Please use this identifier to cite or link to this item:
Title: Relationships among illness representations and depressive symptom severity in predominantly African-American and Caribbean-American people with epilepsy
Authors: Gonzalez, Jeffrey S.
Gupta, Sugandha K.
Margolis, Seth A.
Grant, Arthur C.
Nakhutina, Luba
Keywords: Illness perceptions
common sense model of illness
psychiatric comorbidity
people with epilepsy (PWE)
people of color (POC)
Neurological Disorders Depression Inventory for Epilepsy (NDDI-E)
Issue Date: 2022
Publisher: Taylor & Francis Online
Citation: Gupta, S. K., Margolis, S. A., Grant, A. C., Gonzalez, J. S., & Nakhutina, L. (2022). Relationships among illness representations and depressive symptom severity in predominantly African- American and Caribbean-American people with epilepsy. The Clinical Neuropsychologist, 36(2), 462–478.
Series/Report no.: The Clinical Neuropsychologist;36(2)
Abstract: _Objective:_ Depression is the most common psychiatric comorbidity among people with epilepsy (PWE) and tends to be more prevalent among people of color (POC) and those with intractable seizures. However, the extent to which illness-related perceptions are associated with depressive symptom severity among POC with intractable seizures is unclear. Method: This cross-sectional study examined relationships among illness representations and self-rated depressive symptoms in 55 PWE (M Age = 41; 61.8% female) with intractable seizures (M seizures per month = 2) who identified as Black/African-American (52.7%), Black/Caribbean-American (27.3%), and/or Hispanic/Latino (21.8%). Epilepsy-related illness perceptions were assessed with the Illness Perception Questionnaire-Revised and depression was measured via the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E). Results: Nearly half of the sample (41.8%) scored above the NDDI-E depression cut-off. PWE endorsing more severe depressive symptoms indicated that their epilepsy had more negative consequences, was hard to comprehend, was insufficiently controlled by treatment, and had a negative emotional impact (p’s ≤ 0.02). Controlling for sex, these four illness representations accounted for 48% of the variance in depression severity. Interestingly, participants with probable major depressive episodes were more likely to endorse several psychological causes of seizures compared to non-depressed PWE. Conclusions: Worse depression symptom severity was associated with negative illness perceptions and a tendency to attribute one’s epilepsy to psychological causes. Future research is needed to understand how the relationship between negative illness perceptions and depression symptoms unfold over time and whether interventions aimed at modifying illness representations reduce psychological distress in diverse PWE.
Description: Scholarly article
ISSN: ISSN: 0920-1637, 1744-4144
Appears in Collections:Ferkauf Graduate School of Psychology: Faculty Publications

Files in This Item:
There are no files associated with this item.

This item is licensed under a Creative Commons License Creative Commons