Quality of life, social support and anxiety in children with epilepsy and their correlation analysis_Journal of Epilepsy

Authors：

 LIU Yinjie

General Ward, Beijing West Road Campus, Shanghai Children's Hospital / Children's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200040, China;

Corresponding author：

LIU Yinjie, Email: 719745413@qq.com

Keywords：

Epilepsy; Quality of Life; Social Support; Anxiety; Correlation

DOI：

10.7507/2096-0247.202507004

Video：

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Objective To explore the correlation between quality of life and social support and anxiety level in children with epilepsy. Methods A total of 207 children with epilepsy and their parents from March 2023 to December 2023 from Shanghai Children's Hospitalwere selected as the investigation objects, and the children's quality of life scale, Children's perceptive Social support Scale and PROMIS parental Report version anxiety brief form were used to investigate. The correlation between the quality of life of children with epilepsy and the level of social support and anxiety was analyzed. Results The results of univariate analysis showed that the quality of life of children with epilepsy was affected by whether they had siblings and the frequency of onset in the past month (P<0.05). Pearson correlation analysis showed that social support was positively correlated with quality of life (P<0.05). The scores of anxiety and quality of life were negatively correlated (P<0.05). Social support was negatively correlated with anxiety scores (P<0.05). The results of multiple linear regression analysis showed that siblings, social support and anxiety were independent factors affecting the quality of life of children with epilepsy (P<0.05). Conclusion Social support has a positive effect on the quality of life of children with epilepsy, anxiety level has a negative effect on the quality of life, and social support has a negative effect on anxiety. Therefore, clinical psychological support should be strengthened for children with epilepsy, fully mobilize their positive psychological factors, reduce their anxiety and other negative emotions, play a full range of social support, to achieve the goal of improving the quality of life.

Citation： LIU Yinjie. Quality of life, social support and anxiety in children with epilepsy and their correlation analysis. Journal of Epilepsy, 2025, 11(5): 396-401. doi: 10.7507/2096-0247.202507004 Copy

1.	Gouveia FV, Warsi NM, Suresh H, et al. Neurostimulation treatments for epilepsy: deep brain stimulation, responsive neurostimulation and vagus nerve stimulation. Neurotherapeutics, 2024, 21(3): e00308.
2.	Thurman DJ, Begley CE, Carpio A, et al. The primary prevention of epilepsy: a report of the Prevention Task Force of the International League Against Epilepsy. Epilepsia, 2018, 59(5): 905-914.
3.	öscher W, Potschka H, Sisodiya SM, et al. Drug resistance in epilepsy: Clinical impact, potential mechanisms, and new innovative treatment options. Pharmacol Rev, 2020, 72: 606-638.
4.	Chang LWX. Progress in epidemiological investigation of epilepsy in china. Int J Neurol Neurosurg, 2012, 39: 161-164.
5.	Nawani H, Smith ML, Wheeler AL, et al. Functional connectivity associated with health-related quality of life in children with focal epilepsy. AJNR Am J Neuroradiol, 2019, 40(7): 1213-1220.
6.	Ferro MA. Risk factors for health-related quality of life in children with epilepsy: a meta-analysis. Epilepsia, 2014, 55(11): 1722-1731.
7.	Choi HY, Kim SE, Lee HW, et al. Social behavioral problems and the health-related quality of life in children and adolescents with epilepsy. Psychiatry Investig, 2016, 13(5): 488-495.
8.	Liu X, Han Q. Risk factors on health-related quality of life in children with epilepsy. Clin Pediatr (Phila), 2015, 54(14): 1334-1338.
9.	马梅, 惠沼沼, 张月, 等. 癫痫患儿主要照护者负担与社会支持的相关性研究. 解放军护理杂志, 2018, 35(2): 25-29.
10.	刘玉明. 癫痫患儿父母照顾负担、社会支持和生活质量的相关性研究. 湖南: 湖南师范大学, 2020, 硕士学位论文.
11.	Reilly C, Agnew R, Neville BGR. Depression and anxiety in childhood epilepsy: a review. Seizure, 2011, 20(8): 589-597.
12.	梁锦平. 国际抗癫痫联盟2017年版癫痫分类特点及其解读. 中国实用儿科杂志, 2020, 35(1): 47-54.
13.	倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估. 中华护理杂志, 2010, 45(4): 378-380.
14.	Varni JW, Seid M, Knight TS, et al. The PedsQLTM4. 0 generic core scales: Sensitivity, responsiveness, and impact on clinical decision-making. Journal of Behavioral Medicine, 2002, 25: 175-193.
15.	卢奕云, 田琪, 郝元涛, 等. 儿童生存质量测定量表PedsQI4. 0中文版的信度和效度分析. 中山大学学报(医学科学版), 2008, 29(3): 328-331.
16.	胡韬. 少年儿童领悟社会支持量表的编制. 贵州师范学院学报, 2010, 26(3): 71-75.
17.	刘砚燕. 患者报告结局测量信息系统: 儿童报告版和父母报告版癌症相关简表的测量学研究. 上海: 第二军医大学, 2016, 硕士学位论文.
18.	刘双喜, 郝卫成. 癫痫患儿生活质量调查及影响因素分. 山西职工医学院学报, 2017, 27(5): 23-25.
19.	朱培培, 卓文燕, 陈玲. 癫痫患者焦虑抑郁、社会支持状况与主观幸福感的相关性. 中国神经精神疾病杂志, 2014, 40(9): 527-531.
20.	Sabaz M, Lawson JA, Cairns DR, et al. Validation of the quality of life in childhood epilepsy questionnaire in American epilepsy patients. Epilepsy Behav, 2003, 4: 680-689.
21.	Adewuya AO. Parental Psychopathology and self-rated quality of life in adolescents with epilepsy in Nigeria. Dev Med Child Neurol, 2006, 48: 600-603.
22.	Pastor PN, Reuben CA, Kobau R, et al. Functional difficulties and school limitations of children with epilepsy: findings from the 2009-2010 national survey of children with special health care needs. Disabil Health J, 2015, 8(2): 231-239.
23.	韩丽丽. 小学中高年级非独生子女主观生活质量与心理健康的关系. 天津: 天津师范大学, 2020, 硕士学位论文.
24.	Plevin D, Smith N. Assessment and management of depression and anxiety in children and adolescents with epilepsy. Behav Neurol, 2019, 20: 2571368.

