Factors contributing to concerns of persons living with epilepsy

Abstract

Korean adults with epilepsy had various concerns, with some differing from those in Western populations. Anxiety/depression, age and degree of discrimination were significantly associated with the degree of concern in Korean patients with epilepsy.

Stigmatization of patients with epilepsy: A review of the current problem and assessment of the perceived stigma in Bulgarian patients

“…Scientists have verified causality between lower educational level [1], rarer marriage contraction and employment [4,15,16], female gender [15,17], younger age [8,12,13,15,18], seizure type (generalized tonic-clonic [15]), higher seizure frequency [12,15], and stigmatization, which was not confirmed in our study. Some additional stigma determinants have been found in the literature, which were not included in our study, such as knowledge level of society about epilepsy [13,15], social isolation [11] and social discrimination [13], side effects from antiepileptic drugs [12], cognitive impairment [19], decreased quality of life [12], seizure worries [16], care quality [16], and religion (more frequent in Catholics and Evangelicals [17]). …”

“…Lee et al [6] also have reported a mild-to-moderate correlation of stigma with depression while other authors have focused on some other factors such as individual features (more frequent in introverts), anxiety (Choi et al [13]; Rafael et al [11]), neurotic personality, decreased self-esteem (Smith [8]; MacLeod et al [1]), and greater duration of epilepsy. A correlation between stigmatization and depression has been confirmed by Choi et al [13] and Leaffer et al [14].…”

“…Lee et al [6] also have reported a mild-to-moderate correlation of stigma with depression while other authors have focused on some other factors such as individual features (more frequent in introverts), anxiety (Choi et al [13]; Rafael et al [11]), neurotic personality, decreased self-esteem (Smith [8]; MacLeod et al [1]), and greater duration of epilepsy. A correlation between stigmatization and depression has been confirmed by Choi et al [13] and Leaffer et al [14]. Scientists have verified causality between lower educational level [1], rarer marriage contraction and employment [4,15,16], female gender [15,17], younger age [8,12,13,15,18], seizure type (generalized tonic-clonic [15]), higher seizure frequency [12,15], and stigmatization, which was not confirmed in our study.…”

Sociocultural aspects and different types of stigmatization in epilepsy

“…Choi и соавт. [26], 64% пациентов хотели узнать о причине приступов, 56% -как справиться с приступами в будущем, 62% -как не полу-чить травму во время приступа, 64% -поговорить с други-ми пациентами, 49% -обсудить воз-можность контроля приступов, 47% -узнать прогноз заболевания. Была установлена положитель-ная корреляция между воспринимае-мой стигмой и депрессией [27], бес-покойством [28], неврозами [8], сни-жением самооценки [29], большей продолжительностью эпилепсии [27].…”

Stigmatization of patients with epilepsy

“…Кроме того, установлена позитивная корреляция меж-ду воспринимаемой стигмой и депрессией [35,36], тревогой [36,37], невротизацией личности [12], снижением само-оценки [38,39], большей длительностью эпилепсии [35].…”