Current status of stigma of disease in patients with epilepsy and its influencing factors_Journal of Epilepsy

Authors：

WANG Yanan ¹ ,  WU Zhijun ²

1. Department of Neurosurgery, thte Affiliated of Brain Hospital of Guangzhou Medical University, Guangzhou 510370, China;
2. Department of Neurology, the Affiliated of Brain Hospital of Guangzhou Medical University, Guangzhou 510370, China;

Corresponding?author：

WU Zhijun, Email: 739012708@qq.com

Keywords：

Epilepsy; Sense of shame; Influencing factors; Social avoidance and distress; Self-concealment; Self-esteem

DOI：

10.7507/2096-0247.202311013

Video：

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Objective To analyze the current the sense of shame and its influencing factors in patients with epilepsy. Methods The research subjects selected information from 103 epilepsy patients who were hospitalized at the Affiliated Brain Hospital of Guangzhou Medical University from January 1, 2023 to December 31, 2023. The self-made General Information Questionnaire, social impact scale (SIS), social avoidance and distress scale, self-concealment scale and self-esteem scale were used to collect information. Pearson method was used to analyze the correlation between the score of SIS and the scores of social avoidance and distress scale, self-concealment scale and self-esteem scale Multiple linear regression model was used to analyze the factors affecting SIS score.Statistically, P<0.05 was considered statistically significant. Results The score of SIS was (58.40±12.649) .According to statistical analysis of Pearson’s results, the SIS score of patients with epilepsy was found to be positively correlated with the scores in the three tables above (all P<0.05). Multiple Regression analysis analysis showed that family income, social avoidance and distress scale, self-concealment scale and self-esteem scale were the influential factors of SIS score in epilepsy patients (all P<0.05). Conclusion Clinical workers should pay close attention to the psychological changes of patients with epilepsy and do a good job in psychological nursing, so as to improve the quality of life of patients.

Citation： WANG Yanan, WU Zhijun. Current status of stigma of disease in patients with epilepsy and its influencing factors. Journal of Epilepsy, 2024, 10(1): 32-38. doi: 10.7507/2096-0247.202311013 Copy

