Augustine E A, Novelly R A, Mattson R H, Glaser G H, Williamson P D, Spencer D D, Spencer S S
Ann Neurol. 1984 Jan;15(1):68-72. doi: 10.1002/ana.410150113.
Occupational adjustment was investigated in a group of 32 adult epileptic patients followed for 1 to 10 years after cortical resection for intractable seizures. An employment status rating was assigned according to the following scale: (1) employed (working 75 to 100% of full time); (2) underemployed (25 to 74%); and (3) unemployed (0 to 24%). The number of patients employed increased from 14 to 23, whereas the number of underemployed decreased from 8 to 0. The unemployed group showed little change. An improvement or maintenance of employment status was correlated directly with improved postoperative seizure control. Conversely, poor occupational adjustment was often associated with fair or poor seizure control following operation. Unemployment was also related to the presence of preoperative psychiatric disorders, a history of past unemployment, and cognitive disturbances affecting nondominant hemisphere function. Although improvement in seizure control is important, this investigation suggests it is only one of many influences on the occupational adjustment of patients following surgical treatment of epilepsy.
对一组32名成年癫痫患者进行了职业适应情况调查，这些患者在因顽固性癫痫接受皮质切除术后随访了1至10年。根据以下标准进行就业状况评级：(1) 就业（全职工作75%至100%）；(2) 就业不足（25%至74%）；以及(3) 失业（0至24%）。就业患者的数量从14人增加到23人，而就业不足的患者数量从8人减少到0人。失业组变化不大。就业状况的改善或维持与术后癫痫控制的改善直接相关。相反，职业适应不良往往与术后癫痫控制尚可或较差有关。失业还与术前精神障碍的存在、过去的失业史以及影响非优势半球功能的认知障碍有关。虽然癫痫控制的改善很重要，但这项调查表明，它只是影响癫痫手术治疗后患者职业适应的众多因素之一。
