Quality of life, social support and anxiety in children with epilepsy and their correlation analysis_Journal of Epilepsy

Authors：

 LIU Yinjie

General Ward, Beijing West Road Campus, Shanghai Children's Hospital / Children's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200040, China;

Corresponding?author：

LIU Yinjie, Email: 719745413@qq.com

Keywords：

Epilepsy; Quality of Life; Social Support; Anxiety; Correlation

DOI：

10.7507/2096-0247.202507004

Video：

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Objective To explore the correlation between quality of life and social support and anxiety level in children with epilepsy. Methods A total of 207 children with epilepsy and their parents from March 2023 to December 2023 from Shanghai Children's Hospitalwere selected as the investigation objects, and the children's quality of life scale, Children's perceptive Social support Scale and PROMIS parental Report version anxiety brief form were used to investigate. The correlation between the quality of life of children with epilepsy and the level of social support and anxiety was analyzed. Results The results of univariate analysis showed that the quality of life of children with epilepsy was affected by whether they had siblings and the frequency of onset in the past month (P<0.05). Pearson correlation analysis showed that social support was positively correlated with quality of life (P<0.05). The scores of anxiety and quality of life were negatively correlated (P<0.05). Social support was negatively correlated with anxiety scores (P<0.05). The results of multiple linear regression analysis showed that siblings, social support and anxiety were independent factors affecting the quality of life of children with epilepsy (P<0.05). Conclusion Social support has a positive effect on the quality of life of children with epilepsy, anxiety level has a negative effect on the quality of life, and social support has a negative effect on anxiety. Therefore, clinical psychological support should be strengthened for children with epilepsy, fully mobilize their positive psychological factors, reduce their anxiety and other negative emotions, play a full range of social support, to achieve the goal of improving the quality of life.

Citation： LIU Yinjie. Quality of life, social support and anxiety in children with epilepsy and their correlation analysis. Journal of Epilepsy, 2025, 11(5): 396-401. doi: 10.7507/2096-0247.202507004 Copy

1.	Gouveia FV, Warsi NM, Suresh H, et al. Neurostimulation treatments for epilepsy: deep brain stimulation, responsive neurostimulation and vagus nerve stimulation. Neurotherapeutics, 2024, 21(3): e00308.
2.	Thurman DJ, Begley CE, Carpio A, et al. The primary prevention of epilepsy: a report of the Prevention Task Force of the International League Against Epilepsy. Epilepsia, 2018, 59(5): 905-914.
3.	?scher W, Potschka H, Sisodiya SM, et al. Drug resistance in epilepsy: Clinical impact, potential mechanisms, and new innovative treatment options. Pharmacol Rev, 2020, 72: 606-638.
4.	Chang LWX. Progress in epidemiological investigation of epilepsy in china. Int J Neurol Neurosurg, 2012, 39: 161-164.
5.	Nawani H, Smith ML, Wheeler AL, et al. Functional connectivity associated with health-related quality of life in children with focal epilepsy. AJNR Am J Neuroradiol, 2019, 40(7): 1213-1220.
6.	Ferro MA. Risk factors for health-related quality of life in children with epilepsy: a meta-analysis. Epilepsia, 2014, 55(11): 1722-1731.
7.	Choi HY, Kim SE, Lee HW, et al. Social behavioral problems and the health-related quality of life in children and adolescents with epilepsy. Psychiatry Investig, 2016, 13(5): 488-495.
8.	Liu X, Han Q. Risk factors on health-related quality of life in children with epilepsy. Clin Pediatr (Phila), 2015, 54(14): 1334-1338.
9.	馬梅, 惠沼沼, 張月, 等. 癲癇患兒主要照護者負擔與社會支持的相關性研究. 解放軍護理雜志, 2018, 35(2): 25-29.
10.	劉玉明. 癲癇患兒父母照顧負擔、社會支持和生活質量的相關性研究. 湖南: 湖南師范大學, 2020, 碩士學位論文.
11.	Reilly C, Agnew R, Neville BGR. Depression and anxiety in childhood epilepsy: a review. Seizure, 2011, 20(8): 589-597.
12.	梁錦平. 國際抗癲癇聯盟2017年版癲癇分類特點及其解讀. 中國實用兒科雜志, 2020, 35(1): 47-54.
13.	倪平, 陳京立, 劉娜. 護理研究中量性研究的樣本量估. 中華護理雜志, 2010, 45(4): 378-380.
14.	Varni JW, Seid M, Knight TS, et al. The PedsQLTM4. 0 generic core scales: Sensitivity, responsiveness, and impact on clinical decision-making. Journal of Behavioral Medicine, 2002, 25: 175-193.
15.	盧奕云, 田琪, 郝元濤, 等. 兒童生存質量測定量表PedsQI4. 0中文版的信度和效度分析. 中山大學學報(醫學科學版), 2008, 29(3): 328-331.
16.	胡韜. 少年兒童領悟社會支持量表的編制. 貴州師范學院學報, 2010, 26(3): 71-75.
17.	劉硯燕. 患者報告結局測量信息系統: 兒童報告版和父母報告版癌癥相關簡表的測量學研究. 上海: 第二軍醫大學, 2016, 碩士學位論文.
18.	劉雙喜, 郝衛成. 癲癇患兒生活質量調查及影響因素分. 山西職工醫學院學報, 2017, 27(5): 23-25.
19.	朱培培, 卓文燕, 陳玲. 癲癇患者焦慮抑郁、社會支持狀況與主觀幸福感的相關性. 中國神經精神疾病雜志, 2014, 40(9): 527-531.
20.	Sabaz M, Lawson JA, Cairns DR, et al. Validation of the quality of life in childhood epilepsy questionnaire in American epilepsy patients. Epilepsy Behav, 2003, 4: 680-689.
21.	Adewuya AO. Parental Psychopathology and self-rated quality of life in adolescents with epilepsy in Nigeria. Dev Med Child Neurol, 2006, 48: 600-603.
22.	Pastor PN, Reuben CA, Kobau R, et al. Functional difficulties and school limitations of children with epilepsy: findings from the 2009-2010 national survey of children with special health care needs. Disabil Health J, 2015, 8(2): 231-239.
23.	韓麗麗. 小學中高年級非獨生子女主觀生活質量與心理健康的關系. 天津: 天津師范大學, 2020, 碩士學位論文.
24.	Plevin D, Smith N. Assessment and management of depression and anxiety in children and adolescents with epilepsy. Behav Neurol, 2019, 20: 2571368.

