Profile dobrobytu emocjonalnego u nastolatków z epilepsją i ich związek z funkcjonowaniem rodziny oraz relacjami rówieśniczymi
Latent profiles of emotional well-being in adolescents with epilepsy and correlations with family function and peer relationships
W skrócie
Badanie przeanalizowało, jak czują się emocjonalnie nastolatkowie z epilepsją i wyróżniło trzy grupy: tych ze średnio dobrym samopoczuciem ale dużym stresem, tych z niskim samopoczuciem, oraz tych ze zdecydowanie lepszym stanem emocjonalnym. Okazało się, że nastolatkowie mający bliską rodzinę i nieobcy wśród rówieśników wykazywali znacznie lepszy dobrobyt emocjonalny, dlatego lekarze powinni wspierać tych, którzy mają problem z emocjami, szczególnie poprzez wzmacnianie relacji rodzinnych i rówieśniczych.
Oryginalny abstract (angielski)
OBJECTIVE: To analyze the latent profiles and characteristics of emotional well-being(EWB) in adolescents with epilepsy, and to explore the correlations between different profiles and family functioning as well as peer relationships. METHODS: Using a convenience sampling method, adolescents with epilepsy who were treated at two children's hospitals in Suzhou, China, between February and September 2025 were selected as the study participants. Data were collected using a general information questionnaire, the Positive Affect and Negative Affect Scale, Chinese Version of Family Adaptability and Cohesion Evaluation Scale II, and the Peer Relationship Scale. Latent profile analysis was employed to identify the EWB profiles of adolescents with epilepsy. One-way analysis of variance and logistic regression analysis were used to explore the influencing factors across different latent profiles. RESULTS: A total of 345 adolescents with epilepsy were included. EWB was categorized into three distinct latent profiles: the "moderate positive-high negative" group (33.05%), the "low positive-moderate negative" group (33.33%), and the "high emotional well-being" group (33.62%). Logistic regression results indicated that patients with focal seizures and generalized tonic-clonic seizures were more likely to belong to the "moderate positive-high negative" and "low positive-moderate negative" groups. In contrast, patients with high family cohesion and low fear of peer interaction were more likely to be in the "high emotional well-being" group. CONCLUSION: EWB among adolescents with epilepsy is generally lower than that of their healthy peers and exhibits heterogeneity. Healthcare professionals should prioritize adolescents in the "moderate positive-high negative" and "low positive-moderate negative" groups, implementing targeted interventions to enhance their EWB. Future research should further explore the factors influencing these distinct profiles.