Kwong Karen Ling, Lam David, Tsui Sarah, Ngan Mary, Tsang Brian, Lai Tai Sum, Lam Siu Man
Department of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Hong Kong.
Department of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Hong Kong.
Epilepsy Behav. 2016 Oct;63:118-122. doi: 10.1016/j.yebeh.2016.07.032. Epub 2016 Sep 13.
This study evaluated self-esteem in adolescents with epilepsy and its association with psychosocial and disease-related variables.
This was a cross-sectional study with patients enrolled between January and June 2010. Culture-Free Self-Esteem Inventory for Children (CFSEI-2) was administered to 140 children with epilepsy and 50 children with asthma, aged 10-18years attending mainstream schools.
Adolescents with epilepsy had a significantly lower overall self-esteem score when compared with those with asthma, 17±5.21 versus 19.4±3.83, respectively (P=0.005). Thirty-one (22.1%) children with epilepsy compared with 4 (8.3%) with asthma had overall self-esteem score below the cutoff (P=0.034). There was a significant correlation between overall self-esteem score and duration of epilepsy, Hospital Anxiety and Depression Scale (HADS) anxiety score, HADS depression score, and Strengths and Weaknesses of ADHD symptoms and Normal-Behaviors (SWAN) rating combined score. The impact of various correlates on individual domains was not identical. Independent factors associated with low overall self-esteem were HADS depression score (OR: 1.62; 95% CI: 1.2, 2.2; P=0.002), duration of epilepsy (OR: 1.4; 95% CI: 1.04, 1.88; P=0.024), and father employment status economically inactive (OR: 11.9; 95% CI: 1.07, 125; P=0.044). Seizure-free ≥12months was a favorable factor that was less likely to be associated with low self-esteem (OR: 0.14; 95% CI: 0.02, 0.81; P=0.028).
Self-esteem was compromised in adolescents with epilepsy. A significant correlation between self-esteem and psychological comorbidities was demonstrated. Enhancing social support and education programs may improve the self-esteem and, ultimately, the lives of adolescents living with epilepsy.
本研究评估癫痫青少年的自尊及其与心理社会和疾病相关变量的关联。
这是一项横断面研究，研究对象为2010年1月至6月期间入组的患者。对140名年龄在10 - 18岁、就读于主流学校的癫痫儿童和50名哮喘儿童进行了《儿童无文化自尊量表》（CFSEI - 2）测试。
与哮喘儿童相比，癫痫青少年的总体自尊得分显著更低，分别为17±5.21和19.4±3.83（P = 0.005）。31名（22.1%）癫痫儿童的总体自尊得分低于临界值，而哮喘儿童中这一比例为4名（8.3%）（P = 0.034）。总体自尊得分与癫痫病程、医院焦虑抑郁量表（HADS）焦虑得分、HADS抑郁得分以及注意缺陷多动障碍症状与正常行为优势与劣势（SWAN）评定综合得分之间存在显著相关性。各种相关因素对各个领域的影响并不相同。与总体自尊较低相关的独立因素为HADS抑郁得分（比值比：1.62；95%置信区间：1.2，2.2；P = 0.002）、癫痫病程（比值比：1.4；95%置信区间：1.04，1.88；P = 0.024）以及父亲经济不活跃的就业状况（比值比：11.9；95%置信区间：1.07，125；P = 0.044）。无癫痫发作≥12个月是一个有利因素，与自尊较低的关联可能性较小（比值比：0.14；95%置信区间：0.02，0.81；P = 0.028）。
癫痫青少年的自尊受到损害。自尊与心理共病之间存在显著相关性。加强社会支持和教育项目可能会改善癫痫青少年的自尊，最终改善他们的生活。
