The social context of anxiety and depression: Exploring the role of anxiety and depression in the lives of Australian adults with epilepsy |
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| Institution: | 1. School of Social Sciences and Communication, La Trobe University, Bundoora, Victoria, Australia;2. Chronic Illness Alliance, Melbourne, Australia;3. Epilepsy Foundation, Surrey Hills, Victoria, Australia;1. Department of Medicine, St Vincent''s Hospital, The University of Melbourne, PO Box 2900, Fitzroy, 3065 Victoria, Australia;2. The University of Virginia, Charlottesville, VA, USA;3. Department of Clinical Studies, New Bolton Centre, School of Veterinary Medicine, University of Pennsylvania, 382 West Street Rd., Kennett Square, PA 19348, USA;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 General Epileptology, Bethel Epilepsy Centre, Mara Hospital, Maraweg 21, D-33617 Bielefeld, Germany;2. Atkinson Morley Regional Neuroscience Centre, St. George''s University Hospitals NHS Foundation Trust, London, UK;3. Institute of Medical and Biomedical Sciences, St George''s University of London, London, UK;1. Department of Neurology, University of Medicine, Plovdiv, Bulgaria;2. Department of Social Health, University of Medicine, Plovdiv, Bulgaria |
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| Abstract: | AimTo examine key determinants of anxiety and depression in a community sample of people with epilepsy.MethodData were analyzed from the 2010 Australian Epilepsy Longitudinal Survey, examining living with epilepsy in Australia. The HADS was analyzed, and Pearson correlations and block recursive regression were undertaken to identify key associations between anxiety, depression, and a range of variables and to identify key determinants of anxiety and depression.ResultsKey factors to influence anxiety were social aspects of stigma, effectiveness of seizure control, whether in employment, and the number of different epilepsy drugs. Determinants for depression were social aspects of stigma, whether in employment, and the effectiveness of seizure control. Stigma was also found to be an important mediating variable for employment, control, and the number of drugs.ConclusionUnderstanding the mechanisms involved in anxiety and depression in a community sample of people with epilepsy requires the inclusion of opportunities for paid employment and the effects of psychosocial factors such as stigma. Without this fuller social context, there are limitations on understanding factors that influence anxiety and depression and how to deal with the outcomes. |
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