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Epilepsy Behav. 2014 Aug;37:104-9. doi: 10.1016/j.yebeh.2014.06.006. Epub 2014 Jul 8.

Psychosocial and sociodemographic associates of felt stigma in epilepsy.

Author information

1
GH Sergievsky Center, Columbia University, New York, NY, USA.
2
GH Sergievsky Center, Columbia University, New York, NY, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address: dch5@cumc.columbia.edu.
3
School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.

Abstract

BACKGROUND:

Lack of a sufficient range in socioeconomic status (SES) in most prior studies of felt stigma and epilepsy has hampered the ability to better understand this association.

METHODS:

We assessed the burden and associates of felt stigma in 238 individuals with prevalent epilepsy aged 18 and older, comparing low SES with high SES.

RESULTS:

Reported levels of stigma were higher in low SES than in high SES (p<0.0001), and all psychosocial variables were associated with stigma, including depression severity (p<0.0001), knowledge of epilepsy (p=0.006), quality of life (p<0.0001), social support (p<0.0001), and self-efficacy (p=0.0009). Stigma was statistically significantly associated with quality of life in the low SES group and with depression severity and social support in the high SES group.

CONCLUSIONS:

Low SES alone did not account for felt stigma; rather, we found that quality of life, depressive symptoms, and social support have the greatest impact on reported felt stigma in individuals with prevalent epilepsy.

KEYWORDS:

Depression; Epilepsy; Felt stigma; Quality of life; Social support; Socioeconomic status

PMID:
25010324
DOI:
10.1016/j.yebeh.2014.06.006
[Indexed for MEDLINE]

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