Impact of choice of coping strategies and family functioning on psychosocial function of young people with epilepsy |
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| Affiliation: | 1. Department of Neurology, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, Sichuan 610041, People''s Republic of China;2. West China Medical School, Sichuan University, No. 37 Guoxue Road, Chengdu, Sichuan 610041, People''s Republic of China;1. Department of Psychiatry, Medical University of Gdańsk, Poland;2. Regional Epilepsy Outpatient Unit, Copernicus Hospital, Gdańsk, Poland;1. Epilepsy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea;2. Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles (UCLA), Los Angeles, CA;3. Epilepsy Center, Lurie Children''s Hospital, Chicago, IL;4. Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL;1. Comprehensive Epilepsy Program, Dell Children''s Medical Center of Central Texas, Austin, TX, USA;2. Department of Educational Psychology, The University of Texas at Austin, Austin, TX, USA;3. Department of Psychology, The University of Texas at Austin, Austin, TX, USA;1. Department of Clinical Psychology, Prince of Wales Hospital, Hospital Authority, Hong Kong;2. Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong;3. Gemeinschaftskrankenhaus Herdecke, Department of Neurology, Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany;4. Faculty of Health, Department of Medicine, Chair for Theory of Medicine, Integrative and Anthroposophic Medicine, Integrated Curriculum for Anthroposophic Medicine, University of Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany;5. Andrews/Reiter Epilepsy Research Program, 19265 Deer Hill Rd., Hidden Valley Lake, CA 95467, USA;6. Departments of Medicine and Neurology, The University of Melbourne, Royal Melbourne Hospital, Melbourne, Australia;7. Division of Neurology, Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong |
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| Abstract: | Both medical and psychological factors have an important impact upon the psychosocial functioning of young people with epilepsy. The purpose of this study was to identify factors that distinguish young people with epilepsy and high psychosocial functioning from those with lower levels. The participants were 114 young people (40 males, 74 females) with active epilepsy and a mean age of 17.92 years (SD = 3.90) who completed either a paper (60.5%) or a web-based survey (39.5%) comprising demographic, medical, and psychosocial measures. Psychosocial measures included family functioning, adolescent coping, anxiety, depression, and quality of life. A latent class analysis produced two psychosocial functioning groups based on participants' scores for anxiety, depression, and quality of life. Young people were more likely to be members of the group with poor psychosocial functioning if they had a seizure in the last month (Wald = 5.63, p < .05), came from families with lower levels of communication and problem solving (Wald = 5.28, p < .05), and made greater use of non-productive (emotion-focused) coping strategies such as wishful thinking, withdrawal, and worry (Wald = 12.00, p < .01). The findings suggest that, in addition to standard medical treatment, clinicians may promote better outcomes by strengthening family functioning and encouraging less use of nonproductive coping strategies. |
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