Lee Sang-Ahm, Choi Eun-Ju, Kwon Soonhak, Eom Soyong
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Epilepsy Behav. 2016 Aug;61:102-106. doi: 10.1016/j.yebeh.2016.05.016. Epub 2016 Jun 21.
We aimed to determine whether adolescents with epilepsy (AWE) have a compromised self-concept, whether a lower self-concept is related to mental health, and whether there are sex differences in self-concept in AWE.
A total of 179 AWE and 259 control adolescents without epilepsy participated in this cross-sectional, multicenter study. Self-concept was measured using the Harter's Self-Perception Profile for Children. Depressive symptoms and anxiety were assessed by the Hospital Anxiety Depression Scale (HADS). A group-by-sex interaction was evaluated using an analysis of covariance controlling for age.
Adolescents with epilepsy had a lower level of self-concept, especially in domains of behavioral conduct (partial eta(2): 0.257) and social acceptance (partial eta(2): 0.116), than controls (p<0.05). The level of self-concept did not differ by sex in the group with epilepsy. A group-by-sex interaction effect was found on social acceptance (p=0.042). Unlike the control group, age was not correlated with self-concept in AWE. Physical appearance was negatively correlated with HADS-anxiety scores (r=-0.291, p<0.01) but only in girls with epilepsy. Epilepsy duration was correlated with social acceptance in boys (r=0.211, p<0.05) and physical appearance in girls (r=-0.249, p<0.05).
Adolescents with epilepsy had a lower level of self-concept, especially in the domains of behavioral conduct and social acceptance, than controls. Sex differences in self-concept were identified in the control group but not in the group with epilepsy. Physical appearance was negatively correlated with anxiety in girls with epilepsy.
我们旨在确定癫痫青少年（AWE）的自我概念是否受损，较低的自我概念是否与心理健康相关，以及AWE在自我概念方面是否存在性别差异。
共有179名AWE和259名无癫痫的对照青少年参与了这项横断面多中心研究。使用儿童哈特尔自我认知量表测量自我概念。通过医院焦虑抑郁量表（HADS）评估抑郁症状和焦虑情况。使用协方差分析控制年龄来评估性别分组交互作用。
与对照组相比，癫痫青少年的自我概念水平较低，尤其是在行为表现领域（偏 eta(2)：0.257）和社会接纳领域（偏 eta(2)：0.116）（p<0.05）。癫痫组中自我概念水平不存在性别差异。在社会接纳方面发现了性别分组交互作用效应（p=0.042）。与对照组不同，年龄与AWE的自我概念无关。外貌与HADS焦虑评分呈负相关（r=-0.291，p<0.01），但仅在癫痫女孩中如此。癫痫病程与男孩的社会接纳相关（r=0.211，p<0.05），与女孩的外貌相关（r=-0.249，p<0.05）。
与对照组相比，癫痫青少年的自我概念水平较低，尤其是在行为表现和社会接纳领域。在对照组中发现了自我概念的性别差异，但在癫痫组中未发现。外貌与癫痫女孩的焦虑呈负相关。
