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    Difficult lives: A descriptive and relational study on the coping with stress and care burden of caregivers of patients with epilepsy
    (Academic Press Inc Elsevier Science, 2023) Buyukbayram, Zeliha; Aksoy, Meyreme; Yilmaz, Ridvan
    Aim: This study was conducted to examine the relationship between coping with stress status and the burden of care of the caregivers of patients with epilepsy. Materials and methods: This descriptive correlational study was carried out with a total of 230 voluntary caregivers of patients with epilepsy who visited the neurology clinics and outpatient clinics of a training and research hospital in the southeastern part of Turkiye between March 2022 and February 2023. Study data were collected through the Personal Information Form, the Zarit Caregiver Burden Assessment and the Ways of Coping Scale. Descriptive statistics and multiple regression analysis were used for the evaluation of the data. Findings: While the mean score of the caregivers from the Zarit Caregiver Burden Assessment was 41.20 & PLUSMN; 12.44, they had mean scores of 12.12 & PLUSMN; 3.25, 8.93 & PLUSMN; 1.93, 12.24 & PLUSMN; 3.61, 8.77 & PLUSMN; 3.17, and 7.89 & PLUSMN; 1.95, respectively, from the self-confident approach, optimistic approach, helpless approach, submissive approach, and social support-seeking approach sub-dimensions. In the study, a moderate positive statistically significant relationship was found between the caregivers' burden of care and the mean scores of the helpless and submissive approach sub-dimensions(p < 0.05). Conclusion: The caregivers' burden of care and coping with stress were at moderate levels. The helpless approach, which is one of the ineffective methods of coping with stress, was found to be higher. The helpless and submissive approaches were found to increase in this study as the caregivers' burden of care increased. Implications: The use of effective coping skills to reduce the level of personal burden of care would improve the caregiver's physical health and psychological well-being. & COPY; 2023 Elsevier Inc. All rights reserved.
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    The effects of concealment of epilepsy on medication adherence in people with epilepsy: A cross-sectional study
    (Elsevier, 2023) Buyukbayram, Zeliha; Aksoy, Meyreme; Yilmaz, Ridvan
    Aim: Adherence to antiseizure medication is of great importance in achieving seizure control and maintaining well-being for people with epilepsy. Therefore, it is important to assess medication adherence and factors affecting medication adherence in this patient group. This study aims to examine the effects of concealment of epilepsy on medication adherence in people with epilepsy.Method: This cross-sectional study was conducted with 220 people with epilepsy. Data were collected using a patient information form, the Morisky Medication Adherence Scale-8 (MMAS-8), and the Concealment of Epilepsy Scale (CES) and analyzed using descriptive statistics and multiple linear regression analysis.Results: The mean age of the participants was 49.84 +/- 9.43 years, and 53.6% of them were male. Their mean MMAS-8 score was 4.25 +/- 1.99%, and 72.3% had low medication adherence. Additionally, their mean CES score was 49.84 +/- 9.43. The CES scores of the participants negatively predicted their MMAS-8 scores (p < 0.05), and medication adherence was positively predicted by female gender, the duration of diagnosis, the single administration of drugs per day, and employment status, whereas it was negatively predicted by the annual number of seizures (F=19.256, p < 0.001).Conclusion: In this study, people with epilepsy were found to have low medication adherence and a high tendency to conceal epilepsy. Furthermore, the tendency to conceal epilepsy had a negative effect on medication adherence.Implications: Psychosocial interventions aimed at reducing the tendency to conceal epilepsy can contribute to medication adherence in people with the condition.