The assessment and treatment of concerns and anxiety in patients undergoing presurgical monitoring for epilepsy.
OBJECTIVE
This study investigated the impact of a treatment information package on patients being monitored for possible surgical treatment for temporal lobe epilepsy.


METHODS
One hundred patients were randomly assigned to either a high- or low-information preparation condition. Levels of anxiety were tested soon after admission by using the Hospital Anxiety and Depression Scale (HADS), The State-Trait Anxiety Inventory (STAI), and a newly devised questionnaire to assess specific concerns and anxieties of epilepsy patients presenting for monitoring and surgery, the Concerns About Epilepsy Monitoring Questionnaire (CAEMQ). Dispositional desire for information was assessed by the Miller Behavioural Style Scale (MBSS) to investigate whether coping disposition affected coping styles in the hospital setting. Patients assigned to the high-information condition were exposed to an intervention package, which included viewing a video depicting two separate interviews with patients who had undergone surgery as well as an information package, which described the various tests that the patient would undergo in the course of the monitoring procedure. Patients assigned to the low-information group were given information that the hospital provided to all patients in their care. All subjects were then retested on anxiety levels a few days later.


RESULTS
Those in the high-information group showed a significant decrease in anxiety and depression levels compared with those in the low-information group.


CONCLUSIONS
Within the main findings, an effect of dispositional style was found. Identification as either a monitor or blunter on the MBSS showed different coping strategies on arrival in hospital as measured by the CAEMQ, indicating that the level of information given to patients with epilepsy on arrival needs to be mediated by awareness of these two dispositional styles so that they obtain maximal benefit from the information to which patients with epilepsy are exposed.
Andrewes
D
D
Department of Psychology, University of Melbourne, Parkville, Victoria, Australia.
Camp
K
K
Kilpatrick
C
C
Cook
M
M
D000223:Adaptation, Psychological; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology*; D001294:Attitude to Health; D003674:Defense Mechanisms; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis / Q000523:psychology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods*; D010555:Personality Inventory / Q000706:statistics & numerical data; D011300:Preoperative Care; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014743:Videotape Recording