Social and family characteristics of Hispanics with epilepsy

被引:23
作者
Chong, Jenny [1 ]
Drake, Kendra [1 ]
Atkinson, Paul B. [1 ]
Ouellette, Ellen [1 ]
Labiner, David M. [1 ,2 ]
机构
[1] Univ Arizona, Coll Med, Dept Neurol, Tucson, AZ 85721 USA
[2] Univ Arizona, Coll Pharm, Dept Pharm Practice & Sci, Tucson, AZ 85721 USA
来源
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2012年 / 21卷 / 01期
关键词
Epilepsy; Family relationship; Quality of life; Hispanic; Acculturation; EXPRESSED EMOTION; HEALTH; SUPPORT; ACCULTURATION; DEPRESSION; AMERICANS; COHESION; IMPACT; SCALE;
D O I
10.1016/j.seizure.2011.08.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of this study is to determine how acculturation, social support, family emotional involvement, perceived family criticism and stigma are associated with epilepsy self-efficacy and depression. A principal components analysis (PCA) was used to describe the salience of these characteristics within a sample of Hispanics with epilepsy. A total of 50 Hispanic adults of Mexican descent identified in our Epilepsy Clinic participated in this study. The PCA identified four distinct types, two were relatively culture-free, and two were distinctly culturally oriented. The first non-culture affiliated type described a well-adjusted group of individuals that tended to be males with moderate self-efficacy, who received social support, and who were unlikely to have depression or feel stigmatized. The second non-culture affiliated type described a dimension in which family emotional involvement tended to co-occur with perceived criticism. The Anglo-oriented group had a family environment that did not appear to criticize the individual with epilepsy and had good self-efficacy. The Mexican-oriented group had high self-efficacy and was unlikely to have depression. Results suggest that acculturation variables must be taken into consideration among ethnic groups because social, psychological and acculturation variables interact in complex ways. Additionally, it is clear that a diagnosis of epilepsy does not automatically lead to poor quality of life, stigma. or depression. (C) 2011 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:12 / 16
页数:5
相关论文
共 42 条
[1]   Unhealthy assimilation: Why do immigrants converge to American health status levels? [J].
Antecol, Heather ;
Bedard, Kelly .
DEMOGRAPHY, 2006, 43 (02) :337-360
[2]   Sociodemographic disparities in epilepsy care: Results from the Houston/New York City health care use and outcomes study [J].
Begley, Charles E. ;
Basu, Rituparna ;
Reynolds, Thomas ;
Lairson, David R. ;
Dubinsky, Stephanie ;
Newmark, Michael ;
Barnwell, Forbes ;
Hauser, Allen ;
Hesdorffer, Dale ;
Hernandez, Nora ;
Karceski, Steven C. ;
Shih, Tina .
EPILEPSIA, 2009, 50 (05) :1040-1050
[3]   The impact of epilepsy on quality of life: a qualitative analysis [J].
Bishop, M ;
Allen, CA .
EPILEPSY & BEHAVIOR, 2003, 4 (03) :226-233
[4]  
Carlton-Ford S, 2007, SEIZURE, V6, P383
[5]   The impact of social support on health related quality of life in persons with epilepsy [J].
Charyton, Christine ;
Elliott, John O. ;
Lu, Bo ;
Moore, J. Layne .
EPILEPSY & BEHAVIOR, 2009, 16 (04) :640-645
[6]   MOTHER CHILD INTERACTIONS INVOLVING A CHILD WITH EPILEPSY - A COMPARISON OF IMMIGRANT AND NATIVE-BORN MEXICAN-AMERICANS [J].
CHAVEZ, JM ;
BURIEL, R .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1988, 13 (03) :349-361
[7]  
Chong J, 2008, 62 ANN M AM EP SOC
[8]  
Cohen S, 1985, Social support: Theory, research and applications, P73, DOI [DOI 10.1007/978-94-009-5115-0_5, DOI 10.1007/978-94-009-5115-05]
[9]   ACCULTURATION RATING-SCALE FOR MEXICAN-AMERICANS II - A REVISION OF THE ORIGINAL ARSMA SCALE [J].
CUELLAR, I ;
ARNOLD, B ;
MALDONADO, R .
HISPANIC JOURNAL OF BEHAVIORAL SCIENCES, 1995, 17 (03) :275-304
[10]   A psychosocial view of anxiety and depression in epilepsy [J].
de Souza, EAP ;
Salgado, PCB .
EPILEPSY & BEHAVIOR, 2006, 8 (01) :232-238