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Tytuł:
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Prevalence and risk factors for depression and anxiety in adult patients with epilepsy: Caregivers' anxiety and place of residence do mater.
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Autorzy:
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Zhu XR; Department of Neuroelectrophysiology, Zhengzhou Seventh People's Hospital, Henan Province, Zhengzhou 450003, China; Department of Neurology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou 450003, China.
Zhu ZR; Department of Cardiology, Zhengzhou Seventh People's Hospital, Henan Province, Zhengzhou 450003, China.
Wang LX; Department of Neuroelectrophysiology, Zhengzhou Seventh People's Hospital, Henan Province, Zhengzhou 450003, China.
Zhao T; Department of Neurology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou 450003, China.
Han X; Department of Neurology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou 450003, China. Electronic address: .
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Źródło:
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Epilepsy & behavior : E&B [Epilepsy Behav] 2022 Apr; Vol. 129, pp. 108628. Date of Electronic Publication: 2022 Mar 01.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: San Diego, CA : Academic Press, c2000-
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MeSH Terms:
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Caregivers*/psychology
Epilepsy*/complications
Epilepsy*/epidemiology
Adult ; Anxiety/epidemiology ; Anxiety/etiology ; Anxiety/psychology ; Cross-Sectional Studies ; Depression/epidemiology ; Depression/etiology ; Depression/psychology ; Humans ; Prevalence ; Risk Factors
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Contributed Indexing:
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Keywords: Adult; Anxiety; Caregivers; Depression; Epilepsy; Place of residence
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Entry Date(s):
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Date Created: 20220304 Date Completed: 20220405 Latest Revision: 20220616
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Update Code:
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20240105
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DOI:
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10.1016/j.yebeh.2022.108628
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PMID:
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35245762
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Objectives: This study was aimed to assess the prevalence of anxiety and depression and the possible contributions of the caregiver's anxiety and depression, disease status, and socio-demographic characteristics to psychopathological comorbidities among adult patients with epilepsy.
Methods: A total of 262 participants (131 adult patient-caregiver pairs) were enrolled in this study. The Hamilton Rating Scale for Depression (HAM-D) and the Hamilton Rating Scale for Anxiety (HAM-A) were applied to evaluate the depression and anxiety status among adult patients with epilepsy and their caregivers, respectively. We collected caregivers' anxiety and depression, patients' sociodemographic characteristic data, and disease status as independent variables using stepwise multiple linear regression analysis that were correlated to the degree of anxiety and depression among these adult patients with epilepsy.
Results: Among adult patients with epilepsy, 46 (35.11%) subjects showed anxiety symptoms (HAM-A scores > 6), and 48 (36.64%) had depression symptoms (HAM-D scores > 6). Caregivers' anxiety levels and place of residence were significant independent predictors of both anxiety and depression levels among adult patients with epilepsy.
Conclusions: Adult patients with epilepsy are at a high risk of suffering from anxiety and depression. Caregivers' anxiety and place of residence are definite independent predictors for anxiety and depression severity among adult patients with epilepsy. Therefore, clinicians should be careful in closely monitoring the psychological status of adult patients with epilepsy and their caregivers. Furthermore, the government and medical institutions should increase educational awareness about epilepsy and its cure, especially among adult patients with epilepsy who live in rural areas and consider offering a multidisciplinary management program to improve these patients' psychological status.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
