Life satisfaction in women with epilepsy during and after pregnancy |
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| Affiliation: | 1. Department of Clinical Medicine, Section for Neurology, University of Bergen, Norway;2. Department of Neurology, Haukeland University Hospital, Bergen, Norway;3. Department of Public Health and Primary Health Care, University of Bergen, Norway;4. Medical Birth Registry of Norway, Division of Epidemiology, Norwegian Institute of Public Health, Bergen, Norway;1. University of Nottingham, Institute of Work, Health & Organisations, Yang Fujia Building, Jubilee Campus, Wollaton Road, Nottingham NG8 1BB, UK;2. School of Social and Behavioral Sciences, Arizona State University, 4701 W. Thunderbird Road, MC 3051, Glendale, AZ 85306, USA;3. Trent Doctorate in Clinical Psychology, Health, Life and Social Sciences, University of Lincoln, Brayford Pool, Lincoln, Lincolnshire LN6 7TS, UK;4. Clinical Psychology Unit, Department of Psychology, University of Sheffield, Western Bank, Sheffield S10 2TN, UK;5. Academic Neurology Unit, University of Sheffield, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK;1. Epilepsy Center-Child Neuropsychiatry Unit, ASST Santi Paolo Carlo, San Paolo Hospital, Milan, Italy;2. Department of Health Sciences, University of Milan, Italy;3. Department of Psychoncology, University of Milan, Italy;4. University of Wolverhampton, West Midlands, UK;5. European Institute of Oncology, Department of Psychoncology, University of Milan, Italy;1. Department of Nutrition and Metabolism in Cardiovascular Disease, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan;2. Department of Respiratory and Nervous System Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan;3. Hara Clinic, Yokohama, Japan;4. Faculty of Education and Humanities, Department of Psychology, Jumonji University, Japan;5. Comprehensive Reproductive Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan;6. Division of Maternal and Fetal Medicine, Perinatal Medicine Center, Dokkyo Medical University, Japan;7. Department of Neurosurgery, Tokyo Medical and Dental University, Japan;8. Department of Life Science and Bioethics, Graduate School of Medicine, Tokyo Medical and Dental University, Japan |
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| Abstract: | ObjectiveThe aim of this study was to investigate life satisfaction in women with epilepsy during and after pregnancy.MethodsThe study was based on the Norwegian Mother and Child Cohort Study, including 102,265 women with and without epilepsy from the general population. Investigation took place at pregnancy weeks 15–19 and 6 and 18 months postpartum. Women with epilepsy were compared with a reference group without epilepsy.ResultsThe proportion of women with epilepsy was 0.6–0.7% at all three time points. Women with epilepsy reported lower life satisfaction and self-esteem both during and after pregnancy compared with the references. Single parenting correlated negatively with life satisfaction in epilepsy during the whole study period. Epilepsy was associated with lower levels of relationship satisfaction and higher levels of work strain during pregnancy and lower levels of self-efficacy and satisfactory somatic health 18 months postpartum. Adverse life events, such as divorce, were more common in women with epilepsy compared with the references, and fewer women with epilepsy had a paid job 18 months postpartum.SignificanceReduced life satisfaction associated with epilepsy during and after pregnancy showed that, even in a highly developed welfare society, women with epilepsy struggle. Mothers with epilepsy and their partners should be examined for emotional complaints and partnership satisfaction during and after pregnancy. Validated screening tools are available for such measures. |
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