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癫痫与心因性非癫痫性发作中的自我同情与适应。

Self-compassion and adjustment in epilepsy and psychogenic nonepileptic seizures.

机构信息

Clinical Psychology Unit, University of Sheffield, United Kingdom of Great Britain and Northern Ireland.

Department of Psychology, University of Sheffield, United Kingdom of Great Britain and Northern Ireland.

出版信息

Epilepsy Behav. 2019 Nov;100(Pt A):106490. doi: 10.1016/j.yebeh.2019.106490. Epub 2019 Sep 28.

Abstract

PURPOSE

Self-compassion has been associated with a set of adaptive coping strategies, which in turn explain better adjustment in individuals with chronic illnesses such as inflammatory bowel disease and arthritis. The aim of this study was to investigate whether self-compassion is associated with adjustment in people with epilepsy (PWE) and people with psychogenic nonepileptic seizures (PWPNES). Adjustment was measured via coping efficacy, quality of life (QoL), anxiety, and depression.

METHOD

A cross-sectional questionnaire design was employed. People with epilepsy (N = 74), PWPNES (N = 46), and controls (N = 89), recruited from outpatient seizure clinics and online, completed questionnaires about their self-compassion, coping efficacy, QoL, anxiety, and depression levels.

RESULTS

Overall, self-compassion was associated with adjustment in PWE and PWPNES. Self-compassion was negatively related to anxiety and depression in PWE, PWPNES, and controls and positively related to coping efficacy in PWE and PWPNES. Self-compassion was also positively related to QoL in PWE and controls; however, this relationship was not significant in PWPNES.

CONCLUSION

Self-compassion is associated with better adjustment in PWE and PWPNES. Implications of these findings for psychotherapeutic interventions for individuals with seizure disorders and future research are discussed.

摘要

目的

自我同情与一系列适应性应对策略相关,而这些策略反过来又可以解释患有慢性疾病(如炎症性肠病和关节炎)的个体的更好的调整。本研究旨在探讨自我同情是否与癫痫患者(PWE)和非癫痫性发作性假性癫痫患者(PWPNES)的调整相关。通过应对效能、生活质量(QoL)、焦虑和抑郁来衡量调整。

方法

采用横断面问卷调查设计。从门诊癫痫诊所和网上招募了癫痫患者(N=74)、非癫痫性发作性假性癫痫患者(N=46)和对照组(N=89),他们完成了关于自我同情、应对效能、生活质量、焦虑和抑郁水平的问卷。

结果

总体而言,自我同情与 PWE 和 PWPNES 的调整相关。自我同情与 PWE、PWPNES 和对照组的焦虑和抑郁呈负相关,与 PWE 和 PWPNES 的应对效能呈正相关。自我同情与 PWE 和对照组的生活质量呈正相关;然而,在 PWPNES 中,这种关系并不显著。

结论

自我同情与 PWE 和 PWPNES 的更好调整相关。这些发现对癫痫障碍个体的心理治疗干预和未来研究具有启示意义。

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