评估成人癫痫患者的心理弹性:一项横断面研究。

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Qing Fu, Yue Huang, De-Feng Liu
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引用次数: 0

摘要

背景:心理弹性在癫痫患者的生活质量和心理健康中起着至关重要的作用。然而,对我国农民工心理弹性的影响因素的研究较少。本研究旨在探讨PWE心理弹性的影响因素,并探讨神经健康状况与心理弹性的关系。方法:从中国单一中心招募80名PWE进行横断面研究。采用Connor-Davidson弹性量表(CD-RISC)评估心理弹性,采用神经健康状况量表(NHS3)评估神经健康状况。收集人口统计学和临床资料,包括年龄、性别、教育程度、婚姻状况、就业状况、家庭月收入、居住地、病程、发作类型和发作频率。采用多元线性回归分析确定与心理弹性相关的因素。结果:PWE的CD-RISC平均评分为51.3±11.12。单因素分析显示,男性、高学历、已婚、城市居住、病程短(≤5年)、局灶性发作、发作频率低(每月1-3次)、无癫痫持续状态史与恢复力评分较高相关。多元线性回归分析发现,性别(P = 0.012)、文化程度(P = 0.013)、病程(P = 0.001)、癫痫发作频率(P = 0.001)和NHS3评分(P = 0.031)是心理弹性的显著预测因子。结论:本研究突出了影响中国PWE心理弹性的关键因素,强调了性别、文化程度、病程、癫痫发作频率和神经健康状况的影响。研究结果表明,有针对性的心理干预、教育支持和改善医疗保健服务对于增强PWE的复原力至关重要。此外,在中国解决社会耻辱感和提高癫痫意识可能会进一步改善患者的心理健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of psychological resilience in adult patients with epilepsy: a cross-sectional study.

Background: Psychological resilience plays a crucial role in the quality of life and mental health of patients with epilepsy (PWE). However, there is limited research on the factors influencing psychological resilience in Chinese PWE. This study aimed to investigate the determinants of psychological resilience in PWE and explore the relationship between neurological health status and resilience.

Methods: A cross-sectional study was conducted with 80 PWE recruited from a single center in China. Psychological resilience was assessed using the Connor-Davidson Resilience Scale (CD-RISC), and neurological health status was evaluated using the Neurological Health Status Scale (NHS3). Demographic and clinical data, including age, gender, education level, marital status, employment status, monthly household income, residential area, disease duration, seizure type, and seizure frequency, were collected. Multiple linear regression analysis was performed to identify factors associated with psychological resilience.

Results: The mean CD-RISC score for PWE was 51.3 ± 11.12. Univariate analysis showed that male gender, higher education level, married status, urban residence, shorter disease duration (≤ 5 years), focal seizures, lower seizure frequency (1-3 times per month), and absence of status epilepticus history were associated with higher resilience scores. Multiple linear regression analysis identified gender (P = 0.012), education level (P = 0.013), disease duration (P = 0.001), seizure frequency (P = 0.001), and NHS3 score (P = 0.031) as significant predictors of psychological resilience. The model was statistically significant (F = 16.217, p < 0.001) and explained 67.6% of the variance (R²=0.676).

Conclusion: This study highlights the key factors influencing psychological resilience in Chinese PWE, emphasizing the impact of gender, education level, disease duration, seizure frequency, and neurological health status. The findings suggest that targeted psychological interventions, educational support, and improved healthcare access are crucial for enhancing resilience in PWE. Additionally, addressing social stigma and promoting epilepsy awareness in China may further improve the psychological well-being of patients.

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来源期刊
Acta neurologica Belgica
Acta neurologica Belgica 医学-临床神经学
CiteScore
4.20
自引率
3.70%
发文量
300
审稿时长
6-12 weeks
期刊介绍: Peer-reviewed and published quarterly, Acta Neurologica Belgicapresents original articles in the clinical and basic neurosciences, and also reports the proceedings and the abstracts of the scientific meetings of the different partner societies. The contents include commentaries, editorials, review articles, case reports, neuro-images of interest, book reviews and letters to the editor. Acta Neurologica Belgica is the official journal of the following national societies: Belgian Neurological Society Belgian Society for Neuroscience Belgian Society of Clinical Neurophysiology Belgian Pediatric Neurology Society Belgian Study Group of Multiple Sclerosis Belgian Stroke Council Belgian Headache Society Belgian Study Group of Neuropathology
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