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  

Analysis of the relationship between stigma and mental resilience in adolescent patients

作　　者：杨蔚蔚 芮忠洋 李彪[1] 陈静 YANG Weiwei;RUI Zhongyang;LI Biao;CHEN Jing(Department of Psychiatry,Wuhan Mental Health Center,Wuhan(430012),Hubei Province,China)

机构地区：[1]武汉市精神卫生中心精神科,湖北430012

出　　处：《中国学校卫生》2025年第3期382-385,390,共5页Chinese Journal of School Health

基　　金：湖北省卫生健康委员会科研项目(WJ2023M141)。

摘　　要：目的探讨青少年癫痫患者病耻感和心理弹性的关系及其相关因素,为开展青少年癫痫患者心理干预提供参考。方法选取2021年2月—2024年10月武汉市精神卫生中心接收的295例青少年癫痫患者作为研究对象,采用Kilifi癫痫患者羞耻感中文量表(KSSE)评估患者病耻感,采用心理韧性量表(CD-RISC)评估患者心理弹性。采用多因素Logistic回归分析青少年癫痫患者病耻感和心理弹性的相关因素。结果青少年癫痫患者KSSE评分为(10.90±4.13)分,138例(46.78%)低水平,154例(52.20%)中水平,3例(1.02%)高水平;CD-RISC评分为(50.19±5.97)分,170例(57.63%)低水平,125例(42.37%)高水平。多因素Logistic回归分析结果显示,病程>3年(OR=2.22)、有癫痫家族史(OR=4.18)、家庭月收入≤5000元(OR=2.05)、单亲家庭(OR=2.46)、中高水平病耻感(OR=1.72)的青少年癫痫患者出现低水平心理弹性风险更高;病程>3年(OR=2.20)、有癫痫家族史(OR=3.54)、全面性发作(OR=2.12)、家庭月收入≤5000元(OR=2.70)、低水平心理弹性(OR=2.03)的青少年癫痫患者出现中高水平病耻感风险更高(P值均<0.05)。结论青少年癫痫患者病耻感水平较高、心理弹性较低,临床可基于青少年癫痫病患者病耻感的相关因素开展针对性心理干预。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≤5000 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≤5000 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.

关 键 词：癫痫 羞耻 精神卫生 弹性 回归分析 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] B844.2[医药卫生—公共卫生与预防医学] R742.1[哲学宗教—发展与教育心理学]