Social anxiety is associated with poor quality of life in adults with epilepsy in Northeast China: A cross-sectional study

Lu, Yingxue; Zhong, Rui; Li, Mengmeng; Zhao, Qian; Zhang, Xinyue; Hu, Boqi; Lin, Weihong

doi:10.1016/j.yebeh.2021.107866

Cited by 13 publications

(10 citation statements)

References 35 publications

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“…Several recent studies have reported significant declines in QOL among PWE [27,28]. Our present results suggest that PWE in China exhibit low-moderate QOL, underscoring the need for efforts aimed at improving this variable.…”

Section: Discussionsupporting

confidence: 68%

The association between illness perception and quality of life among Chinese adults with epilepsy: The mediating role of coping style

Tu¹,

Gong²,

Zhang³

et al. 2022

Epilepsy & Behavior

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Section: Discussionsupporting

confidence: 68%

The association between illness perception and quality of life among Chinese adults with epilepsy: The mediating role of coping style

Tu¹,

Gong²,

Zhang³

et al. 2022

Epilepsy & Behavior

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“…21 Anxiety and depression are major psychological comorbidities in both adults and pediatric patients with epilepsy, 22,23 and social anxiety is an independent factor to impair quality of life. 24 However, their needs for mental health-care services have been still unmet due to accessibility difficulties and lack of standardized protocols. [25][26][27] We consider that craft art, which has standard routine procedures, is to introduce in patients with difficulties in expressing themselves who hesitate free drawing/ painting.…”

Section: Indication and Caution For Scratch Art Therapy For Patients ...mentioning

confidence: 99%

Utility of scratch art therapy in adult epilepsy patients with difficulties in social adaptation

Kanesaki,

Watanabe,

Osugi

et al. 2023

Epileptic Disorders

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ObjectiveAdult patients with epilepsy are confronted with significant psychological and psychosocial burdens. However, the role of psychological intervention to improve quality of life has not been fully established yet. The basis of art therapy is symbolic representations of inner experiences but patients may have difficulty expressing themselves. Here, we investigated utilities of scratch art therapy in Japanese adult patients with epilepsy who feel difficulties in social adaptation.MethodsSeven adult epilepsy patients (four males, age: 32.1 ± 9.9, mean ± SD) treated in epilepsy clinic of our hospital, who complained of psychosocial problems and underwent psychotherapy sessions combined with art therapy, were included. Six patients had focal epilepsy and two of them were sequelae of encephalitis. They were comorbid with depression, mood disorders, anxiety, memory disturbance, and insomnia. Psychotherapy sessions were scheduled at the same day of their clinic visit, every 4–12 weeks, 60 min per day, and art therapy was performed as a part (up to 30 min, in accord with the condition of the patient) of each session. Scratch art therapy was performed by using ready‐made publications. Each patient selected favorite motives of figure out of several options suggested by the therapist.ResultsAll patients quickly adapted themselves to scratch art therapy and verbally expressed their hidden emotions during drawing. One female patient with emotional lability appealed that she could stab herself by pointed end of the pen. Three patients added self‐motivated lines to the designed draft. Two patients realized problems to be solved and moved to other suitable therapeutic procedures.SignificanceThe current case series study demonstrated utilities of scratch art therapy in Japanese adult patients with epilepsy who feel difficulties in social adaptation. Scratch art therapy is easy to introduce in adult epilepsy patients who have trouble expressing themselves or have uncontrollable emotions.

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“…The NDDI-E is a rapid and user-friendly questionnaire used to assess depressive symptoms in PWE during the past 2 weeks (22). Patients were requested to respond to six self-rated questions, and each item was rated on a four-point scale (1)(2)(3)(4). The sum of the scores ranged from 6 to 24, and higher scores represented higher levels of depressive symptoms.…”

Section: Questionnairesmentioning

confidence: 99%

“…Epilepsy is one of the most common serious brain diseases and affects more than 70 million individuals worldwide ( 1 ). Epilepsy has a profound long-term impact on various aspects of social life for patients, such as social anxiety ( 2 ), poor social support ( 3 ), perceived stigma ( 4 ), psychosocial burden ( 5 ), poor social adjustment ( 6 ), impaired social cognition ( 7 ), and lack of social skills and competence ( 8 ). These negative social aspects may lead to social isolation, which has yet to be fully investigated in adults with epilepsy.…”

Section: Introductionmentioning

confidence: 99%

Social Isolation and Associated Factors in Chinese Adults With Epilepsy: A Cross-Sectional Study

et al. 2022

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Objective: We aimed to determine the prevalence of social isolation and associated factors among adults with epilepsy in northeast China.Methods: A cohort of consecutive patients with epilepsy (PWE) from the First Hospital of Jilin University (Changchun, China) was recruited. Demographic and clinical data for each patient were collected during a face-to-face interview. Social isolation was measured using the Berkman-Syme Social Network Index (SNI), and the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) and Quality of Life in Epilepsy Inventory (QOLIE-31) were also administered. Multivariate logistic regression analyses were used to determine the factors associated with social isolation in PWE.Results: A total of 165 patients were included in the final analysis. The mean SNI score was 2.56 (SD: 1.19), and 35 patients (21.2%) were socially isolated. In multivariate logistic regression analysis, higher depressive symptom levels (OR = 1.15, 95% CI: 1.003–1.318, P = 0.045) and poorer quality of life (OR = 0.967, 95% CI: 0.935–0.999, P = 0.047) emerged as independent factors associated with social isolation in PWE.Conclusion: Social isolation is common and occurs in approximately one-fifth of PWE. Social isolation is significantly associated with depressive symptoms and poor quality of life in PWE. Patients need to be encouraged to actively integrate with others and reduce social isolation, which may help improve their quality of life.

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Social anxiety is associated with poor quality of life in adults with epilepsy in Northeast China: A cross-sectional study

Cited by 13 publications

References 35 publications

The association between illness perception and quality of life among Chinese adults with epilepsy: The mediating role of coping style

The association between illness perception and quality of life among Chinese adults with epilepsy: The mediating role of coping style

Utility of scratch art therapy in adult epilepsy patients with difficulties in social adaptation

Social Isolation and Associated Factors in Chinese Adults With Epilepsy: A Cross-Sectional Study

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