Investigation of Resilience in Patients with Epilepsy Referred to Medical Centers in Isfahan in 2021

Moein Motioleslami, Malek Fereidooni-Moghadam, A. Yazdannik, M. Etemadifar
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Abstract

Background: Epilepsy is a worldwide common neurological disorder characterized by an enduring predisposition to epileptic seizures. Protective elements are circumstances that help an individual cope with stressful events more effectively. Resilience may act as a protective factor against the subjective experience of hardship, especially when receiving a probable negative medical diagnosis. Objectives: The purpose of this study was to explore resilience among patients with epilepsy. Methods: This descriptive-analytical study was performed in 2021 on 250 patients with epilepsy referred to selected medical centers in Isfahan, who were selected by the simple random sampling method. Data collection tools included a demographic information questionnaire and Connor- Davidson Resilience Scale (CD-RISC). Data were analyzed in SPSS software version 26 using descriptive statistics such as the mean and standard deviation for quantitative variables and frequency and percentage for qualitative variables. Stepwise regression tests were used to examine the relationship between independent variables and dependent variables while controlling contextual and confounding variables. Results: In this study, the mean (standard deviation) of the resilience score in epileptic patients was 60.34 ± 19.86. The socioeconomic status and the level of education, but not martial status and gender, were found to correlate significantly with resilience (P = 0.445 and P = 0.396, respectively). Duration of epilepsy, age, and job status inversely correlated with resilience (P = -0.269, P = -0.131, P = -0.155, respectively). Conclusions: According to the results of this study, increasing knowledge and understanding of the relationship between epilepsy and resilience may help obviate this problem in patients with epilepsy.
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2021年伊斯法罕医疗中心转介癫痫患者恢复力调查
背景:癫痫是一种世界范围内常见的神经系统疾病,其特征是易发生癫痫发作。保护性因素是帮助个人更有效地应对压力事件的环境。适应力可作为一种保护因素,防止主观痛苦经历,特别是在接受可能为阴性的医学诊断时。目的:探讨癫痫患者的心理恢复能力。方法:采用简单随机抽样方法,于2021年对伊斯法罕选定医疗中心的250例癫痫患者进行描述性分析研究。数据收集工具包括人口统计信息问卷和Connor- Davidson弹性量表(CD-RISC)。在SPSS软件26版中对数据进行分析,定量变量采用均值和标准差,定性变量采用频率和百分比等描述性统计。逐步回归检验用于检验自变量和因变量之间的关系,同时控制上下文和混杂变量。结果:本组癫痫患者恢复力评分均值(标准差)为60.34±19.86。社会经济地位和受教育程度与心理弹性显著相关(P = 0.445和P = 0.396),而军事地位和性别与心理弹性显著相关(P = 0.445和P = 0.396)。癫痫持续时间、年龄和工作状态与恢复力呈负相关(P = -0.269, P = -0.131, P = -0.155)。结论:根据本研究的结果,增加对癫痫和恢复力之间关系的认识和理解可能有助于消除癫痫患者的这一问题。
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