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Depressive symptoms and difficulties in emotion regulation in adult patients with epilepsy: Association with quality of life and stigma

Tombini, Mario ; Assenza, Giovanni ; Quintiliani, Livia ; Ricci, Lorenzo ; Lanzone, Jacopo ; Ulivi, Martina ; Di Lazzaro, Vincenzo

Epilepsy & behavior, 2020-06, Vol.107, p.107073-107073, Article 107073 [Periódico revisado por pares]

United States: Elsevier Inc

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  • Título:
    Depressive symptoms and difficulties in emotion regulation in adult patients with epilepsy: Association with quality of life and stigma
  • Autor: Tombini, Mario ; Assenza, Giovanni ; Quintiliani, Livia ; Ricci, Lorenzo ; Lanzone, Jacopo ; Ulivi, Martina ; Di Lazzaro, Vincenzo
  • Assuntos: Adult ; Aged ; Anticonvulsants - therapeutic use ; Cohort Studies ; Depression - diagnostic imaging ; Depression - epidemiology ; Depression - psychology ; Depressive symptoms ; Emotion regulation ; Emotional Regulation - physiology ; Epilepsy ; Epilepsy - diagnostic imaging ; Epilepsy - epidemiology ; Epilepsy - psychology ; Female ; Humans ; Italy - epidemiology ; Male ; Middle Aged ; Quality of life ; Quality of Life - psychology ; Regression Analysis ; Social Stigma ; Stigma ; Surveys and Questionnaires ; Young Adult
  • É parte de: Epilepsy & behavior, 2020-06, Vol.107, p.107073-107073, Article 107073
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: The objective of the study was to assess depressive symptoms (DS) and difficulties in emotion regulation (ER) in adult people with epilepsy (PWE) and their correlation with quality of life and stigmatization feelings of patients. We enrolled consecutively 110 PWE who completed the Beck Depression Inventory-II (BDI-II) questionnaire and, for the first time, the Italian translation of Difficulties in Emotion Regulation Scale (DERS) to evaluate DS and ER. They also fulfilled the Italian version of the Stigma Scale of Epilepsy (SSE), which allowed the quantification of the stigma perception by our cohort of patients and a 3-item Jacoby's Stigma Scale (JSS) and QOLIE-31 (Q31) for the evaluation of stigma and the quality of life. The results of BDI-II and DERS were correlated with clinical details of PWE, as well as the Q31 and SSE scores. Finally, a multiple stepwise regression analysis was applied to identify the main factors affecting DS and ER difficulties in these patients. About 30% of PWE evidenced DS, of which 17.3% showed a BDI-II score higher than 19, suggestive of moderate to severe DS. Several factors related to epilepsy (seizure frequency, number of antiepileptic drugs (AEDs)) as well as ER and quality of life/stigmatization perception resulted significantly correlated with DS. As a new finding, the main factors affecting DS in PWE turned out to be the difficulties in ER and quality of life and stigma perception (as evaluated through Q31 and JSS scores). Our findings evidenced that DS in PWE are highly prevalent and strongly correlated with ER difficulties that mostly influence DS together with quality of life and stigma perception. Depressive symptoms and emotion dysregulation are linked by a bidirectional relationship and are significantly associated with worse quality of life and higher stigmatization feelings. •Depressive symptoms in people with epilepsy are highly prevalent/poorly treated.•Depressive symptoms in people with epilepsy are highly prevalent/poorly treated.•They significantly impact on patients’ quality of life and stigmatization feelings.•Emotion regulation is the major predictor of depression in epileptic patients.•Depressive symptoms affect stigma related to epilepsy also in non-epileptic subjects.
  • Editor: United States: Elsevier Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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