Occupational Balance,Self-Management,and Quality of Life in Adults With Epilepsy

Abstract

Occupational balance, self-management, and quality of life (QoL) are interrelated factors that play a critical role in well-being of individuals with epilepsy. This study examined the associations between occupational balance, self-management, and QoL in adults with epilepsy. A cross-sectional-study included 71 adults with epilepsy. Participants completed the Occupational Balance Questionnaire (OBQ), Epilepsy Self-Management Scale (ESMS), and Quality of Life in Epilepsy Inventory-31 (QOLIE-31). Data were analyzed using Spearman’s rank correlation. OBQ scores showed positive correlations with the ESMS total (r = .331, p < .01) and QOLIE-31 total (r = .251, p < .05). Moderate associations were also found with emotional well-being (r = .424, p < .01) and overall QoL (r = .425, p < .01). Findings suggest that facilitating a healthy balance of daily activities may enhance both emotional well-being and self-management in individuals with epilepsy. For occupational therapists, integrating occupation-centered strategies to foster balance may lead to meaningful improvements in self-care, independence, and long-term QoL, thereby providing clear and practical guidance for clinical interventions in epilepsy care.

Plain Language Summary

Understanding the Link between Routines, Self-Management, and Wellbeing in Epilepsy

Epilepsy is a condition that causes repeated seizures and can affect many areas of a person’s life, including their physical health, emotions, work, and social relationships. People with epilepsy often face challenges in managing their condition and living a balanced, satisfying life. In this study, we looked at how adults with epilepsy manage their condition, how balanced their daily lives are, and how these factors relate to their overall quality of life. We asked 71 people with epilepsy to fill out surveys about their daily routines, self-care habits, and well-being. We found that people who had a more balanced daily life—meaning they spent their time in a satisfying way across work, rest, social, and personal activities—also managed their epilepsy better and felt better overall. These findings show that helping people with epilepsy achieve a healthy balance in their everyday activities could improve how they feel and how they manage their condition. Occupational therapists can play an important role in supporting this balance.