1. Gouveia FV, Warsi NM, Suresh H, et al. Neurostimulation treatments for epilepsy: deep brain stimulation, responsive neurostimulation and vagus nerve stimulation. Neurotherapeutics, 2024, 21(3): e00308.
2. Thurman DJ, Begley CE, Carpio A, et al. The primary prevention of epilepsy: a report of the Prevention Task Force of the International League Against Epilepsy. Epilepsia, 2018, 59(5): 905-914.
3. ?scher W, Potschka H, Sisodiya SM, et al. Drug resistance in epilepsy: Clinical impact, potential mechanisms, and new innovative treatment options. Pharmacol Rev, 2020, 72: 606-638.
4. Chang LWX. Progress in epidemiological investigation of epilepsy in china. Int J Neurol Neurosurg, 2012, 39: 161-164.
5. Nawani H, Smith ML, Wheeler AL, et al. Functional connectivity associated with health-related quality of life in children with focal epilepsy. AJNR Am J Neuroradiol, 2019, 40(7): 1213-1220.
6. Ferro MA. Risk factors for health-related quality of life in children with epilepsy: a meta-analysis. Epilepsia, 2014, 55(11): 1722-1731.
7. Choi HY, Kim SE, Lee HW, et al. Social behavioral problems and the health-related quality of life in children and adolescents with epilepsy. Psychiatry Investig, 2016, 13(5): 488-495.
8. Liu X, Han Q. Risk factors on health-related quality of life in children with epilepsy. Clin Pediatr (Phila), 2015, 54(14): 1334-1338.
9. 馬梅, 惠沼沼, 張月, 等. 癲癇患兒主要照護者負擔與社會支持的相關性研究. 解放軍護理雜志, 2018, 35(2): 25-29.
10. 劉玉明. 癲癇患兒父母照顧負擔、社會支持和生活質量的相關性研究. 湖南: 湖南師范大學, 2020, 碩士學位論文.
11. Reilly C, Agnew R, Neville BGR. Depression and anxiety in childhood epilepsy: a review. Seizure, 2011, 20(8): 589-597.
12. 梁錦平. 國際抗癲癇聯盟2017年版癲癇分類特點及其解讀. 中國實用兒科雜志, 2020, 35(1): 47-54.
13. 倪平, 陳京立, 劉娜. 護理研究中量性研究的樣本量估. 中華護理雜志, 2010, 45(4): 378-380.
14. Varni JW, Seid M, Knight TS, et al. The PedsQLTM4. 0 generic core scales: Sensitivity, responsiveness, and impact on clinical decision-making. Journal of Behavioral Medicine, 2002, 25: 175-193.
15. 盧奕云, 田琪, 郝元濤, 等. 兒童生存質量測定量表PedsQI4. 0中文版的信度和效度分析. 中山大學學報(醫學科學版), 2008, 29(3): 328-331.
16. 胡韜. 少年兒童領悟社會支持量表的編制. 貴州師范學院學報, 2010, 26(3): 71-75.
17. 劉硯燕. 患者報告結局測量信息系統: 兒童報告版和父母報告版癌癥相關簡表的測量學研究. 上海: 第二軍醫大學, 2016, 碩士學位論文.
18. 劉雙喜, 郝衛成. 癲癇患兒生活質量調查及影響因素分. 山西職工醫學院學報, 2017, 27(5): 23-25.
19. 朱培培, 卓文燕, 陳玲. 癲癇患者焦慮抑郁、社會支持狀況與主觀幸福感的相關性. 中國神經精神疾病雜志, 2014, 40(9): 527-531.
20. Sabaz M, Lawson JA, Cairns DR, et al. Validation of the quality of life in childhood epilepsy questionnaire in American epilepsy patients. Epilepsy Behav, 2003, 4: 680-689.
21. Adewuya AO. Parental Psychopathology and self-rated quality of life in adolescents with epilepsy in Nigeria. Dev Med Child Neurol, 2006, 48: 600-603.
22. Pastor PN, Reuben CA, Kobau R, et al. Functional difficulties and school limitations of children with epilepsy: findings from the 2009-2010 national survey of children with special health care needs. Disabil Health J, 2015, 8(2): 231-239.
23. 韓麗麗. 小學中高年級非獨生子女主觀生活質量與心理健康的關系. 天津: 天津師范大學, 2020, 碩士學位論文.
24. Plevin D, Smith N. Assessment and management of depression and anxiety in children and adolescents with epilepsy. Behav Neurol, 2019, 20: 2571368.

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