Back to Search
Start Over
Hopelessness in persons with epilepsy: Relationship with demographic, clinical, and social variables
- Source :
- Epilepsy & Behavior. 100:106383
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Persons with epilepsy show a higher risk of suicidal ideation and behavior than the general population. Hopelessness, as a feature of demoralization, is considered an emerging risk factor for suicidal ideation. Psychopathological comorbidity, mainly depression, has to be taken into account to predict suicidal attempts but the relationship between suicidality and epilepsy has been also reported independently from depressive disorders. The aim of the study was to investigate hopelessness in a sample of persons suffering from epilepsy without comorbidity with psychiatric disorders and its association with demographic, social, and clinical variables, putatively predictive of suicidal behaviors. Beck Hopelessness Scale (BHS) has been used as measure of suicidal ideation in 72 consecutive outpatients afferent to a third level epilepsy center. Exclusion criterion was psychiatric comorbidity evaluated by clinical approach and quantified by Clinical Global Impression (CGI) Scale. Clinical (focus localization, age at onset, number of drugs), demographic, social variables, and intellectual level were considered. Age, age at onset, gender, intellectual level, socioeconomic status, duration of illness and therapy, number of drugs, seizure frequency, and localization of the epileptic focus and side involved were found associated with BHS score increase. In a sample of persons with epilepsy, without psychiatric comorbidity, our data show an association between factors related to the biological pathophysiology and the clinical course of the disease with the sociodemographic status, as a risk factor for suicidal ideation.
- Subjects :
- Adult
Male
Beck Hopelessness Scale
Adolescent
Population
Suicidal Ideation
Young Adult
03 medical and health sciences
Behavioral Neuroscience
Epilepsy
0302 clinical medicine
Suicidal ideation
Temporal lobe epilepsy
Risk Factors
medicine
Humans
030212 general & internal medicine
Risk factor
education
Aged
Demography
Psychiatric Status Rating Scales
education.field_of_study
Depression
business.industry
Middle Aged
medicine.disease
Comorbidity
Cross-Sectional Studies
Settore MED/25
Socioeconomic Factors
Neurology
Demoralization
Clinical Global Impression
Female
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Clinical psychology
Psychopathology
Subjects
Details
- ISSN :
- 15255050
- Volume :
- 100
- Database :
- OpenAIRE
- Journal :
- Epilepsy & Behavior
- Accession number :
- edsair.doi.dedup.....ea1814763a380d3ae578f294bd13173d