Quality of life in childhood epilepsy validating the qolce online dating master class


14-Sep-2016 15:42

quality of life in childhood epilepsy validating the qolce-9

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Up to 50% of youths with epilepsy experience developmental (eg, autism, ADHD), psychiatric (depression, anxiety), and/or neurocognitive comorbidities.

Even in youth without comorbid clinical diagnoses, epilepsy can impact daily functioning such as social difficulties, worries about seizures, activity level, stigma, and treatment nonadherence.

Behavioral health care is the practice of integrating the care of mental health and substance abuse disorders, health behaviors and their contribution to chronic medical illnesses, life stressors and crises, stress-related physical symptoms, and ineffective patterns of health care utilization, into comprehensive health care.Therefore, behavioral health screening, referral, and possible intervention are salient at or near diagnosis as well as throughout the course of epilepsy care.It is also important to consider the developmental level of the youth and how involved in his or her own care and epilepsy management the young patient can be.Youths at increased risk, such as those with treatment-resistant epilepsy, psychiatric (anxiety, depression), developmental (attention), or cognitive (eg, cognitive or memory impairments) symptoms, and children with adherence or other self-management difficulties are of special concern.

At this level, screening for particular problems is necessary (eg, focus on depression screening if depressive symptoms are indicated).Independence with epilepsy management will assist with readiness to transition to adult care.