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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

Family functioning, marital quality and social support in Chinese patients with epilepsy

Published in: Health and Quality of Life Outcomes | Issue 1/2015

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Abstract

Background

The purpose of this study was to examine family functioning, marital quality, social support, and anxiety and depression in Chinese patients with Epilepsy (PWE) in comparison with healthy people.

Methods

This case–control study included 42 PWE and 42 healthy controls. Participants completed the Zung’s self-rating depression scale, the Zung’s self-rating anxiety scale, the Chinese version of family cohesion and flexibility evaluation scales, the Chinese version of the marital inventory ENRICH, and the Chinese versions of the social support rating scale and perceived social support scale.

Results

PWE reported higher levels of anxiety and depression, and lower levels of family cohesion, marriage quality and social support compared with controls. Support within and outside the family was negatively associated with depression, however social support did not significantly predict depression in PWE. In patients, support within the family and emotional support predicted family cohesion and marriage quality. Instrumental support was negatively associated with anxiety in patients but positively associated with depression in healthy controls. Support within the family predicted family cohesion and marriage quality in both the control group and patient group, depression predicted family adaptation in both the control group and patient group, while support outside the family predicted marriage quality only in the patient group. Both emotional and instrumental support predicted family adaptation in the control group, and emotional support predicted family cohesion in patients.

