caa a22 4500 445807253 CHVBK 20180317145200.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00415-010-5677-2 doi (NATIONALLICENCE)springer-10.1007/s00415-010-5677-2 Coping style and quality of life in patients with epilepsy: a cross-sectional study [Elektronische Daten] [Willemien Westerhuis, Maeike Zijlmans, Kathelijn Fischer, Judith van Andel, Frans Leijten] Having epilepsy has a large impact on one's well-being, but often seizure frequency and severity do not explain self-reported quality of life. We hypothesized that one's personal coping style is more important. In this study, 105 patients attending the outpatient neurological clinic at the University Medical Centre in Utrecht, the Netherlands, with a diagnosis of partial epilepsy, aged 17-80years, completed questionnaires. Demographic information, disease characteristics, health-related quality of life (HRQoL), and coping styles were obtained by postal-validated HRQoL questionnaires: the EQ5D and RAND-36 and the Utrecht Coping List. A passive coping style explained 45% of the variance in the mental component of HRQoL and was more important than ‘objective' seizure-related measures. Confounders such as employment, gender, and side-effects of treatment explained another 6%. Passive coping style also influenced the physical component of the HRQoL, but here seizure-related factors predominated. Overall, epilepsy patients showed a more avoiding coping style, and female patients a less active coping style and more reassuring thoughts, compared to the Dutch population. The personal coping style of patients appears to be more important than seizure-related measures in predicting mental aspects of quality of life. Coping style characteristics rather than disease characteristics should guide clinical decision-making in patients with epilepsy. Further studies should investigate the effect on HRQoL of behavioral interventions to improve coping. The Author(s), 2010 Health related quality-of-life nationallicence Coping nationallicence Epilepsy nationallicence UCL nationallicence RAND-36 nationallicence Westerhuis Willemien Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut Zijlmans Maeike Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut Fischer Kathelijn Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands aut van Andel Judith Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut Leijten Frans Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut Journal of Neurology Springer-Verlag 258/1(2011-01-01), 37-43 0340-5354 258:1<37 2011 258 415 https://doi.org/10.1007/s00415-010-5677-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00415-010-5677-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Westerhuis Willemien Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Zijlmans Maeike Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Fischer Kathelijn Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- van Andel Judith Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Leijten Frans Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands aut NATIONALLICENCE 773 0- Journal of Neurology Springer-Verlag 258/1(2011-01-01), 37-43 0340-5354 258:1<37 2011 258 415 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer