Aldosary Wardah S, Heena Humariya, El-Bakri Nahid K
Department of Mental Health, National Neurosciences Institutes, King Fahad Medical City, Riyadh, KSA.
Research Center, King Fahad Medical City, Riyadh, KSA.
J Family Med Prim Care. 2021 Oct;10(10):3888-3891. doi: 10.4103/jfmpc.jfmpc_261_18. Epub 2021 Nov 5.
While psychological issues in epilepsy patients have been studied extensively, the phenomena of self-concept and self-security have not been adequately addressed in such patients. Therefore, the aim of the current study is to assess the levels of psychological self-security and self-concept among Saudi epilepsy patients.
A case-control study was conducted on adult patients with epilepsy from the Epilepsy Monitoring Unit at King Fahad Medical City in Riyadh, Saudi Arabia. Healthy controls were obtained from the community. Demographic data including age, gender and education level were collected. Self-concept and self-security were assessed using validated scales. Descriptive statistics were obtained, and inferential testing was conducted.
Data from 145 subjects was entered in the final analysis, including 100 patients with epilepsy and 45 controls (females = 32%). A significantly higher level of psychological insecurity was found in PWE (people with epilepsy) compared to controls. No significant difference was noticed on self-concept level between PWE versus controls. Education level was significantly lower in PWE than in controls. Those with higher education levels scored lower on psychological insecurity, although this effect disappeared when the data were split by health status.
Level of psychological self-security was higher in PWE than controls, while no difference in self-concept was observed. This study highlights the areas of focus needed in epilepsy-related social services in order to improve the psychological wellbeing of patients with epilepsy.
虽然癫痫患者的心理问题已得到广泛研究，但此类患者的自我概念和自我安全感现象尚未得到充分探讨。因此，本研究的目的是评估沙特癫痫患者的心理自我安全感和自我概念水平。
对沙特阿拉伯利雅得法赫德国王医疗城癫痫监测单元的成年癫痫患者进行了一项病例对照研究。健康对照来自社区。收集了包括年龄、性别和教育水平在内的人口统计学数据。使用经过验证的量表评估自我概念和自我安全感。获得了描述性统计数据，并进行了推断性测试。
145名受试者的数据纳入最终分析，其中包括100名癫痫患者和45名对照（女性 = 32%）。与对照组相比，癫痫患者（PWE）的心理不安全感水平显著更高。癫痫患者与对照组在自我概念水平上未发现显著差异。癫痫患者的教育水平显著低于对照组。教育水平较高者的心理不安全感得分较低，不过当数据按健康状况划分时，这种效应消失了。
癫痫患者的心理自我安全感水平高于对照组，而在自我概念方面未观察到差异。本研究强调了癫痫相关社会服务中需要关注的领域，以改善癫痫患者的心理健康。
