Psychology and Neuropsychology Unit, Institute of Psychiatry, University of São Paulo, Medical School (IPq-HC-FMUSP), São Paulo, Brazil.
Epilepsy Behav. 2011 Jan;20(1):89-94. doi: 10.1016/j.yebeh.2010.10.033. Epub 2010 Dec 8.
Despite the growing evidence of poor psychosocial adjustment, at present there is no formal method of assessment of social adjustment in patients with temporal lobe epilepsy (TLE). First, we assessed social adjustment in patients with TLE using a self-report questionnaire and compared the results with those from quality-of-life (QOL) scales. Second, we verified the influence of cognitive performance and clinical variables of epilepsy on social adjustment and QOL. We evaluated 35 people with TLE and 38 healthy controls. Patients had worse social adjustment, and it was correlated with worse perception of cognitive function. Attention and verbal memory dysfunctions were negatively correlated with social adjustment. However, there was no significant correlation between cognitive performance and QOL. Regarding clinical variables, persons with left TLE showed worse social adjustment and patients with frequent seizures showed worse QOL. These findings indicate the relevance of evaluating social adjustment and emphasize the importance of cognitive rehabilitation to improved social adjustment.
尽管越来越多的证据表明颞叶癫痫（TLE）患者的心理社会适应不良，但目前尚无评估 TLE 患者社会适应的正式方法。首先，我们使用自我报告问卷评估了 TLE 患者的社会适应能力，并将结果与生活质量（QOL）量表的结果进行了比较。其次，我们验证了认知表现和癫痫临床变量对社会适应和 QOL 的影响。我们评估了 35 名 TLE 患者和 38 名健康对照者。患者的社会适应能力较差，与认知功能的感知较差相关。注意力和言语记忆功能障碍与社会适应不良呈负相关。然而，认知表现与 QOL 之间没有显著相关性。关于临床变量，左侧 TLE 的患者社会适应能力较差，癫痫发作频繁的患者 QOL 较差。这些发现表明评估社会适应的相关性以及认知康复对改善社会适应的重要性。
