| ObjectiveEpilepsy(EP)is one of the most common chronic diseases in neurology.It can be clinically manifested as different types of seizures and often coexist with mental and psychological disorders and cognitive impairment,which seriously affects the quality of life of patients.Stigma refers to a kind of negative inner experience that a patient suffers from social discrimination or not being treated fairly due to a disease,and a variety of social cultures often have long-standing and traditional misunderstandings about epilepsy,and even Open discrimination,so epilepsy patients often have a sense of stigma.In recent years,the related research on epilepsy stigma has attracted more and more attention.Executive function is one of the neurological skills of cognitive function.A large number of previous studies have confirmed that there are ecological executive dysfunction in adult patients with epilepsy.However,there are few studies on the correlation between stigma and ecological executive function in patients with epilepsy.In this study,the relationship between stigma and ecological executive function in adult patients with epilepsy,as well as the characteristics and possible influencing factors of stigma in adult patients with epilepsy,were discussed and analyzed.MethodsSelect 83 cases of adult epilepsy patients diagnosed as primary or possibly symptomatic in the Department of Neurology of the First Affiliated Hospital of Anhui Medical University,and 58 cases of sex,age,marriage,and education are strictly matched.Of healthy adults,using the Kilifi Stigma Scale for Epilepsy-Chinese(KSSE-C)and Executive Function Behavior Rating Scale Adult Self-Rating Questionnaire(Behavior Rating Inventory of Executive Function-Adult,BRIEF-A),self-made demographic factors and outpatient questionnaires of clinical features of epilepsy were evaluated separately.In the epilepsy group,the proportion of stigma acquired,the demographic factors,and the differences in stigma of clinical features of epilepsy were counted,and multiple stepwise linear regression analysis was used to explore the correlation between adult epilepsy stigma and demographic and clinical features;Comparison of the differences in the scores of BRIEF-A between the epilepsy group and the control group;Spearman correlation analysis of the relationship between stigma and executive function(EF).Results(1)The rate of stigma in the epilepsy group is as high as 97.6%,and there are differences in stigma in different places of residence,family income,control status,and types of medications.(2)Multivariate stepwise linear regression analysis suggests that the number of years of education of patients with epilepsy(t=-2.383,P=0.019)and per capita household income(t=-4.812,P<0.001)are negatively correlated with the stigma score;The patient’s long-term residence(t=2.329,P<0.021),seizure control(t=2.206,P=0.030),and medication type(t=6.496,P < 0.001)were positively correlated with stigma.(3)The global executive composite,behavior regulation index,metacognition index and various factors(inhibition,conversion,emotional control,self-monitoring,task initiation,working memory,planning,organization,task monitoring)scores are significantly higher than health In the control group,the difference was statistically significant(P<0.05).(4)Spearman correlation analysis suggests that stigma is significantly positively correlated with the BRIEF-A total score,behavior management index,and metacognitive index(P<0.01).ConclusionAdult patients with epilepsy have obvious stigma,and the severity of stigma is related to years of education,per capita family income,long-term residence,epilepsy control or not,and type of medication;adult epilepsy patients have ecological executive function impairment;adult epilepsy Stigma of patients is closely related to impairment of executive function. |
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