The 'make or break' impact of family dynamics on psychological outcomes in focal epilepsy.

These findings suggest that adults whose epilepsy commenced in childhood are likely to have extreme family dynamics characterised by either being brought closer together or driven apart. Extremely close families appear highly adaptive for people with epilepsy, bringing benefits for mood and QOL not seen in their caregivers nor controls. The results provide strong empirical support for the value of an emotionally supportive family when living with epilepsy, and suggest that fostering healthy connections within epilepsy families can optimise long-term patient wellbeing.