Naess Siri, Eriksen John, Tambs Kristian
Norwegian Social Research, Oslo, Norway.
Scand J Public Health. 2009 Aug;37(6):627-31. doi: 10.1177/1403494809103904. Epub 2009 Mar 13.
To study the development in perceived life satisfaction of people with epilepsy.
In 2005, members of the Norwegian Epilepsy Association responded to a version of the Self-Anchoring Striving Scale (termed Cantril's Ladder). In this article, we compare the answers given to two questions, one related to the person's life satisfaction today, and the other related to the person's life satisfaction 5 years ago. The same people were asked about time since epilepsy onset. Those who reported being diagnosed during the previous 5 years were compared with those who had been diagnosed earlier, with regard to reported life satisfaction, at the present and 5 years ago. The hypothesis to be tested was that people who have been diagnosed with epilepsy report their life satisfaction as being reduced in comparison to their life satisfaction before the diagnosis.
The hypothesis was confirmed. The respondents in our study who had been diagnosed less than 5 years ago perceived their life satisfaction to be reduced by almost a standard deviation as compared to their life satisfaction before the diagnosis.
People diagnosed with epilepsy perceive their life satisfaction to be reduced as a consequence of the diagnosis, and should be supported in their coping with the disease. This conclusion should be drawn with caution, owing to a low response rate and difficulties related to retrospective self-reports. Prospective population-based studies are needed to explore the causal pathways.
研究癫痫患者感知生活满意度的变化情况。
2005年,挪威癫痫协会的成员对一个版本的自我定位奋斗量表(称为坎特里尔阶梯量表)做出了回应。在本文中,我们比较了对两个问题的回答,一个问题与受访者当下的生活满意度有关,另一个问题与受访者5年前的生活满意度有关。同样这些人被问及癫痫发作后的时长。将那些报告在前5年内被诊断出癫痫的人与那些更早被诊断出癫痫的人,就当下和5年前报告的生活满意度进行比较。待检验的假设是,与诊断前的生活满意度相比,被诊断出患有癫痫的人报告他们的生活满意度有所降低。
该假设得到证实。在我们的研究中,那些在不到5年前被诊断出癫痫的受访者认为,与诊断前相比,他们的生活满意度降低了近一个标准差。
被诊断出患有癫痫的人认为诊断导致他们的生活满意度降低,应对疾病时应给予他们支持。由于回应率较低以及回顾性自我报告存在困难,得出这一结论时应谨慎。需要基于人群的前瞻性研究来探索因果路径。