Anxiety and depressive symptoms in adolescents and young adults with epilepsy: The role of illness beliefs and social factors
| Autor: | Peter B Scal, Melissa L. Engel, Alicia Kunin-Batson, Ryan Shanley |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Adolescent Social stigma Population Psychological intervention Learned helplessness Anxiety Young Adult 03 medical and health sciences Behavioral Neuroscience Epilepsy 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Young adult Social Factors education Depression (differential diagnoses) education.field_of_study Depression business.industry medicine.disease Anxiety Disorders humanities Neurology Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Epilepsy & Behavior. 116:107737 |
| ISSN: | 1525-5050 |
| DOI: | 10.1016/j.yebeh.2020.107737 |
| Popis: | Purpose This study examined (1) the prevalence of anxiety and depressive symptoms among adolescents and young adults (AYA) with epilepsy and (2) demographic and medical characteristics, illness beliefs, and social factors associated with anxiety and depressive symptoms to guide intervention development. Methods A community-based sample of AYA with epilepsy (n = 179, ages 13–24 years, 39% male) completed online questionnaires measuring anxiety symptoms (GAD-7), depressive symptoms (PHQ-9), illness beliefs (helplessness; acceptance; perceived benefits), and social factors (family functioning; social stigma; connectedness). Participants also reported medical information (epilepsy type; years since diagnosis; time since last seizure; current medications). Results Prevalence of clinically significant symptoms of anxiety and depression, 36% and 35%, respectively, was high compared to population prevalence. In multivariable regression models, demographic and medical factors explained only 2% of the variance in depressive symptoms and 6% in anxiety symptoms. Illness beliefs and social factors accounted for a majority of the explanatory power of both models (partial R2 = 0.37 for anxiety; 0.44 for depression). Specifically, acceptance, family functioning, and social stigma accounted for the greatest variance (p’s Conclusions This study found a high prevalence of anxiety and depressive symptoms among AYA with epilepsy. Epilepsy variables (seizure type, medications, and years since diagnosis) were not associated with these psychological symptoms. Rather, the majority of variance in symptoms was accounted for by potentially modifiable beliefs and social factors. Interventions that promote illness acceptance, enhance family functioning, and reduce social stigma may ameliorate psychological distress among AYA with epilepsy. |
| Databáze: | OpenAIRE |
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