Use of the International classification of functioning, disability and health to assess social adaptation in epilepsy and migraine in women of reproductive age

The aim of the work is to conduct a comparative analysis of the functioning and limitations of life in migraine and epilepsy in women of reproductive age according to the parameters of the main spheres of life of the ICF on the model of «Job and employment».
Materials and methods. The study included 240 women of reproductive age from 18 to 45 years. The first group consisted of patients with verified epilepsy, the second group — with migraine. Clinical and neurological method was used. The following indicators were evaluated: employment, causes of unemployment, disability. The patient profile in the categories of ICF is filled in according to the results of the clinical interview, anamnesis method and analysis of the patient’s medical records, neurological examination data and instrumental studies.
Results. The cohort of patients with migraine compared to the cohort of epilepsy was characterized by later onset of the disease, older age but also a longer duration of the disease. 30 % (45/150) of patients in group 1 and 20 % (18/90) of group 2 did not work or study. 23 % of patients in group 1 had disabilities but in group 2–0 %. In the group of patients with migraine the disturbance of capacity prevailed in 2–3 points that are moderate and severe difficulties — in 33 % and 44 % of cases respectively. In patients with epilepsy significantly more frequent disturbance of capacity corresponded to 1 point and 3 points that are difficulties capacity were light in 33 % and severe in 42 % of patients. Moderate impairment of capacity in the performance of labor activity in the group of patients with epilepsy was in 18 % of cases.
Conclusion. The difference between potential ability and realization reflects the differences in the influence of factors of the real and typical environment, and thus indicates the direction of socio-economic development of the environment in order to more fully realize the individual. ICF is a useful tool for the formation of a personalized approach in the treatment of neurological diseases and biopsychosocial rehabilitation model.

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