摘要
Abstract
Objective To discuss the influence factors of depression in epileptic adults .Methods 86 cases of adult patients with epilepsy were selected in the Hospital of Fourth Division ,Xinjiang Production and Construction Corps ,from March 2013 to November 2014 .The patients were divided into research group ( ≥ 50 scores) and control group (< 50 scores) ,according to SDS scores .The two groups were investigated by coping style questionnaire ,social support questionnaire ,self efficacy questionnaire and general situation questionnaire ,and the impact on depression were analyzed .Results Compared with control group ,research group had higher scores of SDS ,fantasy ,self blame and escape ,and lower scores of self‐efficacy sense ,problem solving and help seeking (P< 0 .05) .The depression was positively correlated with the scores of self‐blame ,fantasy ,duration ,withdrawal and seizure frequency ,and negatively correlated with the scores of subjective support ,objective support ,economic status ,problem solving ,utilization of support ,seeking help ,rationalization ,self‐efficacy and support(P< 0 .05) .Results of multivariate stepwise regression analysis showed that the scores of economy state ,self‐efficacy ,self‐blame and seeking help and 3‐month frequency of seizure were significantly different between two groups (P< 0 .05) ,and these factors had greatest impact on the oc‐currence of depression .Conclusion The occurrence and development of post epileptic depression in adults are closely related to self‐efficacy ,coping style and social support .Targeted intervention should be taken to avoid depression dur‐ing epilepty treatment .关键词
癫痫/成年患者/抑郁/因素Key words
epilepsy/adults/depression/factor