1.	Thijs R , Surges R , O'Brien T, et al. Epilepsy in adults. Lancet (London, England), 2019, 393(10172): 689-701.
2.	Linda, Kalilani, Xuezheng, et al. The epidemiology of drug-resistant epilepsy: a systematic review and meta-analysis. Epilepsia, 2018, 59(12): 2179-2193.
3.	程歡, 唐興華, 浦政, 等. 成年女性癲癇患者生活質量的影響因素分析. 中國臨床神經科學, 2019, 27(2): 155-161.
4.	Sinha S , Siddiqui KA . Definition of intractable epilepsy. Neurosciences, 2011, 16(1): 3-9.
5.	Benson A , O’Toole, Stephanie, Lambert V , et al. The stigma experiences and perceptions of families living with epilepsy: Implications for epilepsy-related communication within and external to the family unit. Patient Education and Counseling, 2016, 99(9): 1473-1481.
6.	佐桂芳, 孫磊, 劉召英. 護理干預對癲癇患者家屬心理狀態的影響. 齊魯護理雜志, 2012, 18: 118-119.
7.	宋秀峰. 癲癇患兒家長的抑郁水平與其癲癇知識知曉度的相關性分析. 中國實用護理雜志, 2012, 28(15): 2.
8.	Romon EDB, Denys S, Ali RS. Factors associated with increased felt stigma among individuals with epilepsy. Seizure, 2015, 30: 106-112.
9.	Ak PD, Atakli D, Yuksel B, et al. Stigmatization and social impacts of epilepsy in Turkey. Epilepsy Behav, 2015(50): 50-54.
10.	Wesley KM , Zhao M , Carroll Y , et al. Caregiver perspectives of stigma associated with sickle cell disease in adolescents. Journal of Pediatric Nursing, 2016, 31(1): 55-63.
11.	Kleinman A, Wang WZ, Li SC, et al. The social course of epilepsy: chronic illness as social experience in interior China. Soc Sci Med, 1995, 40(10): 1319-1330.
12.	王艷. 結腸造口患者病恥感對社交回避和苦惱影響的路徑研究. 青島大學, 碩士學位論文, 2018.
13.	張芳, 李曉萍, 曾慶枝, 等. 病恥感量表現狀. 醫學綜述, 2015, 21(2): 286-288.
14.	Stuber J, Meyer I, Link B. Stigma, prejudice, discrimination and health. Soc Sci Med, 2008, 3(67): 351-357.
15.	Von C, Brener L, Horwitz R. Implicit and explicit internalized stigma relationship with risky. Addict Behav, 2017, 76: 305.
16.	齊玲, 王婧, 楊梅, 等. 自我隱瞞與健康關系研究現況及發展趨勢. 中國社會醫學雜志, 2015, 32(1): 45-47.
17.	Larson DG, Chastain RL. Self-concealment: conceptualization, measurement, and health implications. J Soc Clin Psychol, 1990, 4(9): 439-455.
18.	Danielsen A, Soerensen E, Burcharth K, et al. Impact of a temporary stoma on patients' everyday lives: feelings of uncertainty while waiting for closure of the stoma. J Clin Nurs, 2013, 9(22): 1343-1352.
19.	雷丹. 自尊及社會比較方向對比較維度重要性評價的影響. 重慶: 西南大學, 碩士學位論文, 2010.
20.	原靜民, 張俊娥, 鄭美春, 等. 結腸造口患者自尊的研究進展. 廣東醫學, 2017, 38(19): 3045-3048.
21.	李真. HIV/AIDS患者感知歧視現狀調查及影響因素研究. 北京協和醫學院中國醫學科學院北京協和醫學院中國醫學科學院清華大學醫學部, 碩士學位論文, 2015.
22.	洪幼娟, 宋興川. 自尊對自尊需要與社交焦慮的調節與中介作用. 中國健康心理學雜志, 2014, 22(2): 285-287.
23.	柯曉生. 吡侖帕奈在2~12歲中國漢族兒童藥物難治性癲癇添加治療中的療效和安全性研究. 福建醫科大學, 碩士學位論文, 2021.
24.	陳曉宇. 乳腺癌化療患者社交回避與苦惱現狀及其影響因素研究. 華北理工大學, 碩士學位論文, 2019.
25.	朱玉博. 青少年依戀, 恐懼憐憫與社交焦慮的關系及教育對策. 河南大學, 碩士學位論文, 2019.
26.	陳秀萍, 李冬平, 鄒颯楓. 癲癇疾病患者遭受社會歧視的現狀及其原因與對策分析. 實用預防醫學, 2010, 17(12): 3-9.
27.	Elafros MA, Bowles RP, Atadzhanov M, et al. Reexamining epilepsy-associated stigma: validation of the Stigma Scale of Epilepsy in Zambia. Qual Life Res, 2015, 24(6): 1483-1489.
28.	Gzirishvili N, Kasradze S, Lomidze G, et al. Knowledge, attitudes, and stigma towards epilepsy in different walks of life: a study in Georgia. Epilepsy Behav, 2013, 27(2): 315-318.
29.	Guo W, Wu J, Wang W, et al. The stigma of people with epilepsy is demonstrated at the internalized, interpersonal and institutional levels in a specific sociocultural context: findings from an ethnographic study in rural China. Epilepsy Behav, 2012, 25(2): 282-288.
30.	Bifftu BB, Dachew BA, Tiruneh BT. Perceived stigma and associated factors among people with epilepsy at Gondar University Hospital, Northwest Ethiopia: a cross-sectional institution based study. Afr Health Sci, 2015, 15(4): 1211-1219.
31.	吳春風, 陳小燕, 郭巧靜. 癲癇患兒羞恥感現狀調查及其影響因素分析. 護理實踐與研究, 2019, 16(20): 121-123.
32.	謝安娜, 張洪梅. 學齡期癲癇患兒羞恥感調查及相關因素分析. 護理實踐與研究, 2020, 17(10): 14-16.
33.	秦艷, 代夢瑤, 周農. 成人癲癇患者病恥感的特點及其與生態學執行功能的相關性研究. 安徽醫科大學學報, 2021.
34.	徐芳芳. 直腸癌永久性腸造口患者病恥感與應對方式、造口適應、生活質量的相關性研究. 安徽醫科大學, 碩士學位論文, 2016.

