Unalan Demet, Soyuer Ferhan, Basturk Mustafa, Ersoy Ali O, Elmali Ferhan, Ozturk Ahmet
Department of Medical Services and Techniques, Erciyes University Halil Bayraktar Health Services Vocational College, TR-38039, Kayseri, Turkey. E-mail:
Neurosciences (Riyadh). 2015 Jan;20(1):17-26.
To investigate the perceived social support systems, and depressions effects on attitudes regarding coping strategies for the disease in patients with epilepsy.
This cross-sectional study was conducted on 182 epileptic patients who applied to the Neurology Polyclinics of the Faculty of Medicine at Erciyes University, Kayseri, Turkey between November 2011 and November 2012. As data collection tools, we used the Multidimensional Scale of Perceived Social Support Systems, Beck Depression Inventory, and the Assessment Scale for Coping Attitudes.
We found that epileptic patients most frequently employed emotion-oriented coping strategies. Among the emotion-oriented coping strategies, religious coping ranked first, positive reinterpretation and growth came second, while using instrumental social support, which was one of the problem-oriented coping strategies, ranked third. The most frequently used non-functional coping methods were focus on and venting of emotions. The most influential variables on coping strategies of epileptic patients were age, gender, educational level, family structure, type of seizures, and the interference of the disease in communication. We found a negatively significant correlation among the scores of depression and emotion-oriented coping strategies, dysfunctional coping strategies, and problem-based coping strategies, while there was a positive correlation found between dysfunctional coping strategies and emotion-oriented coping strategies.
The most influential variables on the coping strategies of epileptic patients were age, gender, educational level, family structure, type of seizures, and the interference of the disease in communication.
调查癫痫患者所感知到的社会支持系统,以及抑郁对其疾病应对策略态度的影响。
本横断面研究于2011年11月至2012年11月期间,对182名申请到土耳其开塞利埃尔西耶斯大学医学院神经科门诊就诊的癫痫患者进行。作为数据收集工具,我们使用了多维感知社会支持系统量表、贝克抑郁量表和应对态度评估量表。
我们发现癫痫患者最常采用以情绪为导向的应对策略。在以情绪为导向的应对策略中,宗教应对排名第一,积极重新诠释和成长排名第二,而使用工具性社会支持(这是一种以问题为导向的应对策略)排名第三。最常使用的无效应对方法是“专注于情绪并发泄情绪”。对癫痫患者应对策略影响最大的变量是年龄、性别、教育程度、家庭结构、癫痫发作类型以及疾病对沟通的干扰。我们发现抑郁得分与以情绪为导向的应对策略、功能失调的应对策略和基于问题的应对策略之间存在显著负相关,而功能失调的应对策略与以情绪为导向的应对策略之间存在正相关。
对癫痫患者应对策略影响最大的变量是年龄、性别、教育程度、家庭结构、癫痫发作类型以及疾病对沟通的干扰。