成人癫痫患者家庭照护者中照护者负担的患病率和相关临床-社会心理因素：来自印度一家三级医疗中心的横断面研究

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-10-22 DOI:10.1016/j.yebeh.2025.110789

Shubhi Nema , Senthil Amudhan , Ravindranadh Chowdary Mundlamuri , Vaishali Dagar , Hemant Kumar Tiwari , Priyanthi Arichandran , Girish Nagaraja Rao

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引用次数: 0

摘要

目的：尽管对癫痫患者（PwE）的护理负担相当大，但来自资源有限环境的证据仍然很少。本研究旨在评估资源有限环境下PwE照顾者的照顾者负担及其相关因素。方法：以医院为基础的横断面研究在印度三级医疗机构进行。通过访谈收集成人PwE的主要照顾者的数据，使用综合问卷评估患者和照顾者的社会人口统计学、PwE的临床特征、照顾者负担和相关的社会心理因素（抑郁、焦虑和耻辱）。采用描述性统计描述照顾者负担的发生率，并采用多变量线性回归分析确定相关因素。结果：在306个完成的访谈中，平均照顾者负担得分为36.8 (SD = 11.8)， 35%的参与者有中度至重度负担。结论：相当大比例的照顾者经历中度至重度负担，与焦虑、抑郁和病耻感显著相关。针对照顾者心理健康和耻辱感的有针对性的干预措施可以减轻负担并改善全面的癫痫治疗。

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Prevalence and associated clinico-psychosocial factors of caregiver burden among family caregivers of adults with epilepsy: A cross-sectional study from a Tertiary Care Centre in India

Objective

Despite the considerable burden of caregiving for persons with epilepsy (PwE), evidence from resource-limited settings remains sparse. This study aimed to assess caregiver burden and its associated factors among caregivers of PwE in a resource-limited setting.

Methods

A hospital-based cross-sectional study was conducted in a tertiary care setting in India. Data were collected from primary caregivers of adult PwE through interviews using a comprehensive questionnaire assessing socio-demographics of patients and caregivers, clinical characteristics of PwE, caregiver burden, and associated psychosocial factors (depression, anxiety, and stigma). Descriptive statistics were used to describe the prevalence of caregiver burden, and multivariable linear regression analysis was used to identify associated factors.

Results

Among 306 completed interviews, the mean caregiver burden score was 36.8 (SD = 11.8), and 35 % of participants had moderate-to-severe burden. Caregiver burden correlated positively with anxiety (r = 0.7, p < 0.01), depression (r = 0.6, p < 0.01), and stigma (r = 0.6, p < 0.01). In the final model, caregiver burden was significantly higher among caregivers who were married, unemployed, missed more workdays, and frequently visited NFHCPs (Non-Formal Health Care Providers). Psychosocial variables such as anxiety, depression, and stigma were also associated with caregiver burden. Standardized beta coefficients indicated stigma had the strongest association (β = 0.34), followed by anxiety (β = 0.32) and depression (β = 0.19).

Conclusion

A substantial proportion of caregivers experienced moderate-to-severe burden, significantly associated with anxiety, depression, and stigma. Targeted interventions addressing caregiver mental health and stigma may reduce burden and improve comprehensive epilepsy care.

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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.