Determinants of quality of life in people with epilepsy: The role of spirituality and stigmatization
Epilepsy and Behavior, cilt.172, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 172
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.yebeh.2025.110550
- Dergi Adı: Epilepsy and Behavior
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Psycinfo
- Anahtar Kelimeler: Quality of life, Epilepsy, Stigmatization, Spirituality, Chronic disease, Management
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Spirituality is considered an important resource in coping with diseases. The present study aimed to determine the dynamics affecting the relationship between spirituality, perceived stigmatization, and quality of life in individuals diagnosed with epilepsy. Method: This descriptive cross-sectional study was conducted between April and August 2024 with 204 individuals diagnosed with epilepsy. Data were collected on sociodemographic and clinical characteristics. In addition, participants completed three validated instruments: the Quality of Life in Epilepsy Inventory (QOLIE-10), the Spirituality Scale, and the Perceived Stigmatization Scale. Data were analyzed using SPSS version 21. Descriptive statistics, Pearson correlation, t-tests, ANOVA, and hierarchical regression analyses were performed. A significance level of p < 0.05 was used for all statistical tests. Results: Higher education and income levels, type of generalized epilepsy, presence of comorbidity, increased number of medications used, and number of seizures were variables commonly associated with stigmatization and quality of life in people with epilepsy. (p < 0.05). Spirituality level was significantly higher in homemaker and married individuals (p < 0.05). Descriptive characteristics of the people with epilepsy. (R2 Change: 0.270), and stigmatization level (R2 Change: 0.076), respectively, were predictors that affected quality of life (p < 0.05). Spirituality level (R2 Change: 0.010) had no significant impact on quality of life (p > 0.05). Conclusion: This study highlights the need for interventions targeting improved quality of life and reduced stigmatization in individuals with epilepsy. Although spirituality is part of personal experience, it did not significantly affect quality of life. Therefore, care strategies should focus more on reducing stigma than on spiritual factors.