Tedrus Gloria M A S
Pontifical Catholic University of Campinas, Av. John Boyd Dunlop s/n. Jardim Ipaussurama, Campinas, SP, Brazil.
Epilepsy Behav. 2025 Feb;163:110223. doi: 10.1016/j.yebeh.2024.110223. Epub 2024 Dec 15.
To evaluate the relationship between S/R, demographic data, and clinical variables of Brazilian adult patients with epilepsy (PWE).
The scores of the WHO Quality of Life for Assessment of Spirituality, Religion, and Personal Beliefs (WHOQOL-SRPB) were related to demographic and clinical aspects, the Spirituality Self-Rating Scale (SSRS), and the Spiritual/Religious Coping Scale (SRC) of 60 PWE.
The mean age was 42.8y and 35 (58.3%) patients reported regular religious practice. In the WHOQOL-SRPB, greater inner peace and harmony were observed in women, greater wholeness and integration, hope and optimism in married patients, and greater spiritual connection in patients with religious practice. The use of polytherapy with antiseizure medication (ASM) was associated with lower spiritual connection, wholeness, integration, and S/N in the WHOQOL-SRPB. The higher seizure frequency was associated with lower spiritual connection. Facet scores and total scores of the WHOQOL-SRPB were significantly correlated with positive and negative coping and a greater perception of spiritual guidance.
In the PWE, the use of S/R differed according to gender, marital status, and religious practice. Clinical variables influenced the perception of S/R, which differed according to the use of ASM, frequency, and type of epileptic seizures. The greater use of coping and spiritual guidance was associated with different facets of S/R and personal beliefs.
评估巴西成年癫痫患者（PWE）的灵性/宗教（S/R）与人口统计学数据及临床变量之间的关系。
对60例PWE的世界卫生组织灵性、宗教和个人信仰评估生活质量量表（WHOQOL-SRPB）得分与人口统计学和临床方面、灵性自评量表（SSRS）以及灵性/宗教应对量表（SRC）进行关联分析。
平均年龄为42.8岁，35例（58.3%）患者报告有定期宗教活动。在WHOQOL-SRPB中，女性的内心平静与和谐程度更高，已婚患者的整体性与融合性、希望与乐观程度更高，有宗教活动的患者的灵性联系更强。联合使用抗癫痫药物（ASM）与WHOQOL-SRPB中较低的灵性联系、整体性、融合性以及精神/宗教得分相关。癫痫发作频率越高，灵性联系越低。WHOQOL-SRPB的各方面得分和总分与积极和消极应对以及对灵性指引的更强感知显著相关。
在PWE中，S/R的使用因性别、婚姻状况和宗教活动而异。临床变量影响对S/R的感知，其因ASM的使用、癫痫发作频率和类型而异。更多地使用应对方式和灵性指引与S/R的不同方面及个人信仰相关。
