Perceived stress and its predictors in people with epilepsy
Perceived stress and its predictors in people with epilepsy
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DOI：
10.1016/j.yebeh.2016.06.038
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发表时间：
2016-09-01
影响因子：
2.6
通讯作者：
Park, Sung-Pa
中科院分区：
文献类型：
--
作者：
Moon, Hye-Jin;Seo, Jong-Geun;Park, Sung-Pa
目的：癫痫患者的知觉应激是癫痫发作的主要诱因之一。我们调查了预感压力的程度及其预测因素。我们还旨在揭示预测因素之间的相互关系。方法：这是一项病例对照研究。连续到三级癫痫门诊就诊的患者完成了包括知觉应激量表(PSS)、修订耻辱量表(RSS)、韩国版癫痫神经紊乱抑郁量表(K-NDDI-E)、广泛性焦虑症-7(GAD-7)以及简明形式的患者报告结果测量信息系统睡眠障碍(PROIS-SD)和患者报告结果测量信息系统睡眠相关损害(PROIS-SRI)量表的自我报告问卷。结果：控制良好的癫痫(WCE)患者的PSS均分显著低于对照组，而未控制的癫痫患者的PSS均分高于对照组。虽然人口统计学、社会经济、心身和癫痫相关因素与PSS评分有关，但对PSS评分的预测作用最强的是K-NDDI-E评分，其次是PROMIS-SRI评分、GAD-7评分和癫痫控制。心身因素既直接影响PSS评分，又通过癫痫控制间接影响PSS评分。结论：快速发现和妥善处理PWE患者的精神和睡眠相关问题，可减轻压力，有助于防止进一步癫痫发作。(C)2016 Elsevier Inc.保留所有权利。
Objective: Perceived stress in people with epilepsy (PWE) is one of the major precipitants for seizures. We investigated the degree of perceived stress in PWE and its predictors. We also aimed to reveal the interrelationships among the predictors.Methods: This was a case-control study. Consecutive patients visiting a tertiary care epilepsy clinic completed self-reported questionnaires including the Perceived Stress Scale (PSS), Revised Stigma Scale (RSS), Korean version of the Neurological Disorders Depression Inventory for Epilepsy (K-NDDI-E), Generalized Anxiety Disorder - 7 (GAD-7), and short forms of the Patient-Reported Outcomes Measurement Information System Sleep Disturbance (PROMIS-SD) and Patient-Reported Outcomes Measurement Information System Sleep Related Impairment (PROMIS-SRI) scales.Results: The mean score of the PSS was significantly lower in patients with well-controlled epilepsy (WCE) and higher in those with uncontrolled epilepsy compared with controls. Although several factors including demographic, socioeconomic, psychosomatic, and epilepsy-related factors were associated with the PSS score, the strongest predictor for the PSS score was the K-NDDI-E score, followed by the PROMIS-SRI score, the GAD-7 score, and seizure control. Psychosomatic factors exerted both a direct effect on the PSS score and an indirect effect on the PSS score through seizure control.Conclusion: Rapid detection and appropriate management of psychiatric and sleep-related problems in PWE may lessen stress and aid in preventing further seizures. (C) 2016 Elsevier Inc. All rights reserved.