The mediating role of perceived social support and resilience between mental problems and stigmatization in adolescents with epilepsy: A cross-sectional study

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-09-27 DOI:10.1016/j.yebeh.2025.110731

Mehmet Emin Düken , Mustafa Belli

{"title":"The mediating role of perceived social support and resilience between mental problems and stigmatization in adolescents with epilepsy: A cross-sectional study","authors":"Mehmet Emin Düken , Mustafa Belli","doi":"10.1016/j.yebeh.2025.110731","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>The present study was conducted to examine the mediating roles of perceived social support and resilience in the relationship between mental health and stigmatization in adolescents with epilepsy.</div></div><div><h3>Method</h3><div>This cross-sectional and descriptive study planned in accordance with STROBE guidelines was conducted in two hospitals in Şanlıurfa between 01.05.2024 and 31.01.2025. The study included 249 adolescents with epilepsy who met the inclusion criteria. Data were collected by using the Brief Symptom Inventory (BSI), Epilepsy Stigma Scale (ESS), Multidimensional Perceived Social Support Scale (MSPSS) and Child and Adolescent Psychological Resilience Scale (CEASRS). Analyses were conducted by using regression analysis and mediation models. Ethics committee approval was obtained and informed consent was obtained from the participants.</div></div><div><h3>Results</h3><div>It was found that 44 % of the adolescents with epilepsy who participated in the study experienced high levels of stigmatization. While a strong positive correlation was found between mental health and stigmatization (r = 0.990, p < 0.001), significant negative correlations were found between perceived social support (r = -0.958, p < 0.001) and resilience (r = -0.945, p < 0.001) and stigmatization. According to the mediation analysis results, perceived social support (β = 0.074, CI [0.040–0.122]) and resilience (β = 0.438, CI [0.292–0.569]) significantly reduced the effect of mental health on stigmatization in adolescents with epilepsy.</div></div><div><h3>Conclusion</h3><div>The results of the study show that social support systems should be strengthened and resilience should be increased to reduce the effects of mental health and stigmatization in adolescents with epilepsy. In this respect, it is recommended to strengthen social support mechanisms and include interventions that increase resilience in clinical approaches to individuals with epilepsy.</div></div>","PeriodicalId":11847,"journal":{"name":"Epilepsy & Behavior","volume":"172 ","pages":"Article 110731"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epilepsy & Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1525505025004718","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"BEHAVIORAL SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

The present study was conducted to examine the mediating roles of perceived social support and resilience in the relationship between mental health and stigmatization in adolescents with epilepsy.

Method

This cross-sectional and descriptive study planned in accordance with STROBE guidelines was conducted in two hospitals in Şanlıurfa between 01.05.2024 and 31.01.2025. The study included 249 adolescents with epilepsy who met the inclusion criteria. Data were collected by using the Brief Symptom Inventory (BSI), Epilepsy Stigma Scale (ESS), Multidimensional Perceived Social Support Scale (MSPSS) and Child and Adolescent Psychological Resilience Scale (CEASRS). Analyses were conducted by using regression analysis and mediation models. Ethics committee approval was obtained and informed consent was obtained from the participants.

Results

It was found that 44 % of the adolescents with epilepsy who participated in the study experienced high levels of stigmatization. While a strong positive correlation was found between mental health and stigmatization (r = 0.990, p < 0.001), significant negative correlations were found between perceived social support (r = -0.958, p < 0.001) and resilience (r = -0.945, p < 0.001) and stigmatization. According to the mediation analysis results, perceived social support (β = 0.074, CI [0.040–0.122]) and resilience (β = 0.438, CI [0.292–0.569]) significantly reduced the effect of mental health on stigmatization in adolescents with epilepsy.

Conclusion

The results of the study show that social support systems should be strengthened and resilience should be increased to reduce the effects of mental health and stigmatization in adolescents with epilepsy. In this respect, it is recommended to strengthen social support mechanisms and include interventions that increase resilience in clinical approaches to individuals with epilepsy.

查看原文本刊更多论文

认知社会支持和心理弹性在青少年癫痫患者心理问题和污名化之间的中介作用：一项横断面研究

目的探讨认知社会支持和心理弹性在青少年癫痫患者心理健康与污名化的关系中的中介作用。方法按照STROBE指南，于2024年1月5日至2025年1月31日在Şanlıurfa两家医院进行横断面描述性研究。该研究纳入了249名符合纳入标准的青少年癫痫患者。采用简短症状量表（BSI）、癫痫病耻感量表（ESS）、多维感知社会支持量表（MSPSS）和儿童青少年心理弹性量表（CEASRS）收集数据。采用回归分析和中介模型进行分析。获得了伦理委员会的批准，并获得了参与者的知情同意。结果参与研究的青少年癫痫患者中，有44%的人经历过高度的污名化。心理健康与污名化之间存在显著正相关（r = 0.990, p < 0.001），而感知社会支持（r = -0.958, p < 0.001）和恢复力（r = -0.945, p < 0.001）与污名化之间存在显著负相关。中介分析结果显示，感知社会支持（β = 0.074, CI[0.040-0.122]）和恢复力（β = 0.438, CI[0.292-0.569]）显著降低了心理健康对青少年癫痫患者污名化的影响。结论应加强社会支持系统，增强心理韧性，减少青少年癫痫患者心理健康和污名化的影响。在这方面，建议加强社会支持机制，并在针对癫痫患者的临床方法中纳入增强复原力的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.