Sahar Najam-Us
Department of Behavioral Sciences Fatima Jinnah Women University, Rawalpindi 46000, Pakistan.
Epilepsy Res Treat. 2012;2012:171725. doi: 10.1155/2012/171725. Epub 2012 Apr 29.
The unpredictable nature & elongated course of epilepsy affect all dimensions (physical, psychological, and social) of an individual's life. People with the diagnosis of epilepsy are a high-risk group for different psychiatric problems that is anxiety, depression as well as social problems (marriage, education, and daily activities). The findings of present research revealed high rate (70%) of psychological distress among fifty adult individuals with epilepsy. It was also found that people with uncontrolled epilepsy experience high level of psychological distress (100%) as compared to those with controlled (42%). Demographic and clinical factors associated with distress include lack of occupation, the presence of an underlying disabling condition (with treatment), and the severity of epilepsy. The finding generated here showed that 13 out of 19 females with epilepsy reported psychological distress. It was also found that none of these women was employed (a cultural specific phenomenon) with a slightly high number of unmarried females (74%). So by understanding the relationship between clinical and psychosocial variables, a good management plan can be devised with a focus on social and gender differences. The present research can also help to increase the awareness and to lower the stigmatization related to epilepsy.
癫痫不可预测的性质及漫长病程会影响个体生活的各个方面(身体、心理和社会)。被诊断患有癫痫的人群是各类精神问题(如焦虑、抑郁)以及社会问题(婚姻、教育和日常活动)的高危群体。当前研究结果显示,五十名成年癫痫患者中存在心理困扰问题的比例很高(70%)。研究还发现,与癫痫得到控制的患者(42%)相比,癫痫未得到控制的患者心理困扰程度更高(100%)。与困扰相关的人口统计学和临床因素包括无业、存在潜在致残状况(正在接受治疗)以及癫痫的严重程度。此处的研究结果表明,19名患有癫痫的女性中有13名报告存在心理困扰。研究还发现,这些女性均未就业(这是一种特定文化现象),未婚女性数量略多(74%)。因此,通过了解临床变量与心理社会变量之间的关系,可以制定出一个侧重于社会和性别差异的良好管理计划。本研究还有助于提高人们对癫痫的认识,并减少与癫痫相关的污名化现象。