Keskin Güler Selda, Güler Sertac, Gökçe Çokal Burcu, Gunes Nalan, Yon Mehmet İlker, Yoldas Tahir Kurtulus
Department of Neurology.
Department of Emergency Medicine, Ankara Training and Research Hospital, Ankara, Turkey.
Neuropsychiatr Dis Treat. 2017 Feb 21;13:551-556. doi: 10.2147/NDT.S126706. eCollection 2017.
The aims of this study were to investigate the reliability of the Revised Illness Perception Questionnaire (IPQ-R) in Turkish patients with epilepsy (PWE) and to determine the effects of earthquake experience on the perception of disease in patients.
The sample was composed of 48 PWE, who were affected by the 2011 earthquake (n=21) or who had never had any earthquake experience (n=27). The interview form, IPQ-R, and Beck Depression Scale (BDS) were applied.
The study was carried out on PWE whose mean age was 20.9 years (±8.1 years) and who had been diagnosed within the last 10 years (±6.9 years). IPQ-R consisted of three parts: illness identity, attributions concerning the disease, and probable causes. In the part of illness identity, the most frequently met manifestations were fatigue (76.6%) and headache (72.9%). Regarding attributions concerning the disease and probable causes, the test was determined to be reliable (reliability coefficient 0.715-0.814). In terms of personal control, timeline (acute/chronic), emotional representations, illness coherence, consequences, treatment control, and timeline sub-scales, which were investigated at the dimension about attributions concerning the disease, and psychological causal attributions, risk factors, and immunity subscales, which were investigated at the dimension about probable causes, no significant differences were found between groups (>0.05). No difference was determined in terms of BDS scores (=-0.895, >0.05).
The results of this study demonstrated that IPQ-R could be used reliably in the Turkish PWE. A severe life event such as an earthquake did not change IPQ-R scores in PWE.
本研究旨在调查修订后的疾病认知问卷(IPQ-R)在土耳其癫痫患者(PWE)中的可靠性,并确定地震经历对患者疾病认知的影响。
样本由48例PWE组成,其中21例受2011年地震影响,27例从未有过地震经历。采用访谈表、IPQ-R和贝克抑郁量表(BDS)进行评估。
本研究针对平均年龄为20.9岁(±8.1岁)且在过去10年(±6.9年)内被诊断出的PWE开展。IPQ-R由三部分组成:疾病认同、对疾病的归因以及可能的病因。在疾病认同部分,最常见的表现是疲劳(76.6%)和头痛(72.9%)。关于对疾病的归因和可能的病因,该测试被确定为可靠(信度系数0.715 - 0.814)。在关于对疾病的归因维度中调查的个人控制、时间线(急性/慢性)、情感表征、疾病连贯性、后果、治疗控制和时间线子量表,以及在关于可能病因维度中调查的心理因果归因、危险因素和免疫子量表方面,两组之间未发现显著差异(>0.05)。BDS得分方面也未发现差异(=-0.895,>0.05)。
本研究结果表明,IPQ-R可在土耳其PWE中可靠使用。地震等严重生活事件并未改变PWE的IPQ-R得分。