Predictive Model of Cognitive Factors in Mental Well-being among Patients with Epilepsy in Isfahan City, Iran

Document Type : Original Article (s)

Authors

1 Department of Clinical Psychology, School of Human Sciences, Najaf Abad Branch, Islamic Azad University, Isfahan, Iran

2 Department of Clinical Psychology, School of Human Sciences, Najaf Abad Branch, Islamic Azad University, Isfahan AND Assistant Professor, Department of Consulting, School of Educational Sciences, Payame Noor University, Tehran, Iran

Abstract

Background: Epilepsy is one of the common diseases affect some cognitive functions such as perception, attitudes and subjective well-being. Therefore, this study aimed to investigate the relationship between cognitive factors with subjective well-being among people with epilepsy, and also develop a structural equation model for this relevance.Methods: This was a descriptive study of the type of structural equation modeling. This study population was people over 14 years old suffered from epilepsy and referred to Isfahan’s epilepsy charity, Iran, in the year of 2016; 120 of them were chosen via available sampling method. Research tools included subjective well-being questionnaire, dysfunctional attitude questionnaire, perception of illness questionnaire, and cognitive errors questionnaire. To analyze the results of this study, SPSS and AMOS software were used.Findings: There was a good fit with the default model. Analysis of the original model indicated that understanding the emotional response to the disease (β = 0.81), the confidence to treat (β = 0.66), cognitive errors (β = 0.53), and dysfunctional attitude scale (DAS) (β = -0.42) were correlated with subjective well-being. In addition, understanding the emotional response to the disease (0.65), the confidence to treat (0.43), cognitive errors (0.28), and dysfunctional attitude scale (0.1.7) were involved in patients' subjective well-being.Conclusion: The results show that subjective well-being in patients with epilepsy greatly appreciates the understanding emotional response to the disease and the confidence in the treatment. So, that is necessary for therapists to pay attention to these two factors beside the medical treatments.

