CC BY 4.0 · Arq Neuropsiquiatr 2023; 81(11): 956-960
DOI: 10.1055/s-0043-1777004
Original Article

Family support in adults with epilepsy

Percepção do suporte familiar em adultos com epilepsia
1   Pontifícia Universidade Católica de Campinas, Escola de Ciências da Vida, Programa de Pós-Graduação em Ciências da Saúde, Campinas SP, Brazil.
,
1   Pontifícia Universidade Católica de Campinas, Escola de Ciências da Vida, Programa de Pós-Graduação em Ciências da Saúde, Campinas SP, Brazil.
,
1   Pontifícia Universidade Católica de Campinas, Escola de Ciências da Vida, Programa de Pós-Graduação em Ciências da Saúde, Campinas SP, Brazil.
,
1   Pontifícia Universidade Católica de Campinas, Escola de Ciências da Vida, Programa de Pós-Graduação em Ciências da Saúde, Campinas SP, Brazil.
› Author Affiliations

Abstract

Background The perception of family support in chronic disease can be relevant.

Objective To assess the perception of family support in adult patients with epilepsy (PWEs) and relate it to quality of life (QoL) and clinical aspects.

Methods Data from the Perceived Family Support Inventory (IPFS) of 130 PWEs were related to the clinical variables, QOLIE-31 scores, and the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) with statistical tests, with p < 0.05.

Results The mean age was 49.9 ± 17.2 years, and the duration of epilepsy was 20.8 ± 15.4 years. The presence of depression (scores ≥ 15) was associated with lower family support. Being married and non-occurrence of depression were the variables associated with a higher IPFS score (R = 0.2112), in the multiple linear regression.

Conclusion The perception of greater family support was associated with demographic aspects, the absence of depression, and better QoL. Family relationships may play an essential role in health adjustment behaviors and QoL in epilepsy.

Resumo

Antecedentes A percepção do suporte familiar nas doenças crônicas pode ser relevante.

Objetivo Avaliar em pacientes adultos com epilepsia (PCE) a percepção do suporte familiar e relacioná-la com os aspectos clínicos e com a qualidade de vida (QV).

Métodos Os dados do Inventário de Percepção de Suporte Familiar (IPSF) de 130 PCE foram relacionados com as variáveis clínicas, os escores do QOLIE-31 e com o Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), com testes estatísticos, com p < 0.05.

Resultados A idade média foi 49.9 ± 17.2 anos e o tempo de epilepsia foi de 20.8 ± 15.4 anos. Escores ≥ 15 no NDDI-E (presença de depressão) associaram-se a menor suporte familiar. Ser casado e não ter depressão são as variáveis associadas a maiores escores no IPSF (R = 0.2112), na regressão linear múltipla.

Conclusão A percepção de maior suporte familiar associou-se à aspectos demográficos, a ausência de depressão e a melhor QV. As relações familiares podem ter papel essencial nos comportamentos de ajustamento na saúde e na QV na epilepsia.

Authors' Contributions

GMAST: conceptualization, investigation, methodology, project administration, supervision, writing – original draft, writing – review & editing; VALM: writing – review & editing; AEJ: methodology, resources, writing – review & editing; YMR: writing – review & editing.




