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Attitudes towards epilepsy among a sample of Turkish patients with epilepsy
Affiliation:1. Istanbul University, Florence Nightingale Faculty of Nursing, Istanbul, Turkey;2. Istanbul University, Istanbul Faculty of Medicine, Department of Neurology, Istanbul, Turkey;1. GH Sergievsky Center, Columbia University, New York, NY, USA;2. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA;3. School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA;1. Centre for Mental Health Research and Initiative (CEMHRI), Ikeja, Lagos, Nigeria;2. Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria;1. Bakirkoy Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Department of Neurology, Istanbul, Turkey;2. Bagcilar Education and Research Hospital, Department of Neurology, Istanbul, Turkey;3. Sisli Hamidiye Etfal Education and Research Hospital, Department of Algology, Istanbul, Turkey;1. Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Social Determinants of Health Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran;3. Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, Section of Neurosciences, University of Catania, Catania, Italy;2. Center of Anthropological Researches of the Teko Guaraní, Gutierrez, Bolivia;3. The Bolivian League Against Epilepsy, Santa Cruz, Bolivia;4. Department of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, University of Florence, Florence, Italy;5. Hospital Universitario Hernández Vera, Santa Cruz, Bolivia;1. Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey;2. Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey;3. Department of Neurology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
Abstract:ObjectiveThe attitude of patients with epilepsy towards their disease is an important factor in disease management and quality of life. The aim of this study was to define the attitudes of patients with epilepsy towards their disease and the factors that affect their attitudes.Patients and methodThis descriptive study was performed on patients admitted to an epilepsy outpatient clinic of a university hospital between May and September 2015. The sample consisted of 70 patients over 18 years of age with a diagnosis of epilepsy and no health problem other than epilepsy. Patients with no seizure in the last two years were excluded. The Epilepsy Attitude Scale was used to evaluate attitudes of the patients towards epilepsy; the Epilepsy Knowledge Scale, Rotter's Locus of Control Scale, Hospital Anxiety and Depression Scale (HADS), and the Quality of Life in Epilepsy-10 (QOLIE-10) were used to investigate the attitude-related factors.ResultsAmong the 70 participants, 43 were female, and the mean age was 31.4 years. The educational level of the patients was lower (primary school) in 38.6% of the sample, and 18.6% were unemployed. Time since diagnosis was 15.1 years, 75.7% of the participants had generalized type of seizures, and more than half had seizures more frequently than once a month. The mean score of the attitude scale was 59.7 ± 6.62 (range: 14–70). The attitudes of the patients towards epilepsy were found to be related to their educational status, living alone, and the attitudes of their families. The attitude scores were also related to the level of knowledge on epilepsy, stigma, and depression. Furthermore, the attitude was found to be correlated with quality of life.ConclusionPatients with epilepsy had moderate-to-good attitude towards their disease. It was observed that the attitude was related to the knowledge, stigma, and depression rather than to demographic factors and the seizures, and furthermore, the attitude was found to be correlated with quality of life.
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