A five-point scale for assessing the quality of life of patients with epilepsy
https://doi.org/10.14412/2074-2711-2024-1-71-74
Abstract
The main goal of epilepsy therapy is to improve the patient’s quality of life (QoL), which is a holistic indicator that reflects satisfaction with life in various areas. Currently existing questionnaires: QOLIE-89, QOLIE-31 and QOLIE-10 are adapted for use in Russia, but require a certain, sometimes considerable amount of time to complete them and then process. The five-point scale for assessing the QoL of epilepsy patients (SCALE 5) requires answering only one question: “Grade your general well-being on a five-point school scale at this moment?” and allows to get the necessary information in seconds, without using special forms and calculation formulas. The QoL is assessed by analogy with a Russian five-point school grading system, where 5 is an excellent grade, 4 is good etc. The resulting score serves as an immediate guideline for the doctor for further treatment of the patient: with a score of 3 (satisfactory), the cause of the reduced QoL should be identified and corrected (whether it is related to the illness, adverse events, anxiety/depression, etc.), and with scores of 2 and 1, immediate intervention is required: correction of therapy, consultation with a psychiatrist, possibly hospitalization. Here we present the results of more than 25 years of using SCALE 5. SCALE 5 is easy for patients to understand and for clinicians to use in the limited time of an outpatient appointment. The typical clinical scenarios and practical recommendations for determining the SCALE 5 score presented in the article are intended to facilitate the work of specialists in the fields of neurology, epileptology and psychiatry.
About the Authors
P. N. VlasovRussian Federation
20, Delegatskaya St., Build. 1, Moscow 127473
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
V. A. Karlov
Russian Federation
20, Delegatskaya St., Build. 1, Moscow 127473
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
I. A. Zhidkova
Russian Federation
20, Delegatskaya St., Build. 1, Moscow 127473
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
A. O. Khabibova
Russian Federation
20, Delegatskaya St., Build. 1, Moscow 127473
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
A. M. Azhigova
Russian Federation
20, Delegatskaya St., Build. 1, Moscow 127473
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
V. A. Kharkovsky
Russian Federation
20, Delegatskaya St., Build. 1, Moscow 127473
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
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Review
For citations:
Vlasov PN, Karlov VA, Zhidkova IA, Khabibova AO, Azhigova AM, Kharkovsky VA. A five-point scale for assessing the quality of life of patients with epilepsy. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2024;16(1):71-74. (In Russ.) https://doi.org/10.14412/2074-2711-2024-1-71-74