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Factors associated with stigma and depressive symptoms in family members of patients with epilepsy

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Author(s)
Sang-Ahm LeeSu-Hyun HanYang-Je ChoKeun Tae KimJi-Eun KimDong Jin ShinJong-Geun SeoYoung-Soo KimHan Uk RyuSeo-Young LeeJung Bin KimKyung-Wook KangShinhye KimSoonhak KwonJoonsik KimSunjun KimHyo Jeong KimSo-Hee EunYun Jung HurSun Ah ChoiMi-Sun YumSoyoung ParkJee Hyun KimGha Hyun LeeYoung Mi KimKyoung Jin HwangEun Young KimGyu Min Yeon
Keimyung Author(s)
Kim, Keun TaeKim, Joon Sik
Department
Dept. of Neurology (신경과학)
Dept. of Pediatrics (소아청소년학)
Journal Title
Epilepsy & behavior : E&B
Issued Date
2020
Volume
110
Keyword
EpilepsyStigmaFamilyDepressionPolytherapyAntiepileptic drug
Abstract
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.
Keimyung Author(s)(Kor)
김근태
김준식
Publisher
School of Medicine (의과대학)
Citation
Sang-Ahm Lee et al. (2020). Factors associated with stigma and depressive symptoms in family members of patients with epilepsy. Epilepsy & behavior : E&B, 110, 107129. doi: 10.1016/j.yebeh.2020.107129
Type
Article
ISSN
1525-5069
Source
https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1525505020303085
DOI
10.1016/j.yebeh.2020.107129
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43059
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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