Brief multidimensional measure of spirituality/religiousness, self-esteem, quality of life, and epilepsy.

Introduction: The relationships between religiousness/spirituality (RS), self-esteem, and quality of life (QoL) in adult people with epilepsy (PWEs) have not been studied in detail.

Methods: This cross-sectional study assessed RS using the brief multidimensional measure of religiousness/spirituality (BMMRS) scores of 86 PWEs. These scores were compared to 58 individuals in the control group (CG). Among the PWEs, the BMMRS data were related with the QOLIE-31 and the Rosenberg self-esteem scale (RSES) scores and clinical variables.

Results: Among the PWEs, 48 individuals had temporal lobe epilepsy with hippocampal sclerosis (TLE-HS) and other epilepsies in 38 cases. Higher "daily spiritual experiences," "overall self-ranking as a religious/spiritual person," and lower perception of "religious/spiritual coping" were observed in the TLE-HS group when compared to the CG. Among the PWEs, there was lower "religious/spiritual coping" and higher "overall self-ranking as a religious/spiritual person" in the TLE-HS group. There was a significant difference in the BMMRS dimensions according to the type and frequency of seizures and the number of antiseizure drugs taken. There was a low correlation between the BMMRS, the QOLIE-31, and the RSES. In the network analysis with the Fruchterman-Reingold algorithm, there was no correlation between self-esteem and RS. In the TLE-HS group, there was a correlation between the "forgiveness" dimension of the BMMRS and some dimensions of the QOLIE-31.

Conclusion: There was a greater RS in the TLE-HS group when compared to the CG. Regarding the two epilepsy groups, there was a higher "overall self-ranking as a religious/spiritual person" and lower "religious/spiritual coping" in the TLE-HS. The clinical variables and demographic data are related to different BMMRS dimensions according to the type of epilepsy. In the TLE-HS group, a higher RS is related to a better QoL. RS is not related to self-esteem.