〔Abstract〕 Objective To study the characteristics and possible influencing factors of stigma in adult patients with epilepsy, and to explore the correlation between stigma and ecological executive function in adult patients with epilepsy.Methods Through the questionnaire survey, 83 patients with primary or possibly symptomatic adult epilepsy and 58 healthy adults with matching gender, age, marriage and education level were used to use the Chinese version of Kilifi stigma scale for epilepsy,the behavior rating inventory of executive function-adult version( BRIEFA) evaluation. Results(1) In the epilepsy group,the proportion of stigma obtained was as high as 97. 6%,and there were differences in the stigma obtained in different places of residence,family income,control status,and medication types.(2) Multivariate stepwise linear regression analysis suggested that the number of years of education in patients with epilepsy( t =-2. 383,P = 0. 019),per capita household income( t =-4. 812,P<0. 01) were negatively related to stigma score; the long-term residence of patients with epilepsy( t = 2. 329,P<0. 05),epilepsy was controlled or not( t = 2. 206,P = 0. 03),the type of medication( t = 6. 496,P<0. 01) were positively related to stigma score.(3) The scores of global executive composite( GEC),behavioral regulation index( BRI) and mmetacognition index( MI) of BRIEF-A and various factors( inhibition,conversion,emotional control,self-monitoring,task initiation,working memory,planning,organization,task monitoring) scores were significantly higher than those of health in the control group,and the difference was statistically significant( P<0. 05).(4) Spearman correlation analysis suggested that stigma was significantly positively correlated with the scores of BRIEF-A( including GEC,BRI,MI and all sub factors)( P<0. 01). Conclusion Adult patients with epilepsy have obvious stigma,and the severity of stigma is related to years of education,per capita family income,long-term residence,epilepsy control or not,and type of medication; adult patients with epilepsy have ecological executive function impairment; adult epilepsy stigma of patients is closely related to impairment of executive function.