[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit ::
:: Volume 8, Issue 3 (Summer - 2020) ::
Shefaye Khatam 2020, 8(3): 20-28 Back to browse issues page
A Survey on the Impact of Metacognitive Beliefs, Anxiety, and Depression on the Stigma of Epilepsy in Khoram-Abad, Iran
Mehdi Sahraei, Fatemeh Rezaei *, Fatemeh Papi
Department of Psychology, Faculty of Literature and Humanities, Lorestan University, Khorramabad, Iran , rezaei.f@lu.ac.ir
Abstract:   (312 Views)
Introduction: Metacognitive beliefs and processes contribute to anxiety and depression are often associated with Emotional and behavioral disorders in patients with epilepsy. Despite extensive studies revealed that anxiety and depression contribute to the stigma of patients with epilepsy, little is known on the relationship between metacognition and stigma in epileptic patients. The aim of this study was to explore the relationship between metacognition beliefs, anxiety, and depression with the stigma of epilepsy. Materials and Methods: In this intermittent-descriptive study, 100 patients, both male and female, with epilepsy treated in different health care centers in khoram-Abad city in 2018 were selected. A short survey on meta-cognition beliefs, a questionnaire of anxiety and depression, analogy of stigma epilepsy, and a questionnaire of comprehension diseases were used. Results: The results showed that anxiety and cognitive confidence predicted the stigma in epileptic patients. Furthermore, there is a positive correlation between anxiety and stigma and a negative correlation between cognitive confidence and stigma were observed in these patients. The regression analysis revealed that in the first step 44% of stigma variance was predicted by anxiety, and in the second step 52% of stigma variance was predicted by anxiety and cognitive predictor variables. Conclusion: Our data indicate that a high-level of anxiety and a low-level of cognitive confidence could predict the stigma of patients with epilepsy.
Keywords: Epilepsy, Metacognition, Anxiety, Depression
Full-Text [PDF 676 kb]   (70 Downloads)    
Type of Study: Research --- Open Access, CC-BY-NC | Subject: Basic research in Neuroscience
1. Bell GS, Sander JW. CPD-Education and self-assessment the epidemiology of epilepsy: the size of the problem. Seizure. 2001; 10(4): 306-16. [DOI:10.1053/seiz.2001.0584]
2. Sander JW, Shorvon SD. Epidemiology of the epilepsies. J Neurol Neurosurg Psychiatry. 1996; 61(5): 433-43. [DOI:10.1136/jnnp.61.5.433]
3. Banerjee PN, Filippi D, Hauser WA. The descriptive epidemiology of epilepsy-a review. Epilepsy Res. 2009; 85(1): 31-45. [DOI:10.1016/j.eplepsyres.2009.03.003]
4. Behr C, Goltzene MA, Kosmalski G, Hirsch E, Ryvlin P. Epidemiology of epilepsy. Revue Neurologique. 2016; 172(1): 27-36. [DOI:10.1016/j.neurol.2015.11.003]
5. Barry JJ, Huynh N, Lembke A. Depression in individuals with epilepsy. Current Treatment Options in Neurology. 2000; 2(6): 571-85. [DOI:10.1007/s11940-000-0035-9]
6. Kwon OY, Park SP. Depression and anxiety in people with epilepsy. Journal of Clinical Neurology. 2014; 10(3): 175-88. [DOI:10.3988/jcn.2014.10.3.175]
7. Fisher PL, Noble AJ. Anxiety and depression in people with epilepsy: The contribution of metacognitive beliefs. Seizure. 2017; 50: 153-9. [DOI:10.1016/j.seizure.2017.06.012]
8. Fisher PL, Cook SA, Noble A. Clinical utility of the metacognition's questionnaire 30 in people with epilepsy. Epilepsy & Behavior. 2016; 57: 185-91. [DOI:10.1016/j.yebeh.2016.02.004]
9. Leventhal H, Nerenz DR, Steele DJ. Illness representations and coping with health threats. Baum A, Taylor SE, Singer JE. Handbook of Psychology and Health. Volume IV: Social Psychological Aspects of Health. 1st ed. 2020.
10. Noble AJ, Reilly J, Temple J, Fisher PL. Cognitive-behavioural therapy does not meaningfully reduce depression in most people with epilepsy: a systematic review of clinically reliable improvement. J Neurol Neurosurg Psychiatry. 2018; 89(11): 1129-37. [DOI:10.1136/jnnp-2018-317997]
11. Johnson EK, Jones JE, Seidenberg M, Hermann BP. The relative impact of anxiety, depression, and clinical seizure features on health‐related quality of life in epilepsy. Epilepsia. 2004; 45(5): 544-50. [DOI:10.1111/j.0013-9580.2004.47003.x]
12. Clary HM, Hamberger M. Factors independently associated with anxiety and depression in epilepsy. Neurology. 2014; 82(10).