Keywords

References

  1. Sutter R, Rüegg S. Refractory status epilepticus: epidemiology, clinical aspects and management of a persistent epileptic storm. Epileptologie 2012; 29: 186-93.
  2. Esmaeili L, Abedi MR, Najafi MR, Aghaei A, Esmaeili M. Effectiveness of emotion regulation therapy on psychological well being of epileptic girls. J Res Behave Sci 2014; 12(2): 194-204. [In Persian].
  3. Ropper A, Samuels M, Klein J. Adams and Victor's principles of neurology. 10th ed. New York, NY: McGraw-Hill Education; 2014. p. 331-5.
  4. Power KN, Flaatten H, Gilhus NE, Engelsen BA. Propofol treatment in adult refractory status epilepticus. Mortality risk and outcome. Epilepsy Res 2011; 94(1-2): 53-60.
  5. Al-Khateeb JM, Al-Khateeb AJ. Research on psychosocial aspects of epilepsy in Arab countries: a review of literature. Epilepsy Behav 2014; 31: 256-62.
  6. Najafi Fard T, Abbasi S, Pour Sadoghi A, Yousefi S, Mohammadi Malek Abadi A, Delavar Kasmaei H. Effectiveness of attributive retraining on epileptic male children's mental health. Shenakht Journal of Psychology and Psychiatry 2015; 2(4): 69-81. [In Persian].
  7. Kakabaraei K, Arjmandnia AA, Afrooz GA. The relationship between coping strategies and perceived social support and mental well-being scales in parents with exceptional and normal children in Kermanshah, in 2010. Psychology of Exceptional Individuals 2012; 2(7): 1-26. [In Persian].
  8. Keyes CLM. Social well-being. Soc Psychol 1998; 61(2): 121-40.
  9. Baker GA, Spector S, McGrath Y, Soteriou H. Impact of epilepsy in adolescence: a UK controlled study. Epilepsy Behav 2005; 6(4): 556-62.
  10. Salehzadeh M, Najafi M, Ebrahimi A. Effectiveness of cognitive- behavioral therapy on dysfunctional attitudes in epileptic patients. J Shahid Sadoughi Univ Med Sci 2011; 19(3): 377-87. [In Persian].
  11. Gzirishvili N, Kasradze S, Lomidze G, Okujava N, Toidze O, de Boer HM, et al. Knowledge, attitudes, and stigma towards epilepsy in different walks of life: a study in Georgia. Epilepsy Behav 2013; 27(2): 315-8.
  12. Musarezaie A, Khaledi F, Kabbazi-fard M, Momeni-GhaleGhasemi T, Keshavarz M, KhodaeeM. Investigation the dysfunctional attitudes and its´ relationship with stress, anxiety and depression in breast cancer patients. J Health Syst Res 2015; 11(1): 68-76. [In Persian].
  13. May TW, Pfafflin M. The efficacy of an educational treatment program for patients with epilepsy (MOSES): results of a controlled, randomized study. Modular Service Package Epilepsy. Epilepsia 2002; 43(5): 539-49.
  14. Ellis A, MacLaren C. Rational emotive behavior therapy: a therapist's guide. 2nd ed. Atascadero, CA: Impact Publishers; 2005.
  15. Sharf RS. Theories of psychotherapy and counseling: concepts and cases. 5th ed. Belmont, CA: Brooks Cole; 2011.
  16. Mittan RJ. Psychosocial treatment programs in epilepsy: a review. Epilepsy Behav 2009; 16(3): 371-80.
  17. Macrodimitris S, Wershler J, Hatfield M, Hamilton K, Backs-Dermott B, Mothersill K, et al. Group cognitive-behavioral therapy for patients with epilepsy and comorbid depression and anxiety. Epilepsy Behav 2011; 20(1): 83-8.
  18. Hamzehpour Haghighi T, Dousty Y, Fakhri MK. Effectiveness of group cognitive behavioral therapy on illness and pain perception in patients with rheumatoid arthritis. Sci J Kurdistan Univ Med Sci 2015; 20(3): 45-57. [In Persian].
  19. Tamanaeefar M, Motaghedifar M. The relationship between self-efficacy and subjective well-being in adolescents. Proceedings of the 6th International Congress of Child and Adolescent Psychiatry; 2013 Sep 17-19; Tabriz, Iran. [In Persian].
  20. Beck AT, Brown G, Steer RA, Weissman AN. Factor analysis of the Dysfunctional Attitude Scale in a clinical population. Psychol Assess 1991; 3(3): 478-83.
  21. Ebrahimi A, Moosavi S G. Development and validation of the Dysfunctional Attitude Scale-26 items: factor structure, reliability and validity in psychiatric outpatients. J Ilam Univ Med Sci 2013; 21(5): 20-8. [In Persian].
  22. Moghimian A, Ebrahimi Daryani N, Yaraghchi A, Jomehrie F, Rezaei O. Predicting quality of life on the basis of illness perception in patients with irritable bowel syndrome. Govaresh 2013; 18(3): 164-71.
  23. Ahmadi Kani Golzar A, Golizadeh Z, Sohrabi A, Kiani MA, Shamse Allizadeh N, Asgarnajad S. Effectiveness of cognitive - behavioral therapy in the treatment of postpartum depression and three dynamic conflicts of dependency, anger and motherhood in postpartum depressed mothers. Iran J Obstet Gynecol Infertil 2013; 16(52): 8-17. [In Persian].
  24. Agha Yousefi A, Shaghaghi F, Dehestani M, Barghi Irani Z. The relationship between quality of life (QoL) and psychological capital with illness perception in MS patients. Health Psychology 2012; 1(1): 29-41. [In Persian].
  25. Ji H, Zhang L, Li L, Gong G, Cao Z, Zhang J, et al. Illness perception in Chinese adults with epilepsy. Epilepsy Res 2016; 128: 94-101.
  26. Alsen P, Brink E, Persson LO, Brandstrom Y, Karlson BW. Illness perceptions after myocardial infarction: relations to fatigue, emotional distress, and health-related quality of life. J Cardiovasc Nurs 2010; 25(2): E1-E10.
  27. Zorrahim R, Beyrami M. Relationship between dysfunctional attitudes with the components of psychological well-being in students of Islamic Azad University of Tabriz. Community Health Journal 2015; 9(3): 9-17. [In Persian].
  28. Au A, Chan F, Li K, Leung P, Li P, Chan J. Cognitive-behavioral group treatment program for adults with epilepsy in Hong Kong. Epilepsy Behav 2003; 4(4): 441-6.
  29. Ruiz FJ, Suarez-Falcon JC, Baron-Rincon D, Barrera-Acevedo A, Martinez-Sanchez A, Pena A. Factor structure and psychometric properties of the Dysfunctional Attitude Scale Revised in Colombian undergraduates. Revista latinoamericana de psicolog 2016; 48(2): 81-7.
Journal of Isfahan Medical School
Volume 35, Issue 424 - Serial Number 424
January and February 2017
Pages 326-334

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History

  • Receive Date: 28 December 2016
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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