Outcome of temporal lobectomy: expectations and the prediction of perceived success

摘要: Abstract Purpose: This study examined the independent contributions of medical and psychosocial factors to perceived surgical success. We aimed develop a multidimensional model predictive outcome. Methods: Fifty anterior temporal lobectomy (ATL) patients were prospectively assessed, using formally coded, semi-structured clinical interview. has been routinely administered pre- post-operatively as part larger, nationwide Australian ATL patients. The interview covers broad range epileptological, psychiatric, neuropsychological issues. Variables from these domains in relation patient's perception success at 6-month post-operative review. Results: that correlated with analysed principal components analysis multiple regression. A emerged, which highlighted multidimensionality Independent effects observed for both factors. These included patients' pre-operative expectations surgery, their seizure outcome, affective state. findings also importance discarding sick role behaviours associated chronic epilepsy, after surgery. Conclusions: Traditional outcome measures (seizure frequency, affect) are significant evaluation traditional measures, however, do not account process adjustment surrounding involves two major components: (1) positive anticipation change prior (2) learning discard roles epilepsy