Analysis of the relationship between stigma and mental resilience in adolescent patients

YANG Weiwei; RUI Zhongyang; LI Biao; CHEN Jing

doi:10.16835/j.cnki.1000-9817.2025079

Volume 46 Issue 3

Mar. 2025

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YANG Weiwei, RUI Zhongyang, LI Biao, CHEN Jing. Analysis of the relationship between stigma and mental resilience in adolescent patients[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(3): 382-385. doi: 10.16835/j.cnki.1000-9817.2025079

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YANG Weiwei, RUI Zhongyang, LI Biao, CHEN Jing. Analysis of the relationship between stigma and mental resilience in adolescent patients[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(3): 382-385. doi: 10.16835/j.cnki.1000-9817.2025079

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Analysis of the relationship between stigma and mental resilience in adolescent patients

doi: 10.16835/j.cnki.1000-9817.2025079

Department of Psychiatry, Wuhan Mental Health Center, Wuhan (430012), Hubei Province, China

Received Date: 2024-12-18
Rev Recd Date: 2025-02-05

Available Online: 2025-04-03

Publish Date: 2025-03-25

Abstract

Abstract

Objective To explore the relationship between stigma and mental resilience in adolescent epilepsy patients and associated factors, so as to provide reference for future psychological intervention in adolescent patients with epilepsy. Methods A total of 295 adolescent patients with epilepsy from Wuhan Mental Health Center were enrolled as participants from February 2021 to October 2024. The stigma was evaluated by Kilifi Stigma Scale for Epilepsy (KSSE), and psychological resilience was evaluated by Connor-Davidson Resilience Scale (CD-RISC). Associated factors of stigma and psychological resilience in adolescent patients with epilepsy were analyzed by multivariate Logistic regression analysis. Results In the adolescent patients with epilepsy, KSSE score was (10.90±4.13) points, with 138 cases (46.78%) at low level, 154 cases (52.20%) at moderate level and 3 cases (1.02%) at high level. CD-RISC score was (50.19±5.97) points, there were 170 cases (57.63%) at low level and 125 cases (42.37%) at high level. Multivariate Logistic regression analysis showed that disease course >3 years (OR=2.22), family history of epilepsy (OR=4.18), monthly family income ≤5 000 yuan (OR=2.05), single parent family (OR=2.46) and middle and high stigma level (OR=1.72) had a higher risk on low level of mental resilience (P < 0.05). The course of disease >3 years (OR=2.20), family history of epilepsy (OR=3.54), general seizure (OR=2.12), monthly family income ≤5 000 yuan (OR=2.70), low level of mental resilience (OR=2.03) of adolescent epilepsy patients showed a high risk on moderate-high level of stigma (P < 0.05). Conclusions The stigma level is higher, while psychological resilience is lower in adolescent patients with epilepsy. Clinically, targeted intervention should be implemented based on related factors such as stigma in addescent patients with epilepsy.
- Epilepsy,
- Shame,
- Mental health,
- Elasticity,
- Regression analysis,
- Adolescent

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References(23)

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