Perceived epilepsy stigma mediates relationships between personality and social well-being in a diverse epilepsy population

Margolis, Seth A.; Nakhutina, Luba; Schaffer, Sarah G.; Grant, Arthur C.; Gonzalez, Jeffrey S.

doi:10.1016/j.yebeh.2017.10.023

Cited by 27 publications

(9 citation statements)

References 35 publications

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“…Stigma refers to the feeling of isolation, rejection, degradation and criticism during a social process or personal experience which influences the outcomes of physical, psychological and social adjustment (Cataldo, Slaughter, Jahan, Pongquan, & Hwang, 2011). Existing studies on stigma have been conducted with mentally ill patients (Singh, Mattoo, & Grover, 2016), HIV patients (Crockett, Kalichman, Kalichman, Cruess, & Katner, 2019), epileptic patients (Margolis, Nakhutina, Schaffer, Grant, & Gonzalez, 2018) and tuberculosis patients (Lee, Tung, Chen, & Fu, 2017). As cancer is more negatively perceived in society compared to some other diseases, an increasing number of studies have examined stigma related to cancer.…”

Section: Introductionmentioning

confidence: 99%

Relationship between cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors

Kang

Kim

et al. 2020

Journal of Clinical Nursing

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Aims and objectives: The purpose of this study was to examine the magnitude of cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors and to identify the factors associated with patients' psychosocial adjustment. Background: Few studies have examined the association between cancer stigma and adaptation outcomes, which are considered interpersonal stressors for breast cancer survivors. Design: A correlational, cross-sectional research design was used. Methods: This study was designed based on the stress-coping theory of Lazarus and Folkman. This descriptive cross-sectional study included 158 breast cancer survivors who visited a Korean tertiary hospital. Data collection was performed using a structured questionnaire and electronic medical records between March-May 2018. Data analyses included descriptive statistics, independent t test, one-way ANOVA, Kruskal-Wallis test, partial correlation analysis and hierarchical regression analysis and were performed with the SPSS WIN 25.0 program. This study adheres to STROBE guidelines. Results: Cancer stigma had the strongest association with psychosocial adjustment among Korean breast cancer survivors, followed by social support and coping strategies. These variables accounted for approximately 44% of the variance in psychosocial adjustment. Conclusion: Cancer stigma had the strongest association with psychosocial adjustment. Healthcare professionals should assess patients' cancer stigma to develop patient-tailored stigma management programmes. Relevance to clinical practice: Interventions to alleviate cancer stigma should be developed, and social support and coping strategies for breast cancer survivors should be considered in clinical oncology settings.

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Section: Introductionmentioning

confidence: 99%

Relationship between cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors

Kang

Kim

et al. 2020

Journal of Clinical Nursing

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“…In a study of public attitudes toward epilepsy in the United Kingdom, more than a fifth of people questioned agreed with a statement that “people with epilepsy have more personality problems than others” ( 51 ). Several studies have demonstrated that perceived stigma is a critical factor for interictal aggression and neurotic personality in people with epilepsy ( 12 , 52 – 54 ). Other researchers reported that introverted personality was independently associated with the felt stigma of epilepsy ( 55 ).…”

Section: Discussionmentioning

confidence: 99%

Felt Stigma and Its Underlying Contributors in Epilepsy Patients

Mao

Wang

Zhang

et al. 2022

Front. Public Health

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ObjectiveTo explore the correlated clinical and psychological factors of stigmatization and investigate the relationship between stigma and white matter abnormalities in epilepsy patients.MethodsStigmatization was obtained by a three-item stigma scale in 256 epilepsy patients with genetic or unknown etiology. Personality and quality of life (QOL) were assessed by Eysenck Personality Questionnaire (EPQ) and QOL-31 questionnaire respectively. One hundred and fourteen of them were performed Hamilton Depression Scale-17 (HAMD) and scanned with diffusion tensor imaging in 3T MRI. Fractional anisotropy (FA) values of frontotemporal contact fibers were calculated.ResultsThere were about 39.8% patients felt stigma, with the highest score (Score 3) in 8.2% (21/256). Stigma scores were significantly negatively correlated with education (P < 0.01), age of onset (P < 0.05), extraversion score of EPQ (P < 0.01), total and all the subscale QOL scores (P < 0.001), and positively correlated with duration (P < 0.01), HAMD score (P < 0.001), neuroticism score of EPQ (P < 0.001). We found negative correlation between stigma scores and FA values of right superior longitudinal fasciculus and left cingulum (P < 0.05). Logistic regression results showed that FA value of left cingulum (P = 0.011; OR = 0.000), social function (P = 0.000; OR = 0.935) of QOL, and neuroticism score of EPQ (P = 0.033; OR = 1.123) independently correlated to felt stigma.ConclusionFelt stigma in epilepsy patients was found to be correlated with neuroticism, depression, and deficient social function of QOL, which might be predisposed by the impairment of the left cingulum. Our results provide preliminary evidence for the underlying neural circuits in stigmatization.

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“…However, these differences did not affect the final score because the answers "no need" were not counted in the final result. Some other questions could be helpful for most patients at any time of the disease such as "provision of aids" or "social support", and others like "dealing with the impact of epilepsy on family and yourself" may be related to stigma, which is a particularly useful component to incorporate when developing interventions aimed at promoting social well-being in diverse people with epilepsy [24]. The importance of less frequently answered questions about the information and advice dimension is justified by their relevance to the introduction of programs and actions that aim to provide patients and their families with greater knowledge on epilepsy, promote communication between health professionals and patients, and encourage the participation of patients and their families during treatment [25].…”

Section: Discussionmentioning

confidence: 99%

Spanish version of the Satisfaction with Epilepsy Care questionnaire: Adaptation and psychometric properties

Manzanares

Guerra

Lombraña

et al. 2020

Epilepsy & Behavior

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The objective of this study was to perform a cross-cultural adaption and psychometric evaluation of the Spanish version of the Satisfaction with Epilepsy Care (SEC) questionnaire and analyze patient satisfaction with epilepsy care. Methods: Transcultural adaptation and validation of the SEC were carried out using translation and back-translation with pilot testing and an expert panel. The SEC-E (Spanish) was analyzed in 213 patients with epilepsy to examine construct and criterion validity and internal consistency. Results: The SEC-E achieved conceptual, semantic, and content equivalence with the original version. For content validity, one question was eliminated from the original questionnaire as it has little relevance in our cultural setting. Positive correlations for criterion validity were obtained using the gold standard measure (Satisfaction in Hospitalized Patients scale). Construct validity replicated the three dimensions of the original questionnaire. The scale showed adequate reliability through internal consistency (Cronbach's α of 0.94) and temporal stability on retest (n = 85). Patients scored (0 to 100) 77.5 [standard deviation (SD): 19.9] for satisfaction with communication, 76.9 (SD: 17) for organization, and 67.2 (SD: 22.1) for information. Significance: The SEC-E is a valid and reliable tool for the assessment of educational interventions aiming to improve the quality of care in patients with epilepsy in Spanish clinical practice. The results showed a good level of patient satisfaction with epilepsy care.

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Perceived epilepsy stigma mediates relationships between personality and social well-being in a diverse epilepsy population

Cited by 27 publications

References 35 publications

Relationship between cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors

Relationship between cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors

Felt Stigma and Its Underlying Contributors in Epilepsy Patients

Spanish version of the Satisfaction with Epilepsy Care questionnaire: Adaptation and psychometric properties

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