Shi Ying, Wang Shouqi, Ying Jie, Zhang Meiling, Liu Pengcheng, Zhang Huanhuan, Sun Jiao
School of Nursing, Jilin University, Changchun, China.
School of Nursing, Jilin University, Changchun, China.
Epilepsy Behav. 2017 May;70(Pt A):198-203. doi: 10.1016/j.yebeh.2017.02.022. Epub 2017 Apr 18.
Epilepsy, one of the most common, serious chronic neurological diseases, is accompanied by different levels of perceived stigma that affects people in almost all age groups. This stigma can negatively impact the physical and mental health of people living with epilepsy (PLWE). Good knowledge of perceived stigma for PLWE is important. In this study, we conducted a meta-analysis to identify the correlates of perceived stigma for PLWE.
Studies on factors associated with perceived stigma for PLWE, including sociodemographic, psychosocial, and disease-related variables, were searched in PubMed, PsychINFO, EMBASE, and Web of Science.
Nineteen variables (k>1) were included in the meta-analysis. For sociodemographic characteristics, findings revealed that the significant weighted mean correlation (R) for "residence" and "poor financial status" were 0.177 and 0.286, respectively. For disease-related characteristics, all variables of significance, including "seizure severity," "seizure frequency," "number of medicines," and "adverse event" (R ranging from 0.190 to 0.362), were positively correlated with perceived stigma. For psychosocial characteristics, "depression" and "anxiety" with R values of 0.414 and 0.369 were significantly associated with perceived stigma. In addition, "social support," "quality of life (QOLIE-31,89)," "knowledge," and "attitude," with R values ranging from -0.444 to -0.200 indicating negative correlation with perceived stigma.
The current meta-analysis evaluated the correlates of perceived stigma for PLWE. Results can serve as a basis for policymakers and healthcare professionals for formulating health promotion and prevention strategies.
癫痫是最常见、最严重的慢性神经系统疾病之一，几乎影响所有年龄组的人群，且伴有不同程度的感知耻辱感。这种耻辱感会对癫痫患者（PLWE）的身心健康产生负面影响。了解PLWE的感知耻辱感非常重要。在本研究中，我们进行了一项荟萃分析，以确定PLWE感知耻辱感的相关因素。
在PubMed、PsychINFO、EMBASE和Web of Science中搜索关于PLWE感知耻辱感相关因素的研究，包括社会人口统计学、心理社会和疾病相关变量。
荟萃分析纳入了19个变量（k>1）。对于社会人口统计学特征，研究结果显示，“居住地”和“经济状况差”的显著加权平均相关性（R）分别为0.177和0.286。对于疾病相关特征，所有具有显著性的变量，包括“发作严重程度”“发作频率”“药物数量”和“不良事件”（R范围从0.190到0.362），均与感知耻辱感呈正相关。对于心理社会特征，“抑郁”和“焦虑”的R值分别为0.414和0.369，与感知耻辱感显著相关。此外，“社会支持”“生活质量（QOLIE - 31,89）”“知识”和“态度”，R值范围从 - 0.444到 - 0.200，表明与感知耻辱感呈负相关。
当前的荟萃分析评估了PLWE感知耻辱感的相关因素。研究结果可为政策制定者和医疗保健专业人员制定健康促进和预防策略提供依据。
