title: Adjusting to a seizure-free "new normal" life following discontinuation of antiepileptic drugs during adolescence.
abstract: This qualitative study sought to understand how children in adolescence adjust to their newly acquired normal life without epilepsy, following discontinuation of antiepileptic drugs during this dynamic period of growth and development. Three major themes with subthemes were identified: 1) setting the body and mind free; 2) engaging in self-regulation; and 3) protection by significant others. A sense of relief from constraints related to treatment schedules, special diets, and avoiding seizure-provoking activities was expressed by all participants. Freedom from side effects of the antiepileptic drugs improved life at home and school. Most of the participants said that they were not worried about seizure recurrence but would use caution against a possible relapse. Family members also must adjust to a new lifestyle. Medical staff needs to provide support and adequate care to adolescents during their period of identity adjustment following antiepileptic drug discontinuation.
authors.affiliation: Pediatric Intensive Care Unit, Linkou Chang-Gung Memorial Hospital, Taiwan, ROC.
authors.forename: Ya-Ping
authors.initials: YP
authors.lastname: Chiu
authors.affiliation: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC. Electronic address: tzuying@ntunhs.edu.tw.
authors.forename: Tzu-Ying
authors.initials: TY
authors.lastname: Lee
authors.affiliation: Division of Pediatric Neurology, Department of Pediatrics, Chang-Gung Children's Hospital and Chang-Gung Memorial Hospital, Taoyuan, Taiwan, ROC.
authors.forename: Kuang-Lin
authors.initials: KL
authors.lastname: Lin
authors.affiliation: Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
authors.forename: Virginia L
authors.initials: VL
authors.lastname: Laadt
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use*; D002648:Child; D004827:Epilepsy / Q000188:drug therapy*; D005260:Female; D006801:Humans; D011379:Prognosis; D036301:Qualitative Research; D012008:Recurrence; D012074:Remission Induction; D012917:Social Adjustment; D012933:Social Identification; D028761:Withholding Treatment
chemical_list: D000927:Anticonvulsants
keywords: Adolescents; Antiepileptic drug; Discontinuation; Seizure-free