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Journal Article

Citation

Gandy M, Sharpe L, Perry KN, Miller L, Thayer Z, Boserio J, Mohamed A. J. Psychosom. Res. 2013; 74(3): 227-232.

Affiliation

The School of Psychology, University of Sydney, Australia. Electronic address: gandym@tcd.ie.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.jpsychores.2012.11.001

PMID

23438713

Abstract

OBJECTIVE: Despite considerable effort to identify correlates of psychopathology in people with epilepsy (PWE), research has yet to identify consistent predictors. We tested the association between factors predicted by a model of adjustment to illness and psychopathology in PWE. METHODS: In 123 PWE recruited from a tertiary referral centre, we examined the cross-sectional relationship between psychosocial factors (illness representations, coping, self-illness enmeshment and self-efficacy) with depression and suicide risk, while controlling for condition-related and demographic factors. RESULTS: Multivariate analyses confirmed previous findings showing that condition-related and demographic variables did not consistently account for unique variance in depression although employment status was found to be a significant predictor of suicide risk. In multivariate analyses escape-avoidance coping and the illness consequences subscale of the illness representation questionnaire predicted unique variance in both depression and suicide risk. CONCLUSION: The results provided partial support for a model of adjustment to illness. Specifically, those who believed epilepsy was serious and coped through avoidance were more likely to be depressed and report a current level of suicide risk. These results suggest that interventions that target coping strategies and illness representations may be warranted for PWE with psychopathology.


Language: en

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