Lee Sang-Ahm, Lee Byung-In
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Epilepsy Behav. 2015 Nov;52(Pt A):149-53. doi: 10.1016/j.yebeh.2015.08.027. Epub 2015 Sep 28.
We determined the level of knowledge about epilepsy in Korean people with epilepsy (PWE) and evaluated whether this is associated with self-efficacy, perceived stigma, anxiety, and depressive mood in these patients.
This was a cross-sectional multicenter study. A total of 530 PWE participated from 31 secondary or tertiary hospitals in Korea. Knowledge about epilepsy was assessed using 34 medical items (EKP-M) of the Epilepsy Knowledge Profile-General. Additional questionnaires included the Epilepsy Self-Efficacy Scale (ESES), Stigma Scale, and Hospital Anxiety and Depression Scale (HADS). Multiple linear regression analyses were used.
The mean EKP-M score was 22.2 (SD: 4.1). By univariate analyses, the EKP-M was related to ESES (r=0.220, p<0.001) and HADS-D (r=-0.154, p<0.001) scores but not to the Stigma Scale or HADS-A. By linear regression analyses, after adjusting for the confounding variables, the higher EKP-M scores were independently related to both higher ESES (p<0.001) and lower HADS-D scores (p<0.05).
Korean PWE have a relatively low level of knowledge about their condition. Knowledge about epilepsy is associated with a high level of self-efficacy and less depressive symptoms in affected individuals.
我们确定了韩国癫痫患者（PWE）对癫痫的认知水平，并评估这是否与这些患者的自我效能感、感知到的耻辱感、焦虑和抑郁情绪相关。
这是一项横断面多中心研究。共有530名PWE来自韩国的31家二级或三级医院。使用癫痫知识概况通用版的34个医学项目（EKP-M）评估对癫痫的认知。其他问卷包括癫痫自我效能量表（ESES）、耻辱感量表和医院焦虑抑郁量表（HADS）。采用多元线性回归分析。
EKP-M的平均得分为22.2（标准差：4.1）。单因素分析显示，EKP-M与ESES（r = 0.220，p < 0.001）和HADS-D（r = -0.154，p < 0.001）得分相关，但与耻辱感量表或HADS-A无关。通过线性回归分析，在调整混杂变量后，较高的EKP-M得分与较高的ESES（p < 0.001）和较低的HADS-D得分（p < 0.05）独立相关。
韩国PWE对自身病情的认知水平相对较低。对癫痫的认知与受影响个体的高自我效能感和较少的抑郁症状相关。
