The impact of social factors, especially psychological worries on anxiety and depression in patients with epilepsy.
Epilepsy Behav
; 125: 108376, 2021 12.
Article
em En
| MEDLINE
| ID: mdl-34775247
ABSTRACT
BACKGROUND:
Social factors are believed to affect mental health in patients with epilepsy (PWE). However, there is still a lack of sufficient manifest proof, given the difficulty of exposing PWE to relatively consistent natural social environments with a low or high level of social interaction to study their significant role.METHODS:
This single-center, longitudinal study was conducted via online questionnaires during the coronavirus disease 2019. PWE were recruited from downtown Wuhan and surrounding areas. The Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 were used to assess psychological status.RESULTS:
We analyzed 588 questionnaires completed by 294 PWE who participated in the dual survey. Under lockdown and reopening, the prevalence of anxiety was 13.6%/22.5%, and the prevalence of depression was 19.4%/34.0%. Raising children and seizure-related characteristics, including uncontrolled seizures, seizure exacerbation, seizure frequencyâ¯≥â¯2/m, and changes in drug regimen, were risk factors in the first and second surveys. A high education level (ORâ¯=â¯1.946, 95% CIâ¯=â¯1.191-3.182), low life satisfaction (ORâ¯=â¯1.940, 95% CIâ¯=â¯1.007-3.737), worry about unanticipated seizures (ORâ¯=â¯2.147, 95% CIâ¯=â¯1.049-4.309), and worry about purchasing medication outside (ORâ¯=â¯2.063, 95% CIâ¯=â¯1.060-4.016) were risk factors for higher scores after reopening. Worry about unanticipated seizures (ORâ¯=â¯3.012, 95% CIâ¯=â¯1.302-6.965) and in-person medical consultation (ORâ¯=â¯2.319, 95% CIâ¯=â¯1.262-4.261) were related to newly diagnosed patients with psychological disorder after reopening.CONCLUSIONS:
We identified an association between social variables and epileptic psychiatric comorbidities.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Epilepsia
/
COVID-19
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article