1. Thijs R , Surges R , O'Brien T, et al. Epilepsy in adults. Lancet (London, England), 2019, 393(10172): 689-701.
2. Linda, Kalilani, Xuezheng, et al. The epidemiology of drug-resistant epilepsy: a systematic review and meta-analysis. Epilepsia, 2018, 59(12): 2179-2193.
3. 程歡, 唐興華, 浦政, 等. 成年女性癲癇患者生活質量的影響因素分析. 中國臨床神經科學, 2019, 27(2): 155-161.
4. Sinha S , Siddiqui KA . Definition of intractable epilepsy. Neurosciences, 2011, 16(1): 3-9.
5. Benson A , O’Toole, Stephanie, Lambert V , et al. The stigma experiences and perceptions of families living with epilepsy: Implications for epilepsy-related communication within and external to the family unit. Patient Education and Counseling, 2016, 99(9): 1473-1481.
6. 佐桂芳, 孫磊, 劉召英. 護理干預對癲癇患者家屬心理狀態的影響. 齊魯護理雜志, 2012, 18: 118-119.
7. 宋秀峰. 癲癇患兒家長的抑郁水平與其癲癇知識知曉度的相關性分析. 中國實用護理雜志, 2012, 28(15): 2.
8. Romon EDB, Denys S, Ali RS. Factors associated with increased felt stigma among individuals with epilepsy. Seizure, 2015, 30: 106-112.
9. Ak PD, Atakli D, Yuksel B, et al. Stigmatization and social impacts of epilepsy in Turkey. Epilepsy Behav, 2015(50): 50-54.
10. Wesley KM , Zhao M , Carroll Y , et al. Caregiver perspectives of stigma associated with sickle cell disease in adolescents. Journal of Pediatric Nursing, 2016, 31(1): 55-63.
11. Kleinman A, Wang WZ, Li SC, et al. The social course of epilepsy: chronic illness as social experience in interior China. Soc Sci Med, 1995, 40(10): 1319-1330.
12. 王艷. 結腸造口患者病恥感對社交回避和苦惱影響的路徑研究. 青島大學, 碩士學位論文, 2018.
13. 張芳, 李曉萍, 曾慶枝, 等. 病恥感量表現狀. 醫學綜述, 2015, 21(2): 286-288.
14. Stuber J, Meyer I, Link B. Stigma, prejudice, discrimination and health. Soc Sci Med, 2008, 3(67): 351-357.
15. Von C, Brener L, Horwitz R. Implicit and explicit internalized stigma relationship with risky. Addict Behav, 2017, 76: 305.
16. 齊玲, 王婧, 楊梅, 等. 自我隱瞞與健康關系研究現況及發展趨勢. 中國社會醫學雜志, 2015, 32(1): 45-47.
17. Larson DG, Chastain RL. Self-concealment: conceptualization, measurement, and health implications. J Soc Clin Psychol, 1990, 4(9): 439-455.
18. Danielsen A, Soerensen E, Burcharth K, et al. Impact of a temporary stoma on patients' everyday lives: feelings of uncertainty while waiting for closure of the stoma. J Clin Nurs, 2013, 9(22): 1343-1352.
19. 雷丹. 自尊及社會比較方向對比較維度重要性評價的影響. 重慶: 西南大學, 碩士學位論文, 2010.
20. 原靜民, 張俊娥, 鄭美春, 等. 結腸造口患者自尊的研究進展. 廣東醫學, 2017, 38(19): 3045-3048.
21. 李真. HIV/AIDS患者感知歧視現狀調查及影響因素研究. 北京協和醫學院中國醫學科學院北京協和醫學院中國醫學科學院清華大學醫學部, 碩士學位論文, 2015.
22. 洪幼娟, 宋興川. 自尊對自尊需要與社交焦慮的調節與中介作用. 中國健康心理學雜志, 2014, 22(2): 285-287.
23. 柯曉生. 吡侖帕奈在2~12歲中國漢族兒童藥物難治性癲癇添加治療中的療效和安全性研究. 福建醫科大學, 碩士學位論文, 2021.
24. 陳曉宇. 乳腺癌化療患者社交回避與苦惱現狀及其影響因素研究. 華北理工大學, 碩士學位論文, 2019.
25. 朱玉博. 青少年依戀, 恐懼憐憫與社交焦慮的關系及教育對策. 河南大學, 碩士學位論文, 2019.
26. 陳秀萍, 李冬平, 鄒颯楓. 癲癇疾病患者遭受社會歧視的現狀及其原因與對策分析. 實用預防醫學, 2010, 17(12): 3-9.
27. Elafros MA, Bowles RP, Atadzhanov M, et al. Reexamining epilepsy-associated stigma: validation of the Stigma Scale of Epilepsy in Zambia. Qual Life Res, 2015, 24(6): 1483-1489.
28. Gzirishvili N, Kasradze S, Lomidze G, et al. Knowledge, attitudes, and stigma towards epilepsy in different walks of life: a study in Georgia. Epilepsy Behav, 2013, 27(2): 315-318.
29. Guo W, Wu J, Wang W, et al. The stigma of people with epilepsy is demonstrated at the internalized, interpersonal and institutional levels in a specific sociocultural context: findings from an ethnographic study in rural China. Epilepsy Behav, 2012, 25(2): 282-288.
30. Bifftu BB, Dachew BA, Tiruneh BT. Perceived stigma and associated factors among people with epilepsy at Gondar University Hospital, Northwest Ethiopia: a cross-sectional institution based study. Afr Health Sci, 2015, 15(4): 1211-1219.
31. 吳春風, 陳小燕, 郭巧靜. 癲癇患兒羞恥感現狀調查及其影響因素分析. 護理實踐與研究, 2019, 16(20): 121-123.
32. 謝安娜, 張洪梅. 學齡期癲癇患兒羞恥感調查及相關因素分析. 護理實踐與研究, 2020, 17(10): 14-16.
33. 秦艷, 代夢瑤, 周農. 成人癲癇患者病恥感的特點及其與生態學執行功能的相關性研究. 安徽醫科大學學報, 2021.
34. 徐芳芳. 直腸癌永久性腸造口患者病恥感與應對方式、造口適應、生活質量的相關性研究. 安徽醫科大學, 碩士學位論文, 2016.

Journal of Epilepsy

Current status of stigma of disease in patients with epilepsy and its influencing factors

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