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Self-Efficacy and Social Support as Mediators in the Relation Between Disease Severity and Quality of Life in Patients with Epilepsy
- Source :
- Epilepsia. 40:216-224
- Publication Year :
- 1999
- Publisher :
- Wiley, 1999.
-
Abstract
- Summary: Purpose: This study examined the influence of two psychosocial variables mediating between disease severity and quality of life (Qol) in epilepsy; social support and mastery (measured by locus of control and self-efficacy). A model placing these two variables as mediators between disease severity and QoL was tested with structural equation modeling. Methods: Eighty-nine patients with epilepsy (58% men, age 36 ± 12 years) were given the following instruments: Liverpool Seizure Severity Scale, Interpersonal Support Evaluation List, Epileptic Self-Efficacy Scale, Locus of Control scale, and the World Health Organization's Quality of Life Questionnaire, the WHOQOL. Results: Structural equation modeling showed good fit between the research model and the data (Bentler-Bonett Normalized Index of fit, 0.96; LISREL GFI, 0.95). Ninety percent of the variance of the WHOQOL was explained by a combination of disease severity, self-efficacy in epilepsy, social support, and locus of control. Mastery was found to mediate the correlation between disease severity and QoL, and social support was found to act as a mediator between disease severity and mastery. Conclusions: The study findings emphasize the possibility of improving QoL among patients with epilepsy by counseling and treatment aimed at reinforcing their self-efficacy and locus of control, as well as by improving their SoS.
- Subjects :
- Adult
Counseling
Male
medicine.medical_specialty
Personality Inventory
Health Status
Severity of Illness Index
LISREL
Structural equation modeling
Epilepsy
Social support
Quality of life
Surveys and Questionnaires
Ambulatory Care
medicine
Humans
Psychiatry
Internal-External Control
Self-efficacy
Models, Statistical
Social Support
medicine.disease
Self Efficacy
humanities
Locus of control
Neurology
Quality of Life
Regression Analysis
Female
Neurology (clinical)
Psychology
Psychosocial
Subjects
Details
- ISSN :
- 15281167 and 00139580
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Epilepsia
- Accession number :
- edsair.doi.dedup.....fe3cd0b97c09ebbcd6334d8e79473ddd