Self‐Efficacy and Social Support as Mediators in the Relation Between Disease Severity and Quality of Life in Patients with Epilepsy

Summary: Purpose: This study examined the influence of two psychosocial variables mediating between disease severity and quality of life (Qol) in epilepsy; social support and mastery (measured by locus of control and self‐efficacy). A model placing these two variables as mediators between disease severity and QoL was tested with structural equation modeling.

[1]  Robert M. Gagne,et al.  Decisions, Values, and Groups , 1961 .

[2]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[3]  A. Wyler,et al.  Psychosocial Predictors of Psychopathology in Epilepsy , 1990, British Journal of Psychiatry.

[4]  S. Saxena,et al.  The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. , 1998, Social science & medicine.

[5]  G. Baker,et al.  The Clinical Course of Epilepsy and Its Psychosocial Correlates: Findings from a U.K. Community Study , 1996, Epilepsia.

[6]  W. Sutherling,et al.  Quality of Life of Epilepsy Surgery Patients as Compared with Outpatients with Hypertension, Diabetes, Heart Disease, and/or Depressive Symptoms , 1994, Epilepsia.

[7]  A Bandura,et al.  Cognitive processes mediating behavioral change. , 1977, Journal of personality and social psychology.

[8]  R. Plutchik,et al.  Correlates of suicide and violence risk in an inpatient population: Coping styles and social support , 1993, Psychiatry Research.

[9]  K. Wallston,et al.  Epilepsy and Learned Helplessness , 1980 .

[10]  N. Temkin,et al.  An Objective Method for the Assessment of Psychological and Social Problems Among Epileptics , 1980, Epilepsia.

[11]  D. Ridder,et al.  Coping, social support and chronic disease: A research agenda , 1996 .

[12]  David F. Smith,et al.  Seizure frequency, patient-perceived seizure severity and the psychosocial consequences of intractable epilepsy , 1991, Epilepsy Research.

[13]  S. Gehlert Perceptions of Control in Adults with Epilepsy , 1994, Epilepsia.

[14]  T. Kamarck,et al.  Measuring the Functional Components of Social Support , 1985 .

[15]  Peter M. Bentler,et al.  EQS : structural equations program manual , 1989 .

[16]  B. Manteuffel,et al.  Self-Efficacy and Social Support in Self-Management of Epilepsy , 1992, Western journal of nursing research.

[17]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[18]  Frederic M. Thrasher A Community Study , 1930 .

[19]  G. Guyatt,et al.  Measuring quality of life in clinical trials: a taxonomy and review. , 1989, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[20]  M. Snyder Stressors, coping mechanisms, and perceived health in persons with epilepsy. , 1990, International disability studies.

[21]  David Cella,et al.  Creating and Evaluating Cross-Cultual Instruments , 1996 .

[22]  B. Manteuffel,et al.  The development and testing of an instrument to measure self-efficacy in individuals with epilepsy. , 1992, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[23]  J. Collings Psychosocial Weil‐Being and Epilepsy: An Empirical Study , 1990, Epilepsia.

[24]  P. Hudelson,et al.  Quality of Life Assessment across Cultures , 1994 .

[25]  J. Rotter Internal Versus External Control of Reinforcement , 1990 .

[26]  P. Kellaway,et al.  Proposal for Revised Clinical and Electroencephalographic Classification of Epileptic Seizures , 1981, Epilepsia.

[27]  J. Wojcik,et al.  Social learning predictors of the avoidance of smoking relapse. , 1988, Addictive behaviors.

[28]  A. Jacoby Epilepsy and the quality of everyday life. Findings from a study of people with well-controlled epilepsy. , 1992, Social science & medicine.

[29]  David F. Smith,et al.  The development of a seizure severity scale as an outcome measure in epilepsy , 1991, Epilepsy Research.

[30]  J. Engel,et al.  A Health-Related Quality of Life Instrument for Patients Evaluated for Epilepsy Surgery , 1992, Medical care.

[31]  R. Norton,et al.  The Social Support Function in Epilepsy Self-Help Groups , 1986 .

[32]  S. Saxena,et al.  The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. , 1995, Social science & medicine.

[33]  K. Perrine,et al.  Neurobehavioral problems in epilepsy. , 1994, Neurologic clinics.