The present study was performed to investigate the associations among perceived stress, spiritual well-being, and alexithymia in people with epilepsy. The study was performed with 140 patients diagnosed with epilepsy in the neurology clinic of a training and research hospital between May and December 2022. Personal Information Form, Perceived Stress Scale (PSS-14), Spiritual Well-Being Scale (FACIT Sp-12), and Toronto Alexithymia Scale (TAS-20) were used to collect the data. Descriptive statistical methods, simple and multiple regression analyses, and path analysis were used to analyze the data. The mean scores of the patients were 25.51±9.42 for PSS-14, 29.77±8.33 for FACIT Sp-12, and 56.55±16.87 for TAS-20. Concerning direct effects, a negative association was found between perceived stress and spiritual well-being, a positive association between perceived stress and alexithymia, and a negative association between spiritual well-being and alexithymia. The confirmed mediating effect was the role of spiritual well-being in the association between perceived stress and alexithymia. Perceived stress explained 28 % of spiritual well-being. In addition, the model explained 34 % of alexithymia in total. Perceived stress levels of people with epilepsy were low, while alexithymia and spiritual well-being levels were found to be moderate. It was found that as the stress levels perceived by people with epilepsy increased, alexithymia levels also increased. It was also found that the negative impact of perceived stress on alexithymia was reduced through spiritual well-being. The study shows how important spiritual well-being is in decreasing the negative impacts of perceived stress on alexithymia in people with epilepsy.

中文翻译：

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癫痫患者感知压力、精神健康与述情障碍之间的关系：路径分析


本研究旨在调查癫痫患者感知压力、精神健康和述情障碍之间的关联。该研究对 2022 年 5 月至 12 月期间在培训和研究医院的神经科诊所诊断为癫痫的 140 名患者进行了研究。个人信息表、感知压力量表 (PSS-14)、精神健康量表 (FACIT Sp-12)和多伦多述情障碍量表（TAS-20）用于收集数据。使用描述性统计方法、简单和多元回归分析以及路径分析来分析数据。患者的PSS-14平均得分为25.51±9.42，FACIT Sp-12为29.77±8.33，TAS-20为56.55±16.87。关于直接影响，感知压力与精神健康之间存在负相关，感知压力与述情障碍之间存在正相关，精神健康与述情障碍之间存在负相关。已证实的中介效应是精神健康在感知压力和述情障碍之间的关联中的作用。感知压力解释了 28% 的精神健康。此外，该模型总共解释了 34% 的述情障碍。癫痫患者的感知压力水平较低，而述情障碍和精神健康水平则处于中等水平。研究发现，随着癫痫患者感受到的压力水平增加，述情障碍水平也会增加。研究还发现，精神健康可以减少感知压力对述情障碍的负面影响。该研究表明，精神健康对于减少癫痫患者感知压力对述情障碍的负面影响非常重要。