ArticleAtencion primaria2014
[Cohesion and family adaptability in women with epilepsy: cross-sectional study].
Article in Atencion primaria, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors at 2 institutions in 1 country.
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Abstract
objectiveTo test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women.
designCross-sectional study.
settingA retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mexican Social Security Institute in Sonora (Mexico) between 2010 and 2011.
participantsWere 82 women with epilepsy (cases), and 181 healthy women (control group). Age and area of residence was utilized to pair the sample (1:2,2). MEASUREMENTS: Univariate analysis was performed for socio-demographic variables, family type, socio-economic status, level of cohesion and family adaptability based on FACES III. A logistic regression analysis was performed for those variables that were associated with functionality of family in women with and without epilepsy.
resultsA family dysfunction were found in 22% of epileptic women (OR = 2.91 [2.17, 3.89], p=.0001). Univariate analysis suggested the presence of epilepsy and of family dysfunction associated with age, disease more than 15 years of evolution, and family type (rural, urban and traditional). The logistic regression model confirmed an association only for presence of epilepsy (OR = 7.30 [4.00, 13.33], p=.0001).
conclusionThe study answers the hypothesis that women with epilepsy live in families with greater psychosocial impairment, manifested by deficiencies in cohesion and adaptability to the disease, compared with healthy women.
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