Medical University of South Carolina, College of Nursing, 99 Jonathan Lucas St., Charleston, SC 29425, USA.
Epilepsy Behav. 2012 May;24(1):86-92. doi: 10.1016/j.yebeh.2012.02.017. Epub 2012 Apr 4.
Study aims were to explore evaluation and comparison of measures of coping and the relationship of epilepsy-specific coping responses to depressive symptoms in youth with epilepsy (YWE). Seventy-six YWE ages 9-17 completed the Children's Depression Inventory (CDI) and the Kidcope. Sixty-six caregivers reported on youth coping (CHIC) and seizure activity. Epilepsy variables were abstracted from electronic medical records. There were no significant correlations between the CHIC coping factors and individual Kidcope scores. Only one CHIC factor, "competence/optimism," was significantly negatively correlated with CDI. Regression analyses revealed a significant association between CDI and negative coping (Kidcope) after adjusting for sex, number of AEDs, and seizure severity. On the CDI, 27% of YWE endorsed suicidal ideation. Findings provide preliminary support for use of the Kidcope as a measure of negative epilepsy-specific coping. These results imply that youth coping and suicidal ideation are important to assess in relation to depressive symptoms and that youth report of these symptoms is particularly salient to the evaluation of youth functioning.
研究目的在于探索应对措施的评估和比较，以及青少年癫痫患者（YWE）的癫痫特异性应对反应与抑郁症状之间的关系。76 名 9-17 岁的 YWE 完成了儿童抑郁量表（CDI）和 Kidcope。66 名照顾者报告了青少年应对（CHIC）和癫痫发作活动。从电子病历中提取癫痫变量。CHIC 应对因素与 Kidcope 个体评分之间没有显著相关性。只有一个 CHIC 因素，“能力/乐观”，与 CDI 呈显著负相关。回归分析显示，在调整性别、AED 数量和癫痫严重程度后，CDI 与消极应对（Kidcope）之间存在显著关联。在 CDI 上，27%的 YWE 表示有自杀意念。这些发现为 Kidcope 作为衡量消极的癫痫特异性应对的一种手段提供了初步支持。这些结果表明，在评估抑郁症状时，青少年的应对和自杀意念是很重要的，而青少年对这些症状的报告对评估青少年的功能尤其重要。
