Psychosocial and sociodemographic associates of felt stigma in epilepsy
Abstract Background Lack of a sufficient range in socioeconomic status (SES) in most prior studies of felt stigma and epilepsy has hampered the ability to better understand this association. Methods We assessed the burden and associates of felt stigma in 238 individuals with prevalent epilepsy aged...
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| Veröffentlicht in: | Epilepsy & behavior 2014-08, Vol.37, p.104-109 |
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| creator | Leaffer, Emily B Hesdorffer, Dale C Begley, Charles |
| description | Abstract Background Lack of a sufficient range in socioeconomic status (SES) in most prior studies of felt stigma and epilepsy has hampered the ability to better understand this association. Methods We assessed the burden and associates of felt stigma in 238 individuals with prevalent epilepsy aged 18 and older, comparing low SES with high SES. Results Reported levels of stigma were higher in low SES than in high SES (p < 0.0001), and all psychosocial variables were associated with stigma, including depression severity (p < 0.0001), knowledge of epilepsy (p = 0.006), quality of life (p < 0.0001), social support (p < 0.0001), and self-efficacy (p = 0.0009). Stigma was statistically significantly associated with quality of life in the low SES group and with depression severity and social support in the high SES group. Conclusions Low SES alone did not account for felt stigma; rather, we found that quality of life, depressive symptoms, and social support have the greatest impact on reported felt stigma in individuals with prevalent epilepsy. |
| doi_str_mv | 10.1016/j.yebeh.2014.06.006 |
| format | Article |
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Methods We assessed the burden and associates of felt stigma in 238 individuals with prevalent epilepsy aged 18 and older, comparing low SES with high SES. Results Reported levels of stigma were higher in low SES than in high SES (p < 0.0001), and all psychosocial variables were associated with stigma, including depression severity (p < 0.0001), knowledge of epilepsy (p = 0.006), quality of life (p < 0.0001), social support (p < 0.0001), and self-efficacy (p = 0.0009). Stigma was statistically significantly associated with quality of life in the low SES group and with depression severity and social support in the high SES group. Conclusions Low SES alone did not account for felt stigma; rather, we found that quality of life, depressive symptoms, and social support have the greatest impact on reported felt stigma in individuals with prevalent epilepsy.</description><identifier>ISSN: 1525-5050</identifier><identifier>EISSN: 1525-5069</identifier><identifier>DOI: 10.1016/j.yebeh.2014.06.006</identifier><identifier>PMID: 25010324</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Depression ; Depression - etiology ; Depression - psychology ; Epilepsy ; Epilepsy - complications ; Epilepsy - psychology ; Felt stigma ; Female ; Humans ; Insurance Coverage ; Male ; Marital Status ; Middle Aged ; Neurology ; Quality of Life ; Self Efficacy ; Social Environment ; Social Stigma ; Social Support ; Socioeconomic Factors ; Socioeconomic status ; Young Adult</subject><ispartof>Epilepsy & behavior, 2014-08, Vol.37, p.104-109</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-60aa23aea8bb1db54217bd739ecebfd232385f2d40c28770cd679edab8cd43ed3</citedby><cites>FETCH-LOGICAL-c414t-60aa23aea8bb1db54217bd739ecebfd232385f2d40c28770cd679edab8cd43ed3</cites><orcidid>0000-0003-3776-9959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.yebeh.2014.06.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25010324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leaffer, Emily B</creatorcontrib><creatorcontrib>Hesdorffer, Dale C</creatorcontrib><creatorcontrib>Begley, Charles</creatorcontrib><title>Psychosocial and sociodemographic associates of felt stigma in epilepsy</title><title>Epilepsy & behavior</title><addtitle>Epilepsy Behav</addtitle><description>Abstract Background Lack of a sufficient range in socioeconomic status (SES) in most prior studies of felt stigma and epilepsy has hampered the ability to better understand this association. Methods We assessed the burden and associates of felt stigma in 238 individuals with prevalent epilepsy aged 18 and older, comparing low SES with high SES. Results Reported levels of stigma were higher in low SES than in high SES (p < 0.0001), and all psychosocial variables were associated with stigma, including depression severity (p < 0.0001), knowledge of epilepsy (p = 0.006), quality of life (p < 0.0001), social support (p < 0.0001), and self-efficacy (p = 0.0009). Stigma was statistically significantly associated with quality of life in the low SES group and with depression severity and social support in the high SES group. Conclusions Low SES alone did not account for felt