Author

Chris Condon

Date of Award

1-1-2010

Document Type

Thesis

Degree Name

Master Of Arts In Clinical Psychology

Colleges & School

College Of Arts And Sciences

First Advisor

Joseph Cunningham, PhD

Library of Congress Subject Heading

Temporal lobectomy; Temporal lobe epilepsy; Postoperative period; Quality of life

Abstract

Purpose: To examine gender and lateralization seizure factors in relation to subjective quality of life reports using the Quality of Life in Epilepsy (QOLIE-31) assessment instrument. Methods: Archival data collected from 1994 to 2000 for 69 patients who underwent temporal lobectomy at the Regional Epilepsy Center at S1. Luke's Medical Center, Milwaukee, Wisconsin have been analyzed for gender, age, lateralization, education, and seizure freedom variables. Patients were tested pre-operatively and six months post with a full battery of assessment instruments. Data from the Quality of Life in Epilepsy (QOLIE-31) have been analyzed for significant differences using SPSS version 14.0. Results: Gender differences did not reach significant levels, but right lobectomy patients reported a greater improvement on subjective cognitive scores on the QOLIE-31 than patients who underwent left lobectomy. Age analyses did not prove significant, but interaction effects were found for age and education levels. Seizure free groups reported significant improvement on overall quality of life scores. Conclusions: Subjective quality of life after temporal lobectomy can be heavily influenced by other mental and physical health issues (anxiety, depression, and physical illnesses) despite seizure relief. Pre-surgery assessments should include testing for mental and physical illness that could influence subjective post-surgery quality of life outcome. Overall, seizure relief was the best indicator of improved subjective quality of life for the temporal lobectomy patient.

Rights

On-Campus Access

OCLC Number

708653759.00

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