Carlton-Ford S, Miller R, Brown M, Nealeigh N, Jennings P
Department of Sociology, University of Cincinnati, OH 45221-0378, USA.
J Health Soc Behav. 1995 Sep;36(3):285-301.
This research investigates the effects of epilepsy on the social and psychological adjustment of the children studied in the National Health Interview Survey of 1988. Analyses examine the effect of epilepsy on four measures of adjustment--home behavior problems, school behavior problems, depressed mood, and impulsiveness. For each outcome, we address five questions: (1) Do children with currently active epilepsy have poorer adjustment than children with inactive epilepsy? (2) Do children with epilepsy fare worse than other children? (3) Do demographic background and family structure moderate the apparent effects of epilepsy? (4) Do family processes mediate the apparent effects of epilepsy? and (5) Do cooccurring conditions produce the apparent effects of epilepsy? Generally, we find that: (1) Children with active and inactive epilepsy fare about equally; (2) Children with any history of epilepsy fare worse than children without epilepsy; (3) Demographic and family background moderate only a small part of epilepsy's effect; and (4) A combination of family processes and cooccurring conditions appears to produce epilepsy's apparent effects.
本研究调查了癫痫对1988年全国健康访谈调查中所研究儿童的社会和心理适应的影响。分析考察了癫痫对四种适应指标的影响——家庭行为问题、学校行为问题、抑郁情绪和冲动性。对于每个结果，我们提出五个问题：（1）目前患有活动性癫痫的儿童比患有非活动性癫痫的儿童适应能力更差吗？（2）患有癫痫的儿童比其他儿童情况更糟吗？（3）人口背景和家庭结构会调节癫痫的明显影响吗？（4）家庭过程会介导癫痫的明显影响吗？以及（5）并发疾病会产生癫痫的明显影响吗？总体而言，我们发现：（1）患有活动性和非活动性癫痫的儿童情况大致相同；（2）有任何癫痫病史的儿童比没有癫痫的儿童情况更糟；（3）人口和家庭背景仅调节了癫痫影响的一小部分；（4）家庭过程和并发疾病的综合作用似乎产生了癫痫的明显影响。