13. Tegegne MT, Mossie TB, Awoke AA, Assaye AM, Gebrie BT, Eshetu DA. Depression and anxiety disorder among epileptic people at Amanuel Specialized Mental Hospital, Addis Ababa, Ethiopia. BMC Psychiatry. 2015; 15(1): 210. doi: 10.1186/s12888-015-0589-4. [DOI:10.1186/s12888-015-0589-4]
14. Han SH, Kim B, Lee SA, Korean QoL Contribution of the family environment to depression in Korean adults with epilepsy. Seizure. 2015; 25: 26-31. [DOI:10.1016/j.seizure.2014.11.011]
15. Lambert MV, Robertson MM. Depression in epilepsy: etiology, phenomenology, and treatment. Epilepsia. 1999; 40: s21-47. [DOI:10.1111/j.1528-1157.1999.tb00884.x]
16. Baker GA, Brooks J, Buck D, Jacoby A. The stigma of epilepsy: a European perspective. Epilepsia. 2000; 41(1): 98-104. [DOI:10.1111/j.1528-1157.2000.tb01512.x]
17. Hughes J, Devinsky O, Feldmann E, Bromfield E. Premonitory symptoms in epilepsy. Seizure. 1993; 2(3): 201-3. [DOI:10.1016/S1059-1311(05)80128-1]
18. Devinsky O. A 48-year-old man with temporal lobe epilepsy and psychiatric illness. Jama. 2003; 290(3): 381-92. [DOI:10.1001/jama.290.3.381]
19. Kwan P, Brodie MJ. Neuropsychological effects of epilepsy and antiepileptic drugs. The Lancet. 2001; 357(9251): 216-22. [DOI:10.1016/S0140-6736(00)03600-X]
20. Brandt C, Schoendienst M, Trentowska M, May TW, Pohlmann-Eden B, Tuschen-Caffier B, et al. Prevalence of anxiety disorders in patients with refractory focal epilepsy-a prospective clinic-based survey. Epilepsy & Behavior. 2010; 17(2): 259-63. [DOI:10.1016/j.yebeh.2009.12.009]
21. Kim EH, Ko TS. Cognitive impairment in childhood onset epilepsy: up-to-date information about its causes. Korean J Pediatr. 2016; 59(4): 155. [DOI:10.3345/kjp.2016.59.4.155]
22. Swinkels WA, van Emde Boas W, Kuyk J, Van Dyck R, Spinhoven P. Interictal depression, anxiety, personality traits, and psychological dissociation in patients with temporal lobe epilepsy (TLE) and extra‐TLE. Epilepsia. 2006; 47(12): 2092-103. [DOI:10.1111/j.1528-1167.2006.00808.x]
23. Gonçalves EB, Cendes F. Depression in patients with refractory temporal lobe epilepsy. Arq Neuropsiquiatr. 2011; 69(5): 775-7. [DOI:10.1590/S0004-282X2011000600010]
24. Rai D, Kerr MP, McManus S, Jordanova V, Lewis G, Brugha TS. Epilepsy and psychiatric comorbidity: a nationally representative population‐based study. Epilepsia. 2012; 53(6): 1095-103. [DOI:10.1111/j.1528-1167.2012.03500.x]
25. Gandy M, Sharpe L, Perry KN, Miller L, Thayer Z, Boserio J, et al. Anxiety in epilepsy: a neglected disorder. J Psychosom Res. 2015; 78(2): 149-55. [DOI:10.1016/j.jpsychores.2014.12.002]
26. Strine TW, Kobau R, Chapman DP, Thurman DJ, Price P, Balluz LS. Psychological distress, comorbidities, and health behaviors among US adults with seizures: results from the 2002 National Health Interview Survey. Epilepsia. 2005; 46(7): 1133-9. [DOI:10.1111/j.1528-1167.2005.01605.x]
27. Brodie MJ, McPhail E, Macphee GJ, Larkin JG, Gray JM. Psychomotor impairment and anticonvulsant therapy in adult epileptic patients. Eur J Clin Pharmacol. 1987; 31(6): 655-60. [DOI:10.1007/BF00541291]
28. Mazur‐Mosiewicz A, Carlson HL, Hartwick C, Dykeman J, Lenders T, Brooks BL, et al. Effectiveness of cognitive rehabilitation following epilepsy surgery: current state of knowledge. Epilepsia. 2015; 56(5): 735-44. [DOI:10.1111/epi.12963]
29. Kotsopoulos I, de Krom M, Kessels F, Lodder J, Troost J, Twellaar M, et al. Incidence of epilepsy and predictive factors of epileptic and non-epileptic seizures. Seizure. 2005; 14(3): 175-82. [DOI:10.1016/j.seizure.2005.01.005]
30. de Boer HM. Epilepsy stigma: moving from a global problem to global solutions. Seizure. 2010; 19(10): 630-6. [DOI:10.1016/j.seizure.2010.10.017]
31. Dewhurst E, Novakova B, Reuber M. A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy. Epilepsy & Behavior. 2015; 46: 234-41. [DOI:10.1016/j.yebeh.2015.01.010]
32. Rezaei F, Roshannia S, Ali AH. Investigating stigma within epilepsy patients and its effect on psychological factors. Journal of Shahid Sadoughi University of Medical Sciences. 2016; 23(11): 1063-75.
