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.	程欢, 唐兴华, 浦政, 等. 成年女性癫痫患者生活质量的影响因素分析. 中国临床神经科学, 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, 孙磊, 刘召英. 护理干预对癫痫患者家属心理状态的影响. 齐鲁护理杂志, 2012, 18: 118-119.
7.	宋秀峰. 癫痫患儿家长的抑郁水平与其癫痫知识知晓度的相关性分析. 中国实用护理杂志, 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.	王艳. 结肠造口患者病耻感对社交回避和苦恼影响的路径研究. 青岛大学, 硕士学位论文, 2018.
13.	张芳, 李晓萍, 曾庆枝, 等. 病耻感量表现状. 医学综述, 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.	齐玲, 王婧, 杨梅, 等. 自我隐瞒与健康关系研究现况及发展趋势. 中国社会医学杂志, 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. 自尊及社会比较方向对比较维度重要性评价的影响. 重庆: 西南大学, 硕士学位论文, 2010.
20.	原静民, 张俊娥, 郑美春, 等. 结肠造口患者自尊的研究进展. 广东医学, 2017, 38(19): 3045-3048.
21.	李真. HIV/AIDS患者感知歧视现状调查及影响因素研究. 北京协和医学院中国医学科学院北京协和医学院中国医学科学院清华大学医学部, 硕士学位论文, 2015.
22.	洪幼娟, 宋兴川. 自尊对自尊需要与社交焦虑的调节与中介作用. 中国健康心理学杂志, 2014, 22(2): 285-287.
23.	柯晓生. 吡仑帕奈在2~12岁中国汉族儿童药物难治性癫痫添加治疗中的疗效和安全性研究. 福建医科大学, 硕士学位论文, 2021.
24.	陈晓宇. 乳腺癌化疗患者社交回避与苦恼现状及其影响因素研究. 华北理工大学, 硕士学位论文, 2019.
25.	朱玉博. 青少年依恋, 恐惧怜悯与社交焦虑的关系及教育对策. 河南大学, 硕士学位论文, 2019.
26.	陈秀萍, 李冬平, 邹飒枫. 癫痫疾病患者遭受社会歧视的现状及其原因与对策分析. 实用预防医学, 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.	吴春风, 陈小燕, 郭巧静. 癫痫患儿羞耻感现状调查及其影响因素分析. 护理实践与研究, 2019, 16(20): 121-123.
32.	谢安娜, 张洪梅. 学龄期癫痫患儿羞耻感调查及相关因素分析. 护理实践与研究, 2020, 17(10): 14-16.
33.	秦艳, 代梦瑶, 周农. 成人癫痫患者病耻感的特点及其与生态学执行功能的相关性研究. 安徽医科大学学报, 2021.
34.	徐芳芳. 直肠癌永久性肠造口患者病耻感与应对方式、造口适应、生活质量的相关性研究. 安徽医科大学, 硕士学位论文, 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. 程欢, 唐兴华, 浦政, 等. 成年女性癫痫患者生活质量的影响因素分析. 中国临床神经科学, 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, 孙磊, 刘召英. 护理干预对癫痫患者家属心理状态的影响. 齐鲁护理杂志, 2012, 18: 118-119.
7. 宋秀峰. 癫痫患儿家长的抑郁水平与其癫痫知识知晓度的相关性分析. 中国实用护理杂志, 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. 王艳. 结肠造口患者病耻感对社交回避和苦恼影响的路径研究. 青岛大学, 硕士学位论文, 2018.
13. 张芳, 李晓萍, 曾庆枝, 等. 病耻感量表现状. 医学综述, 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. 齐玲, 王婧, 杨梅, 等. 自我隐瞒与健康关系研究现况及发展趋势. 中国社会医学杂志, 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. 自尊及社会比较方向对比较维度重要性评价的影响. 重庆: 西南大学, 硕士学位论文, 2010.
20. 原静民, 张俊娥, 郑美春, 等. 结肠造口患者自尊的研究进展. 广东医学, 2017, 38(19): 3045-3048.
21. 李真. HIV/AIDS患者感知歧视现状调查及影响因素研究. 北京协和医学院中国医学科学院北京协和医学院中国医学科学院清华大学医学部, 硕士学位论文, 2015.
22. 洪幼娟, 宋兴川. 自尊对自尊需要与社交焦虑的调节与中介作用. 中国健康心理学杂志, 2014, 22(2): 285-287.
23. 柯晓生. 吡仑帕奈在2~12岁中国汉族儿童药物难治性癫痫添加治疗中的疗效和安全性研究. 福建医科大学, 硕士学位论文, 2021.
24. 陈晓宇. 乳腺癌化疗患者社交回避与苦恼现状及其影响因素研究. 华北理工大学, 硕士学位论文, 2019.
25. 朱玉博. 青少年依恋, 恐惧怜悯与社交焦虑的关系及教育对策. 河南大学, 硕士学位论文, 2019.
26. 陈秀萍, 李冬平, 邹飒枫. 癫痫疾病患者遭受社会歧视的现状及其原因与对策分析. 实用预防医学, 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. 吴春风, 陈小燕, 郭巧静. 癫痫患儿羞耻感现状调查及其影响因素分析. 护理实践与研究, 2019, 16(20): 121-123.
32. 谢安娜, 张洪梅. 学龄期癫痫患儿羞耻感调查及相关因素分析. 护理实践与研究, 2020, 17(10): 14-16.
33. 秦艳, 代梦瑶, 周农. 成人癫痫患者病耻感的特点及其与生态学执行功能的相关性研究. 安徽医科大学学报, 2021.
34. 徐芳芳. 直肠癌永久性肠造口患者病耻感与应对方式、造口适应、生活质量的相关性研究. 安徽医科大学, 硕士学位论文, 2016.

Journal of Epilepsy

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

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