FAMILY FACTORS CONTRIBUTING TO DEPRESSION IN PEOPLE WITH EPILEPSY
Abstract number :
1.218
Submission category :
4. Clinical Epilepsy
Year :
2014
Submission ID :
1867923
Source :
www.aesnet.org
Presentation date :
12/6/2014 12:00:00 AM
Published date :
Sep 29, 2014, 05:33 AM
Authors :
Su-Hyun Han, Bomi Kim, Eun Jeong Koh, Myeong Kyu Kim, Dong Jin Shin, Jun Young Lee, Ki Whan Ji, Sun Ah Park, Hyungwoo Nam, Young Won Cho, Eun-yeon Joo, Sang Ho Kim, Dong Wook Kim, Kyung-Il Park, Sun Jung Han, Young Min Sohn, Kyoung Heo, Eun Mi Lee, Hyun J
Rationale: Depression is common in people with epilepsy (PWE) and is important for their quality of life. There are little investigation into interaction between epilepsy and family functioning in adult population. Therefore, we investigated to identify the effects of family functioning on depression in PWE. Methods: This was a cross-sectional, multicenter study in which data were collected from PWE and their caregivers. Beck Depression Inventory (BDI), Self-efficacy Scale, and Stigma Scale were used for PWE. Caregiver Burden Inventory, BDI, Parent Stigma Scale, and family functioning questionnaires such as AFGAR and FACES were used for caregivers. Family factors were classified into proximal (caregiver's burden and depression), distal (parent stigma), and contextual factors (family functioning). Multivariate analysis was performed. p-values < 0.05 were considered statistically significant. Results: Data were collected from 391 PWE and their caregivers in 27 hospitals in Korea. Mean age was 38.8 years (SD 14.5). Male was 50.8%. Mean age of seizure onset was 24.7 years (SD 16.9). Most patients had partial epilepsy (symptomatic 47.8%, cryptogenic 37.3%). Patients with at least 1-year remission were 27.9%. Based on multivariate analysis, depression was independently related to employment (ß=-3.915, p=0.000), economic status (ß=3.007, p=0.004), general self-efficacy (ß=0.533, p=0.000), perceived stigma (ß=3.376, p=0.000), and caregivers' depression (ß=0.242, p=0.000). Employment and economic status accounted for 14.4% of the variance in BDI score, patients' self-efficacy and stigma accounted for 19.2%, and caregivers' depression accounted for 3% (total explained variance = 40%). Parent stigma and family functioning were indirectly related to patients' depression via caregivers' burden and depression (p< 0.05). Conclusions: Patients' depression was directly influenced only by caregivers' depression among the family factors, but its impact was small. Parent stigma and family functioning were indirectly but not directly related to patients' depression, which was strongly influenced by patients' self-efficacy and perceived stigma.
Clinical Epilepsy