stigma; rather, we found that quality of life, depressive symptoms, and social support have the greatest impact on reported felt stigma in individuals with prevalent epilepsy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Depression</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Epilepsy</subject><subject>Epilepsy - complications</subject><subject>Epilepsy - psychology</subject><subject>Felt stigma</subject><subject>Female</subject><subject>Humans</subject><subject>Insurance Coverage</subject><subject>Male</subject><subject>Marital Status</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Quality of Life</subject><subject>Self Efficacy</subject><subject>Social Environment</subject><subject>Social Stigma</subject><subject>Social Support</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Young Adult</subject><issn>1525-5050</issn><issn>1525-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2L1EAQhhtR3A_9BYLk6GViVX8kMwcFWXRXWFBQz02nu7LTY5KOXRkh_95kZ92DF0_1Qr1vFfWUEK8QSgSs3h7KmRralxJQl1CVANUTcY5Gmo2Bavf0URs4ExfMBwBEo_C5OJMGEJTU5-L6K89-nzj56LrCDaFYZQrUp7vsxn30heP77kRcpLZoqZsKnuJd74o4FDTGjkaeX4hnreuYXj7US_Hj08fvVzeb2y_Xn68-3G68Rj1tKnBOKkdu2zQYGqMl1k2o1Y48NW2QSqqtaWXQ4OW2rsGHqt5RcM3WB60oqEvx5jR3zOnXkXiyfWRPXecGSke2aCqtjKqxXqzqZPU5MWdq7Zhj7_JsEexK0B7sPUG7ErRQ2YXgknr9sODY9BQeM3-RLYZ3JwMtZ_6OlC37SIOnEDP5yYYU_7Pg_T9538Uhetf9pJn4kI55WAhatCwt2G_rE9cfogaQKFH9Aa7pmII</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Leaffer, Emily B</creator><creator>Hesdorffer, Dale C</creator><creator>Begley, Charles</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3776-9959</orcidid></search><sort><creationdate>20140801</creationdate><title>Psychosocial and sociodemographic associates of felt stigma in epilepsy</title><author>Leaffer, Emily B ; Hesdorffer, Dale C ; Begley, Charles</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-60aa23aea8bb1db54217bd739ecebfd232385f2d40c28770cd679edab8cd43ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Depression</topic><topic>Depression - etiology</topic><topic>Depression - psychology</topic><topic>Epilepsy</topic><topic>Epilepsy - complications</topic><topic>Epilepsy - psychology</topic><topic>Felt stigma</topic><topic>Female</topic><topic>Humans</topic><topic>Insurance Coverage</topic><topic>Male</topic><topic>Marital Status</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Quality of Life</topic><topic>Self Efficacy</topic><topic>Social Environment</topic><topic>Social Stigma</topic><topic>Social Support</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leaffer, Emily B</creatorcontrib><creatorcontrib>Hesdorffer, Dale C</creatorcontrib><creatorcontrib>Begley, Charles</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsy & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leaffer, Emily B</au><au>Hesdorffer, Dale C</au><au>Begley, Charles</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial and sociodemographic associates of felt stigma in epilepsy</atitle><jtitle>Epilepsy & behavior</jtitle><addtitle>Epilepsy Behav</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>37</volume><spage>104</spage><epage>109</epage><pages>104-109</pages><issn>1525-5050</issn><eissn>1525-5069</eissn><abstract>Abstract Background Lack of a sufficient range in socioeconomic status (SES) in most prior studies of felt stigma and epilepsy has hampered the ability to better understand this association. Methods We assessed the burden and associates of felt stigma in 238 individuals with prevalent epilepsy aged 18 and older, comparing low SES with high SES. Results Reported levels of stigma were higher in low SES than in high SES (p < 0.0001), and all psychosocial variables were associated with stigma, including depression severity (p < 0.0001), knowledge of epilepsy (p = 0.006), quality of life (p < 0.0001), social support (p < 0.0001), and self-efficacy (p = 0.0009). Stigma was statistically significantly associated with quality of life in the low SES group and with depression severity and social support in the high SES group. Conclusions Low SES alone did not account for felt stigma; rather, we found that quality of life, depressive symptoms, and social support have the greatest impact on reported felt stigma in individuals with prevalent epilepsy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25010324</pmid><doi>10.1016/j.yebeh.2014.06.006</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-3776-9959</orcidid></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Depression Depression - etiology Depression - psychology Epilepsy Epilepsy - complications Epilepsy - psychology Felt stigma Female Humans Insurance Coverage Male Marital Status Middle Aged Neurology Quality of Life Self Efficacy Social Environment Social Stigma Social Support Socioeconomic Factors Socioeconomic status Young Adult |
| title | Psychosocial and sociodemographic associates of felt stigma in epilepsy |
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