Publication History

Received: 05 July 2023

Accepted: 01 October 2023

Article published online:
30 November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Karakis I, Boualam N, Moura LM, Howard DH. Quality of life and functional limitations in persons with epilepsy. Epilepsy Res 2023; 190: 107084
  • 2 Baker GA, Jacoby A, Buck D, Stalgis C, Monnet D. Quality of life of people with epilepsy: a European study. Epilepsia 1997; 38 (03) 353-362
  • 3 Stavem K, Loge JH, Kaasa S. Health status of people with epilepsy compared with a general reference population. Epilepsia 2000; 41 (01) 85-90
  • 4 Suurmeijer TP, Reuvekamp MF, Aldenkamp BP. Social functioning, psychological functioning, and quality of life in epilepsy. Epilepsia 2001; 42 (09) 1160-1168
  • 5 Djibuti M, Shakarishvili R. Influence of clinical, demographic, and socioeconomic variables on quality of life in patients with epilepsy: findings from Georgian study. J Neurol Neurosurg Psychiatry 2003; 74 (05) 570-573
  • 6 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 (05) 544-550
  • 7 Tedrus GMAS, Fonseca LC, Carvalho RM. Epilepsy and quality of life: socio-demographic and clinical aspects, and psychiatric co-morbidity. Arq Neuropsiquiatr 2013; 71 (06) 385-391
  • 8 Cavatorti S, Pezzoli G, Righetti P. et al. [What are the needs of caregivers caring for people living in chronic conditions? Qualitative research]. Prof Inferm 2021; 74 (02) 81-88
  • 9 Scheffer IE, Berkovic S, Capovilla G. et al. ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. Epilepsia 2017; 58 (04) 512-521
  • 10 Baptista MN. Desenvolvimento do Inventário de Percepção de Suporte Familiar (IPSF): estudos psicométricos preliminares. Psico-USF 2005; 10 (01) 11-19
  • 11 Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. [Suggestions for utilization of the mini-mental state examination in Brazil]. Arq Neuropsiquiatr 2003; 61 (3B): 777-781
  • 12 Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12 (03) 189-198
  • 13 Cramer JA, Perrine K, Devinsky O, Bryant-Comstock L, Meador K, Hermann B. Development and cross-cultural translations of a 31-item quality of life in epilepsy inventory. Epilepsia 1998; 39 (01) 81-88
  • 14 da Silva TI, Ciconelli RM, Alonso NB. et al. Validity and reliability of the Portuguese version of the quality of life in epilepsy inventory (QOLIE-31) for Brazil. Epilepsy Behav 2007; 10 (02) 234-241
  • 15 Gilliam FG, Barry JJ, Hermann BP, Meador KJ, Vahle V, Kanner AM. Rapid detection of major depression in epilepsy: a multicentre study. Lancet Neurol 2006; 5 (05) 399-405
  • 16 de Oliveira GN, Kummer A, Salgado JV. et al. Brazilian version of the neurological disorders depression inventory for epilepsy (NDDI-E). Epilepsy Behav 2010; 19 (03) 328-331
  • 17 Onyango JT, Namatovu JF, Besigye IK, Kaddumukasa M, Mbalinda SN. The relationship between perceived social support from family and diabetes self-management among patients in Uganda. Pan Afr Med J 2022; 41: 279
  • 18 Amini S, Jalali A, Jalali R. Perceived social support and family members of patients with mental disorders: A mixed method study. Front Public Health 2023; 11: 1093282
  • 19 Ong HS, Fernandez PA, Lim HK. Family engagement as part of managing patients with mental illness in primary care. Singapore Med J 2021; 62 (05) 213-219
  • 20 Chong J, Drake K, Atkinson PB, Ouellette E, Labiner DM. Social and family characteristics of Hispanics with epilepsy. Seizure 2012; 21 (01) 12-16
  • 21 Saada F, Wang ZS, Bautista RE. In focus: The everyday lives of families of adult individuals with epilepsy. Epilepsy Behav 2015; 50: 10-13
  • 22 Wang YH, Haslam M, Yu M, Ding J, Lu Q, Pan F. Family functioning, marital quality and social support in Chinese patients with epilepsy. Health Qual Life Outcomes 2015; 13: 10
  • 23 Siarava E, Hyphantis T, Katsanos AH, Pelidou SH, Kyritsis AP, Markoula S. Depression and quality of life in patients with epilepsy in Northwest Greece. Seizure 2019; 66: 93-98
  • 24 Bouchard V, Robitaille A, Perreault S. et al. Psychological distress, social support, and use of outpatient care among adult men and women with coronary artery disease or other non-cardiovascular chronic disease. J Psychosom Res 2023; 165: 111131