东部地区癫痫患者自我效能感、疾病相关恐惧和不确定性耐受之间的关系：一项通径分析

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-03-24 DOI:10.1016/j.yebeh.2025.110367

Yasemin Erden , Gülcan Bahçecioğlu Turan , Nurgul Karakurt , Ercan Bakır

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引用次数: 0

摘要

背景自我效能感、疾病相关恐惧和对不确定性的不耐受等心理因素对癫痫患者疾病管理和生活质量的影响对理解个体健康行为具有重要作用。目的探讨癫痫患者自我效能感、疾病相关恐惧和不确定性不耐受之间的关系，并探讨疾病相关恐惧在自我效能感和不确定性不耐受之间的中介作用。方法采用描述性研究方法，对某大学附属医院神经内科门诊150例符合纳入标准的癫痫患者进行横断面相关性研究。研究人群包括2024年5月至2024年8月期间申请到乌克兰东部一家大学医院神经病学诊所就诊的癫痫患者。数据采用《个人信息表》、《癫痫自我效能感量表》、《疾病相关恐惧量表》和《疾病不确定度量表-社区表》进行收集。采用结构方程建模和自举方法对研究数据进行分析。这项研究是根据STROBE建议进行的。结果根据研究结果，自我效能感对疾病不确定性的耐耐性有负面影响(b =−0.384,95% CI[−0.462 ~−0.306],p <；0.01)和疾病相关恐惧(b = - 0.449, 95% CI [- 0.544 ~ - 0.344], p <；0.01)。此外，与疾病相关的恐惧被发现正影响不确定性的不耐受(b = 0.688, 95% CI[0.586至0.789],p <；0.01)。自我效能感通过疾病相关恐惧对不确定性耐受的间接影响(b = -0.309, 95% CI [-0.444 ~ - 0.210], p <；0.01)，总效应为负且显著(b = -0.693, 95% CI [- 0.789 ~ - 0.597], p <；0.01)也呈阴性且有统计学意义。在模型中，自我效能解释了34%与疾病相关的恐惧和59%对不确定性的总不容忍。估计的影响是通过5000次重复操作来计算的，并被评估为显著的，因为间接影响在95%置信区间内不包括零。结论自我效能感对癫痫患者的不确定性耐受有直接的负向影响，而与疾病相关的恐惧在这一影响中起中介作用。

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The relationship between self-efficacy, illness-related fear, and intolerance of uncertainty in patients who have epilepsy in eastern Türkiye: A path analysis

Background

The effects of psychological factors such as self-efficacy, illness-related fear, and intolerance of uncertainty on illness management and quality of life of patients who have epilepsy have important roles in understanding the health behaviors of individuals.

Aim

The present study was conducted to examine the relationship between self-efficacy, illness-related fear, and intolerance of uncertainty in patients who have epilepsy and to investigate the mediating role of illness-related fear in the relationship between self-efficacy and intolerance of uncertainty.

Method

This cross-sectional and correlational study had a descriptive design and was conducted with 150 epilepsy patients who met the inclusion criteria and applied to the neurology clinic of a university hospital. The study population comprised epilepsy patients who applied to the Neurology Clinic of a university hospital in eastern Türkiye between May 2024 and August 2024. The data were collected by using the Personal Information Form, Epilepsy Self-Efficacy Scale, Illness-Related Fear Scale, and Mishel Uncertainty in Illness Scale − Community Form. The Structural Equation Modeling and Bootstrapping Methods were used to analyze the study data. The study was reported following the STROBE Recommendations.

Results

Based on the findings, self-efficacy was found to negatively affect intolerance of uncertainty about the illness (b = −0.384, 95 % CI [−0.462 to −0.306], p < 0.01) and illness-related fear (b = −0.449, 95 % CI [−0.544 to −0.344], p < 0.01). Also, illness-related fear was found to positively affect intolerance of uncertainty (b = 0.688, 95 % CI [0.586 to 0.789], p < 0.01). The indirect effect of self-efficacy on intolerance of uncertainty through illness-related fear (b = -0.309, 95 % CI [-0.444 to −0.210], p < 0.01) was found to be negative and significant and the total effect (b = -0.693, 95 % CI [−0.789 to −0.597], p < 0.01) was also negative and significant. Self-efficacy explained 34 % of the illness-related fear and 59 % of the total intolerance of uncertainty in the model. The estimated effects were calculated with 5000 repeated operations and were evaluated to be significant because the indirect effects did not include zero in the 95 % Confidence Interval.

Conclusion

The results of the present study showed that self-efficacy has a direct negative impact on intolerance of uncertainty in patients who have epilepsy and that fear related to the illness plays mediating roles in this effect.

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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.