간질환자의 정신병리와 생활사건 및 대처방식

The Psychopathology, Life-Event and Coping Strategy in Epileptic Patients

The authors assessed the differences of psychopathology, life-event and coping strategies between 71 epileptic patients and 74 chronic ill patients. To Investigate the relationship between psychiatric symptoms, stresses and coping strategies in epileptic patients and controls, Scale of Symptom checklist-90-revision(SCL-90-R), Multidimentional Coping Scale(MCS) and Life-event(SLE) were applied to the patients. Collected data were processed with SPSS/PC ver employing Chi-square test, t-test and Pearson correlation analysis. Summary of the result were as follows ： 1) Epileptic patients, compared with chronic ill controls, showed significant difference in the item of the paranoid ideation of the SCL-90-R and in the item of perseverance of the MCS. 2) Chronic ill controls, compared with epileptic patients, had significant correlation with SCL- 90-R and life-event, and these findings suggest that Epileptic patients have blunted coping strategies due to chronic illness and early onset age. 3) Among epileptic patients, the ones with early onset( ^1 8 -year-old) showed significantly high scores in the obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, additional items of the SCL-90-R and attention shift to production, emotional support seeking, emotional expression, acceptance, emotional pacification, self-criticism, positive comparison, active coping of the MCS. 4) In coping strategies adopted by epileptic patient, the ones with long duration of illness(> 5 years) showed significant difference at the emotional support seeking, emotional pacification, acceptance, religious seeking, positive comprison of the MCS. The epileptic patients treated with polypharmacy showed significantly high scores in the somatization, obsessive-compulsive, phobic anxiety, paranoid ideation of the SCL-90-R. In conclusion, we suggest that epileptic patients have simillar psychopathology and coping strategies with chronic ill patients. The epileptic patients with early-onset had more potential psychopathology and passive coping strategy than late-onset patients