33. Smith G, Ferguson PL, Saunders LL, Wagner JL, Wannamaker BB, Selassie AW. Psychosocial factors associated with stigma in adults with epilepsy. Epilepsy & Behavior. 2009; 16(3): 484-90. [DOI:10.1016/j.yebeh.2009.08.028]
34. Fanta T, Azale T, Assefa D, Getachew M. Prevalence and factors associated with perceived stigma among patients with epilepsy in Ethiopia. Psychiatry Journal. 2015; 2015. [DOI:10.1155/2015/627345]
35. Wells A, Cartwright-Hatton S. A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour Research and Therapy. 2004; 42(4): 385-96. [DOI:10.1016/S0005-7967(03)00147-5]
36. Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. Tehran University Medical Journal. 2009; 67(5): 379-85.
37. Fernandes PT, Salgado PC, Noronha AL, Sander JW, Li LM. Stigma scale of epilepsy: validation process. Arq Neuropsiquiatr. 2007; 65(1): 35-42. [DOI:10.1590/S0004-282X2007001000006]
38. Ryu HU, Lee SA, Eom S, Kim HD, Korean QoL. Perceived stigma in Korean adolescents with epilepsy: effects of knowledge about epilepsy and maternal perception of stigma. Seizure. 2015; 24: 38-43. [DOI:10.1016/j.seizure.2014.11.010]
39. Fernandes PT, Snape DA, Beran RG, Jacoby A. Epilepsy stigma: what do we know and where next? Epilepsy & Behavior. 2011; 22(1): 55-62. [DOI:10.1016/j.yebeh.2011.02.014]
40. Yıldırım Z, Ertem DH, Dirican AC, Baybaş S. Stigma accounts for depression in patients with epilepsy. Epilepsy & Behavior. 2018; 78: 1-6. [DOI:10.1016/j.yebeh.2017.10.030]
41. Morrell MJ. Stigma and epilepsy. Epilepsy & Behavior. 2002; 3(6): 21-5. [DOI:10.1016/S1525-5050(02)00547-4]
42. Yeni K, Tulek Z, Bebek N, Dede O, Gurses C, Baykan B, et al. Attitudes towards epilepsy among a sample of Turkish patients with epilepsy. Epilepsy & Behavior. 2016; 62: 66-71. [DOI:10.1016/j.yebeh.2016.06.022]
43. Yeni K, Tulek Z, Bebek N. Factors associated with perceived stigma among patients with epilepsy in Turkey. Epilepsy & Behavior. 2016; 60: 142-8. [DOI:10.1016/j.yebeh.2016.04.036]
44. England MJ, Liverman CT, Schultz AM, Strawbridge LM. Epilepsy across the spectrum: Promoting health and understanding.: A summary of the Institute of Medicine report. Epilepsy & Behavior. 2012; 25(2): 266-76. [DOI:10.1016/j.yebeh.2012.06.016]
45. Shi Y, Wang S, Ying J, Zhang M, Liu P, Zhang H, et al. Correlates of perceived stigma for people living with epilepsy: a meta-analysis. Epilepsy & Behavior. 2017; 70: 198-203. [DOI:10.1016/j.yebeh.2017.02.022]
46. Ak PD, Atakli D, Yuksel B, Guveli BT, Sari H. Stigmatization and social impacts of epilepsy in Turkey. Epilepsy & Behavior. 2015; 50: 50-4. [DOI:10.1016/j.yebeh.2015.05.014]
47. Bautista RE, Shapovalov D, Shoraka AR. Factors associated with increased felt stigma among individuals with epilepsy. Seizure. 2015; 30: 106-12. [DOI:10.1016/j.seizure.2015.06.006]
48. Leaffer EB, Hesdorffer DC, Begley C. Psychosocial and sociodemographic associates of felt stigma in epilepsy. Epilepsy & Behavior. 2014; 37: 104-9. [DOI:10.1016/j.yebeh.2014.06.006]
49. Whatley AD, DiIorio CK, Yeager K. Examining the relationships of depressive symptoms, stigma, social support and regimen-specific support on quality of life in adult patients with epilepsy. Health Educ Res. 2010; 25(4): 575-84. [DOI:10.1093/her/cyq001]
50. Lee SA, Yoo HJ, Lee BI, Korean QoL. Factors contributing to the stigma of epilepsy. Seizure. 2005; 14(3): 157-63. [DOI:10.1016/j.seizure.2005.01.001]
51. Baker D, Eccles FJ, Caswell HL. Correlates of stigma in adults with epilepsy: a systematic review of quantitative studies. Epilepsy Behav. 2018; 83: 67-80. [DOI:10.1016/j.yebeh.2018.02.016]

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sahraei M, Rezaei F, Papi F. A Survey on the Impact of Metacognitive Beliefs, Anxiety, and Depression on the Stigma of Epilepsy in Khoram-Abad, Iran. Shefaye Khatam. 2020; 8 (3) :20-28
URL: http://shefayekhatam.ir/article-1-2118-en.html

Volume 8, Issue 3 (Summer - 2020) Back to browse issues page
مجله علوم اعصاب شفای خاتم The Neuroscience Journal of Shefaye Khatam
Persian site map - English site map - Created in 0.05 seconds with 30 queries by YEKTAWEB 4219