Attitudes toward epilepsy in Indonesia

Gunadharma, Suryani; Jehosua, Seilly; Khosama, Herlyani; Chia, Zhi-Jien; Lim, Kheng‐Seang

doi:10.1016/j.yebeh.2021.108244

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…Furthermore, stigma in PWE was influenced by several factors such as level of education, marital status, employment status, attitudes toward PWE, and frequency of seizures. [41][42][43] This study had some limitations, including a relatively small sample size and the opportunistic sampling method used, which might not represent the total Sundanese population. Additionally, several depression-related factors such as sleep quality, daily task limitation, social support beyond family, household income, and employment restrictions, were not analyzed.…”

Section: Discussionmentioning

confidence: 99%

Depression as comorbidity in Sundanese epilepsy patients

Tandiawan,

Gunadharma,

Gamayani

et al. 2023

NeuroAsia

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Background: Depressive disorder is a common psychiatric comorbidity in patients with epilepsy (PWE). This health condition is prevalent among the Sundanese who have a calm and polite character, with a tendency to hide their feelings, which is associated with an increased risk of depression. Methods: This cross-sectional study aimed to determine the prevalence of major depressive disorder (MDD) and the associated factors among Sundanese PWE. The study was carried out in the neurology outpatient clinic at Hasan Sadikin General Hospital Bandung, consisting of the Sunda ethnic group as the majority of patients. Self-stigma degree was measured using the Indonesian version of Internalized Stigma of Epilepsy (ISEP) questionnaire, while depression symptom was screened through the Indonesian version of Neurological Disorders Depression Inventory for Epilepsy (NDDI-E). Subsequently, patients who had depression symptoms were referred to a psychiatrist to confirm whether their conditions matched the criteria of MDD according to the Diagnostic and Statistical Manual of Mental Disorder-5. Results: The prevalence of depressive symptoms in Sundanese epilepsy patients was found to be 18.4%, and MDD was 6.8% among 103 patients included in this study. Many PWE with MDD were not married, had uncontrolled seizures, used polytherapy anti-seizure medication, and exhibited a higher degree of self-stigma. Conclusion: In this study, the prevalence of MDD was found to be 6.8% among a cohort of Sundanese PWE. A significant relationship was also observed between MDD and several factors, including single status, uncontrolled seizure, polytherapy, and a higher degree of self-stigma.

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Section: Discussionmentioning

confidence: 99%

Depression as comorbidity in Sundanese epilepsy patients

Tandiawan,

Gunadharma,

Gamayani

et al. 2023

NeuroAsia

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“…In Latin America, about 5 million people have epilepsy, of which 3 million do not receive appropriate treatment. 78 The disease burden of epilepsy in Latin America is approximately 14 460 845 DALYs (95% CI: 2.3–0.8 × 10 6 ), with years lived with disability (YLDs) as the major component. Mexico, Brazil, and Colombia have the highest rates of epilepsy, with alcohol abuse as the main risk factor.…”

Section: About Tropical Epilepsymentioning

confidence: 99%

“…Currently, there are several studies on PWE. Researchers have taken different approaches, such as focusing on patients with different cultural and family backgrounds, [5][6][7] different ages, [8][9][10][11][12][13] region-specific, [14][15][16][17][18][19][20][21][22] and inter-environmental. [23][24][25] Some studies have focused on the treatment gap, [26][27][28][29][30] special etiology, [31][32][33][34][35][36] and disease burden [37][38][39][40] in the tropics, aiming to formulate appropriate policies [41][42][43][44] for PWE.…”

Section: Introductionmentioning

confidence: 99%

Status of epilepsy in the tropics: An overlooked perspective

et al. 2023

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Epilepsy is one of the most common serious chronic neurological diseases affecting people of all ages globally. It is characterized by recurrent seizures. About 50 million people worldwide have epilepsy. Indubitably, people with epilepsy (PWE) may be without access to appropriate treatment. Many studies have examined the molecular mechanisms and clinical aspects of epilepsy; nonetheless, the treatment gap exists in some special areas. In the tropics, the specific geographical and ecological conditions and a lack of medical resources result in neglect or delay of diagnosis for PWE. Herein, we summarized the epidemiology of epilepsy in the tropics and discussed the disease burden and existing problems, aiming to offer a medical environment for patients in need and highlight the importance of reducing the epileptic disease burden in tropical countries.

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“…Management must be based on a variety of approaches, taking into account patients from different cultural and family backgrounds, different ages or regions and different environments [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. Some studies have focused on the treatment, etiologies and burden of disease of countries in the tropics, aiming to formulate appropriate policies for epileptics [55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71].…”

Section: Introductionmentioning

confidence: 99%