
RESULTS: Compared with adults without epilepsy, adults with epilepsy, especially 
those with active epilepsy, reported significantly worse psychological health,
more cognitive impairment, difficulty in participating in some social activities,
and reduced health-related quality of life (HRQOL).
CONCLUSIONS: These disparities in psychosocial health in U.S. adults with
epilepsy serve as baseline national estimates of their HRQOL, consistent with
Healthy People 2020 national objectives on HRQOL.

Published by Elsevier Inc.

DOI: 10.1016/j.yebeh.2014.08.002 
PMCID: PMC4564055
PMID: 25305435  [Indexed for MEDLINE]