Conclusions

PWE in China had higher levels of anxiety and depression, dissatisfaction with family functioning and marital life, and less social support compared with healthy controls. Emotional support within and outside families promoted family cohesion and marriage quality, depression decreased family adaptation, and instrumental support decreased anxiety of PWE. These findings suggest that enhancing family and emotional supports and decreasing depression could promote the family functioning and marital quality of PWE, and instrumental support may play a role in decreasing anxiety.
Literature
1.
Yemadje LP, Houinato D, Quet F, Druet-Cabanac M, Preux PM. Understanding the differences in prevalence of epilepsy in tropical regions. Epilepsia. 2011;52:1376–81.PubMedCrossRef
2.
Mac TL, Tran DS, Quet F, Odermatt P, Preux PM, Tan CT. Epidemiology, aetiology, and clinical management of epilepsy in Asia: a systematic review. Lancet Neurol. 2007;6:533–43.PubMedCrossRef
3.
Berto P. Quality of life in patients with epilepsy and impact of treatments. Pharmacoeconomics. 2002;20:1039–59.PubMedCrossRef
4.
Hartshorn JC, Byers VL. Impact of epilepsy on quality of life. J Neurosci Nurs. 1992;24:25–9.CrossRef
5.
Mehndiratta P, Sajatovic M. Treatments for patients with comorbid epilepsy and depression: A systematic literature review. Epilepsy Behav. 2013;28:36–40.PubMedCrossRef
6.
Rudzinski LA, Meador KJ. Epilepsy and neuropsychological comorbidities. Continuum (Minneap Minn). 2013;19(3 Epilepsy):682–96.
7.
de Lima C, de Lira CA, Arida RM, Andersen ML, Matos G, de Figueiredo Ferreira Guilhoto LM, et al. Association between leisure time, physical activity, and mood disorder levels in individuals with epilepsy. Epilepsy Behav. 2013;28:47–51.PubMedCrossRef
8.
Funderburk JA, McCormick BP, Austin JK. Does attitude toward epilepsy mediate the relationship between perceived stigma and mental health outcomes in children with epilepsy? Epilepsy Behav. 2007;11:71–6.PubMedCrossRef
9.
Aydemir N, Ozkara C, Unsal P, Canbeyli R. A comparative study of health related quality of life, psychological well-being, impact of illness and stigma in epilepsy and migraine. Seizure. 2011;20:679–85.PubMedCrossRef
10.
Untas A, Thumma J, Rascle N, Rayner H, Mapes D, Lopes AA, et al. The associations of social support and other psychosocial factors with mortality and quality of life in the dialysis outcomes and practice patterns study. Clin J Am Soc Nephrol. 2011;6:142–52.PubMedCentralPubMedCrossRef
11.
Amir M, Roziner I, Knoll A, Neufeld MY. Self-efficacy and social support as mediators in the relation between disease severity and quality of life in patients with epilepsy. Epilepsia. 1999;40:216–24.PubMedCrossRef
12.
Folkman S. Personal control and stress and coping processes: a theoretical analysis. J Pers Soc Psychol. 1984;46:839–52.PubMedCrossRef
13.
Jiang H, Wang L, Zhang Q, Liu DX, Ding J, Lei Z, Lu Q, Pan F. Family functioning, marital satisfaction and social support in hemodialysis patients and their spouses. Stress Health. 2014;doi: 10.1002/smi.2541
14.
Uno D, Uchino BN, Smith TW. Relationship quality moderates the effect of social support given by close friends on cardiovascular reactivity in women. Int J Behav Med. 2002;9:243–62.PubMedCrossRef
15.
Hartshorn JC, Byers VL. Importance of health and family variables related to quality of life in individuals with uncontrolled seizures. J Neurosci Nurs. 1994;26:288–97.PubMedCrossRef
16.
Ohaeri JU, Awadalla AW, Farah AA. Quality of life in people with epilepsy and their family caregivers. An Arab experience using the short version of the World Health Organization quality of life instrument. Saudi Med J. 2009;30:1328–35.PubMed
17.
Gülpek D, Bolat E, Mete L, Arici S, Celebisoy M. Psychiatric comorbidity, quality of life and social support in epileptic patients. Nord J Psychiatry. 2011;65:373–80.PubMedCrossRef
18.
19.
20.
García-Huidobro D, Puschel K, Soto G. Family functioning style and health: opportunities for health prevention in primary care. Br J Gen Pract. 2012;62:e198–203.PubMedCentralPubMedCrossRef
21.
Fowers BJ, Olson DH. Enrich marital inventory: a discriminant validity and cross-validation assessment. J Marital Fam Ther. 1989;15:65–79.PubMedCrossRef
22.
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;25:575–84.PubMedCentralPubMedCrossRef
23.
Chen J, Zhang Y, Hong Z, Sander JW, Zhou D. Marital adjustment for patients with epilepsy in China. Epilepsy Behav. 2013;28:99–103.PubMedCrossRef
24.
Mahrer-Imhof R, Jaggi S, Bonomo A, Hediger H, Eggenschwiler P, Krämer G, et al. Quality of life in adult patients with epilepsy and their family members. Seizure. 2013;22:128–35.PubMedCrossRef
25.
Hermann BP, Seindenberg M, Bell B. Psychiatric comorbidity in chronic epilepsy: identification, consequences, and treatment of major depression. Epilepsia. 2000;41:31–41.CrossRef
26.
De Souza EAP, Salgado PCB. A psychosocial view of anxiety and depression in epilepsy. Epilepsy Behav. 2006;8(1):232–8.PubMedCrossRef
27.
Fisher RS, van Emde Boas W, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005;46:470–2.PubMedCrossRef
28.
Shu L. Self-Rating Depression Scale. Chin J Mental Health. 1993;Suppl:194–96.
29.
Wu WY. Self-Rating Anxiety Scale. Chin J Mental Health. 1993;Suppl:235–38.
30.
Phillips M, Zheng YP, Zhou DH. Chinese version of family adaptability and cohesion evaluation scales. Chin J Mental Health. 1993;Suppl:101.
31.
Xiao SY. Social support rating scale. Chin J Mental Health. 1999;Suppl:127–31.
32.
Jiang QJ. Perceived social support scale. Chin J Behav Med Sci. 2001;Suppl: 41–42.
33.
Cheng Y, Liu C, Mao C. Social support plays a role in depression in Parkinson’s disease: a cross-section study in a Chinese cohort. Parkinsonism Relat Disord. 2008;14(1):43–5.PubMedCrossRef
34.
Gao L, Chan S, Mao Q. Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period. Res Nurs Health. 2009;32(1):50–8.PubMedCrossRef
35.
Xie R, He G, Koszycki D. Social support, postnatal social support, and postpartum depression. Ann Epidemiol. 2009;19(9):637–43.PubMedCrossRef
36.
LaFrance Jr WC, Alosco ML, Davis JD, Tremont G, Ryan CE, Keitner GI, et al. Impact of family functioning on quality of life in patients with psychogenic nonepileptic seizures versus epilepsy. Epilepsia. 2011;52:292–300.PubMed
37.
Kotov AS. Anxiety in epileptic patients. Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(4Pt2):41–4.PubMed
38.
Barber FD. Effects of social support on physical activity, self-efficacy, and quality of life in adult cancer survivors and their caregivers. Oncol Nurs Forum. 2013;40:481–9.PubMedCrossRef
39.
Rad GS, Bakht LA, Feizi A, Mohebi S. Importance of social support in diabetes care. J Educ Health Promot. 2013;30:62.
40.
Bolger N, Amarel D. Effects of social support visibility on adjustment to stress: experimental evidence. J Per Soc Psychol. 2007;92:458–75.CrossRef
41.
Guo WC, Wu JZ, Wang WZ, Guan B, Snape D, Baker GA, et al. The stigma of people with epilepsy is demonstrated at the internalized, interpersonal and institutional level in a specific socio-cultural context: findings from an ethnographic study in rural China. Epilepsy Behav. 2012;25:282–8.PubMedCentralPubMedCrossRef
42.
Baker GA, Brooks J, Buck D, Jacoby A. The stigma a of epilepsy: A European perspective. Epilepsia. 1999;4l:98–104.
43.
Kleinman A, Wang WZ, Li SC, Cheng XM, Dai XY, Li KT, et al. The social course of epilepsy: chronic illness as social experience in interior China. Soc Sci Med. 1995;40:1319–30.PubMedCrossRef
44.
Lim YJ, Chan SY, Ko Y. Stigma and health-related quality of life in Asian adults with epilepsy. Epilepsy Res. 2009;87:107–19.PubMedCrossRef
45.
Elafros MA, Mulenga J, Mbewe E, Haworth A, Chomba E, Atadzhanov M, et al. Peer support groups as an intervention to decrease epilepsy-associated stigma. Epilepsy Behav. 2013;27:188–92.PubMedCentralPubMedCrossRef
46.
Uchino BN. What a lifespan approach might tell us about why distinct measures of social support have differential links to physical health. J Soc Pers Relat. 2009;26:53–62.PubMedCentralPubMedCrossRef
47.
Elliott JO, Charyton C, Sprangers P, Lu B, Moore JL. The impact of marriage and social support on persons with active epilepsy. Epilepsy Behav. 2011;20:533–8.PubMedCrossRef
48.
Wada K, Iwasa H, Okada M, Kawata Y, Murakami T, Kamata A, et al. Marital status of patients with epilepsy with special reference to the influence of epileptic seizures on the patient’s married life. Epilepsia. 2004;45:33–6.PubMedCrossRef
Metadata
Title
Family functioning, marital quality and social support in Chinese patients with epilepsy
Publication date
01-12-2015
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0208-6

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