title: [Cohesion and family adaptability in women with epilepsy: cross-sectional study].
abstract: OBJECTIVE
  To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A 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.
  
  
  METHODS
  Were 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).
  
  
  METHODS
  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.
  
  
  RESULTS
  A 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).
  
  
  CONCLUSIONS
  The 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.
authors.affiliation: División de Investigación, Hospital de Especialidades N. 2, Unidad Médica de Alta Especialidad, Centro Médico Nacional del Noroeste, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México; Departamento de Medicina, Universidad de Sonora, Campus Cajéme, Ciudad Obregón, Sonora, México. Electronic address: jmoapat@me.com.
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Ornelas-Aguirre
authors.affiliation: Unidad de Medicina Familiar N. 1, Instituto Mexicano del Seguro Social, Centro Médico Nacional del Noroeste, Ciudad Obregón, Sonora, México.
authors.forename: Oneida
authors.initials: O
authors.lastname: Sánchez-Castro
mesh_terms: D000223:Adaptation, Psychological; D003430:Cross-Sectional Studies; D004827:Epilepsy / Q000523:psychology; D005195:Family Relations; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies
keywords: Epilepsia; Epilepsy; Estigma social; Familiares; Family relations; Relaciones familiares; Relatives; Social stigma