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24-11-2022

The relationship between memory and quality of life is mediated by trait anxiety in patients with temporal lobe epilepsy

Auteurs: Irene Cano-López, Alejandro Lozano-García, Judit Catalán-Aguilar, Kevin G. Hampel, Vicente Villanueva, Esperanza González-Bono

Gepubliceerd in: Quality of Life Research | Uitgave 3/2023

Abstract

Purpose

Memory deficits are very frequent in patients with drug-resistant epilepsy, but they predict a small proportion of variance of their quality of life (QOL) in previous studies, possibly due to the lack of consideration of mediating factors of this relationship. This study aimed to examine whether trait anxiety mediates the relationship between memory and QOL in this population, controlling the influence of demographic and seizure-related factors.

Methods

In this cross-sectional study, 119 adults with drug-resistant temporal lobe epilepsy (TLE) underwent a neuropsychological evaluation, in which memory, anxiety, and QOL were assessed.

Results

In the total sample, better delayed memory had an effect on better QOL indirectly through lower trait anxiety (B = 0.13, SE = 0.06, p = 0.04, ab_cs = 0.13; κ² = 0.18; PM_ind = 0.76). Additionally, delayed memory has not a direct association with QOL (B = 0.04, SE = 0.09, p = 0.64, Cohen’s f ² = 0.005; PM_dir = 0.24), and the total effect of delayed memory on QOL tended to reach statistical significance (B = 0.17, SE = 0.10, p = 0.08). The proposed mediation model yielded excellent fit (CFI = 1.00, RMSEA = 0.0001, SRMR = 0.009, and χ² (1) = 0.50, p = 0.48) and explained 38% of the variance of QOL.

Conclusion

These findings suggest that trait anxiety is an important factor in understanding the relationship between memory and QOL in patients with TLE, considering the influence of demographic and seizure-related variables, and may have relevant implications for decision-making in this population.

vorige artikel The bidirectional longitudinal association between health-related quality of life and academic performance in adolescents: DADOS study

volgende artikel PROMIS-29 and EORTC QLQ-C30: an empirical investigation towards a common conception of health

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Titel: The relationship between memory and quality of life is mediated by trait anxiety in patients with temporal lobe epilepsy
Auteurs: Irene Cano-López
Alejandro Lozano-García
Judit Catalán-Aguilar
Kevin G. Hampel
Vicente Villanueva
Esperanza González-Bono
Publicatiedatum: 24-11-2022
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 3/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03306-9

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