Wagner Janelle L, Smith Gigi, Ferguson Pamela L, Horton Stephanie, Wilson Erin
Medical University of South Carolina, Developmental Pediatrics, Charleston, SC 29425, USA.
J Pediatr Psychol. 2009 Jan-Feb;34(1):89-96. doi: 10.1093/jpepsy/jsn052. Epub 2008 Jun 6.
To test the cognitive diathesis-stress and mediational components of the theory of learned hopelessness in youth with epilepsy.
Seventy-seven participants ages 9-17 (35 girls, 42 boys) completed measures of depressive symptoms, hopelessness, self-efficacy for seizure management, and attitude toward epilepsy. Caregivers provided information on seizure activity. Diagnostic and treatment information was obtained via medical record review.
Regression analyses revealed that hopelessness mediated the attitude towards epilepsy-depressive symptom relationship. While attitude toward epilepsy and self-efficacy were independent predictors of depressive symptoms, the relationship of attitudes toward epilepsy and depressive symptoms was not enhanced with low self-efficacy for seizure management.
Findings support the mediation component of the learned hopelessness theory in youth with epilepsy, suggesting the importance of interventions that assist youth in identifying epilepsy-related aspects of functioning over which they can realistically exercise control and challenging negative thoughts about situations they cannot control.
检验习得性无助理论中的认知素质-压力及中介成分在癫痫青少年中的情况。
77名年龄在9至17岁之间的参与者（35名女孩，42名男孩）完成了抑郁症状、无助感、癫痫发作管理自我效能感以及对癫痫态度的测量。照顾者提供了癫痫发作活动的信息。通过病历审查获取诊断和治疗信息。
回归分析显示，无助感在对癫痫的态度与抑郁症状的关系中起中介作用。虽然对癫痫的态度和自我效能感是抑郁症状的独立预测因素，但癫痫发作管理自我效能感低并未增强对癫痫的态度与抑郁症状之间的关系。
研究结果支持习得性无助理论在癫痫青少年中的中介成分，表明干预措施的重要性，这些干预措施可帮助青少年识别其能够实际控制的癫痫相关功能方面，并挑战他们对无法控制的情况的消极想法。
