Factors associated with stigma and depressive symptoms in family members of patients with epilepsy
| Autor: | Han Uk Ryu, Gha Hyun Lee, Young Mi Kim, Joonsik Kim, Soonhak Kwon, Eun Young Kim, Sang-Ahm Lee, Mi-Sun Yum, Jung Bin Kim, Seo-Young Lee, Sun Jun Kim, Kyoung Jin Hwang, Yun Jung Hur, Gyu Min Yeon, Jee Hyun Kim, Dong Jin Shin, Sun Ah Choi, Jong Geun Seo, Kyung Wook Kang, Yang Je Cho, Su-Hyun Han, Shinhye Kim, Young-Soo Kim, So Hee Eun, Keun Tae Kim, So-Young Park, Ji-Eun Kim, Hyo Jeong Kim |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Offspring Social Stigma Stigma (botany) Idiopathic generalized epilepsy Young Adult 03 medical and health sciences Behavioral Neuroscience Epilepsy 0302 clinical medicine medicine Humans Family 030212 general & internal medicine Sibling Child Psychiatry Depressive symptoms Depression (differential diagnoses) Depression business.industry Middle Aged medicine.disease Cross-Sectional Studies Neurology Spouse Female Self Report Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Epilepsy & Behavior. 110:107129 |
| ISSN: | 1525-5050 |
| DOI: | 10.1016/j.yebeh.2020.107129 |
| Popis: | Purpose Literature regarding family stigma related to epilepsy is scarce. This study investigated the prevalence of family stigma and depressive symptoms and the associated factors among the family members of patients with epilepsy. Methods In a cross-sectional study, Stigma Scale–Revised score ≥ 4 and Patient Health Questionnaire-9 score ≥ 10 were considered indicative of moderate-to-severe stigma and depressive symptoms, respectively. Stepwise logistic regression analyses were performed. Results Of the 482 family members, a mean age was 47.1 ± 9.4 years, and 73.4% were female. Of the patients, a mean age was 25.5 ± 16.7 years, and 45.0% were female. Idiopathic generalized epilepsy and focal epilepsy were noted in 22.4% and 65.6% of patients, respectively. Family stigma and depressive symptoms were noted in 10.0% and 11.2% of family members, respectively. Family stigma was significantly associated with high seizure frequency and being a sibling or offspring of a patient independent of their depressive symptoms. By contrast, depressive symptoms in family members were significantly associated with polytherapy, being parents of a patient, and neurological comorbidities independent of family stigma. In a subset of patients and their family, patients had higher proportion of stigma and depressive symptoms than their family. Depressive symptoms and stigma among patients were significantly correlated with those among parents, but not spouse. Conclusion Family stigma is common in families with epilepsy and is closely related to depressive symptoms. Frequent seizures, polytherapy, neurological comorbidities, and the relationship to a patient may be factors that are independently associated with family stigma and depressive symptoms in family members. |
| Databáze: | OpenAIRE |
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