[Problems in the socio-occupational adaptation of patients with focal epilepsy].
A long-term follow up of 309 patients with various forms of focal epilepsy receiving conservative treatment was undertaken to determine the possibilities of their social and occupational adaptation. Lowered working capacity and a drastic increase in the number of the non-workers and the disabled were typical of epileptics with the disease of ten years' duration or over. Less favourable in terms of patients' adaptation is temporal epilepsy, particularly in its late stage which is characterized by the loss of typical focal elements in paroxysms and by progressive psychic degradation. The presence of demonstrable aural phenomena during paroxysms facilitates the process of social and occupational adaptation. Prolonged periods of patients' non-involvement in any socially useful employment have a negative effect on the course of the disease as a whole. Preserved working capacity is a determining factor in normalizing family-everyday relations. Even though epilepsy runs a prolonged course, patients can and should continue with their studies.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004651:Employment; D004828:Epilepsies, Partial / Q000150:complications / Q000523:psychology*; D004833:Epilepsy, Temporal Lobe / Q000150:complications / Q000523:psychology; D005500:Follow-Up Studies; D006801:Humans; D001523:Mental Disorders / Q000150:complications; D012050:Rehabilitation, Vocational; D012917:Social Adjustment; D013997:Time Factors
Voprosy sotsial'no-trudovoĭ adaptatsii bol'nykh fokal'noĭ épilepsieĭ.