Analysis of the relationship between stigma and mental resilience in adolescent patients
10.16835/j.cnki.1000-9817.2025079
- VernacularTitle:青少年癫痫患者病耻感与心理弹性的关系及相关因素分析
- Author:
YANG Weiwei, RUI Zhongyang, LI Biao, CHEN Jing
1
Author Information
1. Department of Psychiatry, Wuhan Mental Health Center, Wuhan (430012) , Hubei Province, China
- Publication Type:Journal Article
- Keywords:
Epilepsy；Shame；Mental health；Elasticity；Regression analysis；Adolescent
- From:
Chinese Journal of School Health
2025;46(3):382-385
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between stigma and mental resilience in adolescent epilepsy patients and associated factors, so as to provide reference for future psychological intervention in adolescent patients with epilepsy.
Methods:A total of 295 adolescent patients with epilepsy from Wuhan Mental Health Center were enrolled as participants from February 2021 to October 2024. The stigma was evaluated by Kilifi Stigma Scale for Epilepsy (KSSE), and psychological resilience was evaluated by Connor-Davidson Resilience Scale (CD-RISC). Associated factors of stigma and psychological resilience in adolescent patients with epilepsy were analyzed by multivariate Logistic regression analysis.
Results:In the adolescent patients with epilepsy, KSSE score was (10.90±4.13) points, with 138 cases (46.78%) at low level, 154 cases (52.20%) at moderate level and 3 cases (1.02%) at high level. CD-RISC score was (50.19±5.97) points, there were 170 cases (57.63%) at low level and 125 cases (42.37%) at high level. Multivariate Logistic regression analysis showed that disease course >3 years ( OR =2.22), family history of epilepsy ( OR = 4.18) , monthly family income ≤5 000 yuan ( OR =2.05), single parent family ( OR =2.46) and middle and high stigma level ( OR = 1.72) had a higher risk on low level of mental resilience ( P <0.05). The course of disease >3 years ( OR =2.20), family history of epilepsy ( OR =3.54), general seizure ( OR =2.12), monthly family income ≤5 000 yuan ( OR =2.70), low level of mental resilience ( OR =2.03) of adolescent epilepsy patients showed a high risk on moderate high level of stigma ( P <0.05).
Conclusions:The stigma level is higher, while psychological resilience is lower in adolescent patients with epilepsy. Clinically, targeted intervention should be implemented based on related factors such as stigma in addescent patients with epilepsy.
