OBJECTIVE Adolescents with epilepsy are known to have a lower quality of life (QoL) than the typically developing adolescent population. In order to address this, treating physicians have primarily focused on obtaining seizure control. However, growing evidence suggests a strong relation between QoL and mental health in adults with epilepsy and other chronic conditions. Given the high rate of mental health issues in transition-aged adolescents with epilepsy, this study aimed to examine the relation between QoL and mental health. METHODS Baseline data from 107 transition-aged adolescents (M = 16.08 years; 52 males, 55 females) enrolled in an epilepsy transition clinic were analyzed for this study. RESULTS Analysis found that over 56% of participants showed some signs of mental illness, and that these participants had significantly lower QoL scores than those without mental health issues. Furthermore, regression analysis found that both depression and anxiety remained significant, independent predictors of QoL, even when significant epilepsy and demographic variables were accounted for (t(99) = -1.28, p < .001 and t(99) = -1.10, p = .002, respectively). SIGNIFICANCE Results suggest that in order to ensure best outcomes for these adolescents, it may be important for clinicians to take a holistic approach to treatment, managing and treating both seizures and mental health concerns.

中文翻译：

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心理健康对提高过渡期癫痫患者生活质量的重要性

目标 已知患有癫痫症的青少年的生活质量 (QoL) 低于通常发育的青少年人群。为了解决这个问题，治疗医生主要集中在获得癫痫控制。然而，越来越多的证据表明，癫痫和其他慢性病患者的 QoL 与心理健康之间存在密切关系。鉴于患有癫痫症的过渡年龄青少年心理健康问题的发生率很高，本研究旨在检查生活质量与心理健康之间的关系。方法 本研究分析了来自癫痫过渡诊所的 107 名过渡年龄青少年（M = 16.08 岁；52 名男性，55 名女性）的基线数据。结果 分析发现，超过 56% 的参与者表现出一些精神疾病的迹象，并且这些参与者的 QoL 得分明显低于没有心理健康问题的参与者。此外，回归分析发现抑郁和焦虑仍然是生活质量的显着独立预测因子，即使考虑到显着的癫痫和人口统计学变量（t(99) = -1.28，p < .001 和 t(99) = -1.10， p = .002，分别）。意义 结果表明，为了确保这些青少年的最佳结果，临床医生采取整体方法来治疗、管理和治疗癫痫和心理健康问题可能很重要。即使考虑到显着的癫痫和人口统计学变量（分别为 t(99) = -1.28, p < .001 和 t(99) = -1.10, p = .002）。意义 结果表明，为了确保这些青少年的最佳结果，临床医生采取整体方法来治疗、管理和治疗癫痫和心理健康问题可能很重要。即使考虑到显着的癫痫和人口统计学变量（分别为 t(99) = -1.28, p < .001 和 t(99) = -1.10, p = .002）。意义 结果表明，为了确保这些青少年的最佳结果，临床医生采取整体方法来治疗、管理和治疗癫痫和心理健康问题可能很重要。