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 [F] Diseases Research  / PubMed Research Articles  /
Epilepsy and stigmatization in Turkey.




Epilepsy & behavior : E&B 2017 Jun 17; 73()


Doganavsargil-Baysal O1; Cinemre B2; Senol Y3; Barcin E4; Gokmen Z5;

Author Information
  • 1Akdeniz University Medical School, Department of Psychiatry, Antalya, Turkey. Electronic address: oavsargil@akdeniz.edu.tr.
  • 2Akdeniz University Medical School, Department of Psychiatry, Antalya, Turkey. Electronic address: buketcinemre@gmail.com.
  • 3Akdeniz University Medical School, Department of Medical Education, Antalya, Turkey. Electronic address: yigiter@akdeniz.edu.tr.
  • 4Akdeniz University Medical School, Department of Neurology, Antalya, Turkey. Electronic address: ebrubarcin@gmail.com.
  • 5Terapy Medical Center, Antalya, Turkey. Electronic address: drzehragokmen@gmail.com.


Patients with epilepsy experience stigmatization quite often. Studies investigating stigmatization perceived by patients with epilepsy in Turkey are limited in number. In this study, we aimed to understand the relationship between stigmatization and psychopathology and also to identify the effects of stigmatization on the quality of life in epilepsy. Patients completed a socio-demographical data form and epilepsy information form. They were evaluated in terms of psychiatric diagnosis using SCID I and they were asked to complete SCL-90 R, Epilepsy Stigmatization Scale and SF 36. The percentages of patients who did and did not report perception of stigmatization were similar in the study group. Depression was the most common diagnosis followed by anxiety disorder. In comparison to patients who did not feel stigmatized, patients who reported perceived stigmatization had a higher frequency of generalized tonic clonic seizures and injuries during seizures and more frequently missed taking their medication. They also showed higher rates of both suicide attempts and psychopathology as evidenced by a higher rate of psychiatric diagnosis and higher score in all the subscales of SCL 90. With regard to their quality of life they were observed to be more disabled in the physical functioning, general health perception, vitality, social role functioning and mental health dimensions. A logistic regression analysis revealed that stigmatization was best predicted by three variables: history of suicide attempts, receiving a psychiatric diagnosis and higher score in SCL90PST. Our study has shown that psychopathology is a more significant predictor of stigmatization than the other variables related with seizure control.

Copyright © 2017 Elsevier Inc. All rights reserved.




Publication Type: Journal Article

This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.

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