成人癫痫患者照护者的心理状况和家庭负担

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-05-01 DOI:10.1016/j.yebeh.2025.110458

Xiaoxiao Cui , Chenyang Qi , Zhe Ren , Bin Wang , Lei Sun , Yanan Chen , Na Wang , Tingting Li , Xiong Han , Ting Zhao

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引用次数: 0

摘要

目的探讨成人癫痫患者照护者的焦虑、抑郁症状及家庭负担，探讨成人癫痫患者照护者抑郁、焦虑的影响因素。方法178对成人PWE及其护理人员在我院癫痫中心就诊。收集PWE及其照顾者的人口统计学特征、焦虑和抑郁评分。家庭负担和压力也由照顾者评估。结果PWE中有45人（31.69%）出现焦虑症状，51人（35.92%）出现抑郁症状。成人PWE护理人员中分别有42名（29.58%）和40名（28.17%）存在焦虑和抑郁症状。照顾者的家庭负担为中等水平（0.52±0.50），家庭经济负担得分最高（0.79±0.65）。PWE抑郁(B = 0.238, p <；0.001;B = 0.319, p <；0.001)，家庭成员的心理健康状况(B = 10.240, p <；0.001;B = 8.281, p <；0.001)和应力(B = 0.075, p = 0.002；B = 0.091, p = 0.008)与照顾者的焦虑和抑郁均独立相关。结论PWE患者的抑郁分别与照顾者的焦虑和抑郁独立相关。照顾者的压力和家庭成员的心理健康与照顾者的焦虑和抑郁分别独立相关。照顾者的焦虑和抑郁水平与家庭负担显著相关。因此，在癫痫治疗中应重视成人PWE照料者的心理状况。

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Psychological status and family burden in caregivers of adult people with epilepsy

Purpose

The study aimed to assess anxiety and depression symptoms as well as family burden in the caregivers of adult people with epilepsy (PWE), and to illustrate the influencing factors in depression and anxiety in the caregivers of adult PWE.

Methods

178 pairs of adult PWE and their caregivers attending our epilepsy center participated in this study. Demographic characteristics, and anxiety and depression scores were collected for both PWE and their caregivers. Family burden and stress were also assessed by caregivers.

Results

In PWE, 45 (31.69 %) participants suffered anxiety symptoms, and 51 (35.92 %) suffered depression symptoms. Anxiety and depression symptoms were detected in 42 (29.58 %) and 40 (28.17 %) of caregivers for adult PWE respectively. Caregivers reported moderate levels of family burden (0.52 ± 0.50), while family economic burden gained the highest score (0.79 ± 0.65). Depression in PWE (B = 0.238, p < 0.001; B = 0.319, p < 0.001), the mental health of family members (B = 10.240, p < 0.001; B = 8.281, p < 0.001) and stress (B = 0.075, p = 0.002; B = 0.091, p = 0.008) in caregivers were independently associated with both anxiety and depression in caregivers.

Conclusion

Depression in PWE was independently associated with anxiety and depression in caregivers, respectively. Stress and the mental health of family members in caregivers were independently associated with anxiety and depression in caregivers, separately. Levels of anxiety and depression in caregivers were significantly related to family burden. Therefore, the psychological status of caregivers for adult PWE should be paid more attention in epilepsy treatment.

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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.