1. Gouveia FV, Warsi NM, Suresh H, et al. Neurostimulation treatments for epilepsy: deep brain stimulation, responsive neurostimulation and vagus nerve stimulation. Neurotherapeutics, 2024, 21(3): e00308.
2. Thurman DJ, Begley CE, Carpio A, et al. The primary prevention of epilepsy: a report of the Prevention Task Force of the International League Against Epilepsy. Epilepsia, 2018, 59(5): 905-914.
3. öscher W, Potschka H, Sisodiya SM, et al. Drug resistance in epilepsy: Clinical impact, potential mechanisms, and new innovative treatment options. Pharmacol Rev, 2020, 72: 606-638.
4. Chang LWX. Progress in epidemiological investigation of epilepsy in china. Int J Neurol Neurosurg, 2012, 39: 161-164.
5. Nawani H, Smith ML, Wheeler AL, et al. Functional connectivity associated with health-related quality of life in children with focal epilepsy. AJNR Am J Neuroradiol, 2019, 40(7): 1213-1220.
6. Ferro MA. Risk factors for health-related quality of life in children with epilepsy: a meta-analysis. Epilepsia, 2014, 55(11): 1722-1731.
7. Choi HY, Kim SE, Lee HW, et al. Social behavioral problems and the health-related quality of life in children and adolescents with epilepsy. Psychiatry Investig, 2016, 13(5): 488-495.
8. Liu X, Han Q. Risk factors on health-related quality of life in children with epilepsy. Clin Pediatr (Phila), 2015, 54(14): 1334-1338.
9. 马梅, 惠沼沼, 张月, 等. 癫痫患儿主要照护者负担与社会支持的相关性研究. 解放军护理杂志, 2018, 35(2): 25-29.
10. 刘玉明. 癫痫患儿父母照顾负担、社会支持和生活质量的相关性研究. 湖南: 湖南师范大学, 2020, 硕士学位论文.
11. Reilly C, Agnew R, Neville BGR. Depression and anxiety in childhood epilepsy: a review. Seizure, 2011, 20(8): 589-597.
12. 梁锦平. 国际抗癫痫联盟2017年版癫痫分类特点及其解读. 中国实用儿科杂志, 2020, 35(1): 47-54.
13. 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估. 中华护理杂志, 2010, 45(4): 378-380.
14. Varni JW, Seid M, Knight TS, et al. The PedsQLTM4. 0 generic core scales: Sensitivity, responsiveness, and impact on clinical decision-making. Journal of Behavioral Medicine, 2002, 25: 175-193.
15. 卢奕云, 田琪, 郝元涛, 等. 儿童生存质量测定量表PedsQI4. 0中文版的信度和效度分析. 中山大学学报(医学科学版), 2008, 29(3): 328-331.
16. 胡韬. 少年儿童领悟社会支持量表的编制. 贵州师范学院学报, 2010, 26(3): 71-75.
17. 刘砚燕. 患者报告结局测量信息系统: 儿童报告版和父母报告版癌症相关简表的测量学研究. 上海: 第二军医大学, 2016, 硕士学位论文.
18. 刘双喜, 郝卫成. 癫痫患儿生活质量调查及影响因素分. 山西职工医学院学报, 2017, 27(5): 23-25.
19. 朱培培, 卓文燕, 陈玲. 癫痫患者焦虑抑郁、社会支持状况与主观幸福感的相关性. 中国神经精神疾病杂志, 2014, 40(9): 527-531.
20. Sabaz M, Lawson JA, Cairns DR, et al. Validation of the quality of life in childhood epilepsy questionnaire in American epilepsy patients. Epilepsy Behav, 2003, 4: 680-689.
21. Adewuya AO. Parental Psychopathology and self-rated quality of life in adolescents with epilepsy in Nigeria. Dev Med Child Neurol, 2006, 48: 600-603.
22. Pastor PN, Reuben CA, Kobau R, et al. Functional difficulties and school limitations of children with epilepsy: findings from the 2009-2010 national survey of children with special health care needs. Disabil Health J, 2015, 8(2): 231-239.
23. 韩丽丽. 小学中高年级非独生子女主观生活质量与心理健康的关系. 天津: 天津师范大学, 2020, 硕士学位论文.
24. Plevin D, Smith N. Assessment and management of depression and anxiety in children and adolescents with epilepsy. Behav Neurol, 2019, 20: 2571368.

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