Wilde M, Haslam C
Department of Epidemiology and Public Health, University of Leicester, UK.
Seizure. 1996 Mar;5(1):63-72. doi: 10.1016/s1059-1311(96)80065-3.
Epilepsy is a disorder associated with significant psychosocial morbidity, and the effects of a stigmatizing condition upon the everyday life and adjustment of young people is not known. The study involved in-depth interviews with 24 young people (15 females, 9 males), aged between 13 and 25 years, all of whom suffered from epilepsy and attended outpatients clinics. The important issues raised included the finding that a large proportion of the sample (71%) reported having been the victims of prejudice, especially bullying and teasing while they were at secondary school. Additionally, many subjects were critical of the medical profession and support services for people with epilepsy, complaining that they were not meeting their needs appropriately. Most subjects reported feelings of apprehension about telling others about their epilepsy, especially members of the opposite sex, and potential employers. Most described supportive, positive relationships with their families and close friends, and parental overprotection was rarely reported by them as being a significant problem. In addition, an estimate of subjects' adjustment to epilepsy was obtained which appears to indicate that the majority were coping well with their condition, even though it may have been resented by some of them.
癫痫是一种伴有严重心理社会疾病的病症,而这种污名化状况对年轻人日常生活和适应能力的影响尚不清楚。该研究对24名年龄在13至25岁之间的年轻人(15名女性,9名男性)进行了深入访谈,他们均患有癫痫且前往门诊就诊。所提出的重要问题包括:研究发现很大一部分样本(71%)报告称曾是偏见的受害者,尤其是在中学时遭受过欺凌和嘲笑。此外,许多受试者对癫痫患者的医疗行业和支持服务提出批评,抱怨这些服务未能充分满足他们的需求。大多数受试者表示担心向他人透露自己患有癫痫,尤其是向异性和潜在雇主透露。大多数人描述了与家人和亲密朋友之间支持性的、积极的关系,并且他们很少将父母的过度保护视为一个重大问题。此外,对受试者适应癫痫状况的情况进行了评估,结果似乎表明大多数人能够很好地应对自己的病情,尽管其中一些人可能对此心怀不满。