Causal attributions for seizures: Relation to preoperative psychological adjustment and postoperative psychosocial function in temporal lobe epilepsy |
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| Institution: | 1. From the Department of Psychology University Hospital, University of Western Ontario, London, Ontario, Canada;2. From the Department of Clinical Neurological Sciences, University Hospital, University of Western Ontario, London, Ontario, Canada;3. Oral and Dental Research Division, Department of Surgery and Medicine, National Research Center, Egypt;4. Department of Biological Sciences, Rabigh College of Science and Arts, King Abdulaziz University, Jeddah, Saudi Arabia;5. Department of Anatomy, Mansoura Faculty of Medicine, Mansoura, Egypt;6. Department of Ophthalmology, King Saud University, Riyadh, Saudi Arabia;1. School of Psychology, The University of Sydney, NSW 2006, Australia;2. Children''s Hospital Education Research Institute, The Children''s Hospital at Westmead and Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Australia;3. T.Y. Nelson Department of Neurology and Neurosurgery, The Children''s Hospital at Westmead, Sydney, Australia;4. ARC Centre of Excellence in Cognition and its Disorders, Australia;1. BrainNow Research Institute, Shenzhen, China;2. Department of Radiology, Sanbo Brain Hospital, Capital Medical University, China;3. Department of Pathology, Sanbo Brain Hospital, Capital Medical University, China;4. Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, China;5. Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China |
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| Abstract: | In a sample of 65 epilepsy patients who were temporal lobectomy candidates, the links between causal attributions, learned resourcefulness, and preoperative psychosocial adjustment were explored. In addition, attributions as predictors of objective 2-year postoperative psychosocial outcomes were examined prospectively. With illness severity controlled for, attribution of seizures to stress factors and low learned resourcefulness were predictive of poor psychosocial adjustment preoperatively. Taking personal responsibility for seizure occurrence (self-blame) was associated with better psychosocial adjustment. At 2 years, patients were divided into three groups: (a) postoperative seizure-free (n = 21), (b) postoperative not seizure-free (n = 19), and (c) nonoperated controls (n = 25). Seizure-free outcome status was associated with better psychosocial outcome. Of greater interest was the predictive value of preoperative attributions. As expected, attributions involving personal responsibility were predictive of postoperative full-time employment and receipt of disability benefits. The data enhance understanding of the ways in which patients with epilepsy manage the challenges they face and enhance the psychometric prediction of psychosocial behavioral outcomes after epilepsy surgery. |
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