Depression, sleep quality, and social isolation among people with epilepsy in Bhutan: A cross-sectional study

Stauder, Matthew; Vogel, Andre C.; Nirola, Damber Kumar; Tshering, Lhab; Dema, Ugyen; Dorji, Chencho; Dorji, Lhab; Mateen, Farrah J.

doi:10.1016/j.yebeh.2020.107450

Cited by 14 publications

(14 citation statements)

References 26 publications

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“…This finding was in line with studies conducted in Ethiopia, Addis Ababa 65.4% [25], United States of America 72% [34], and Brazil 67.3% [26]. However, it was higher than studies reported in Taiwan 50% [20], Korea 41.1 [35], Spain 53.6% [36], India 48% [37], Turkey 42.7% and Southeast Asia 33% [8]. Possible reasons for the difference may be due to the use of different screening tools and cutoff points.…”

Section: Discussionsupporting

confidence: 89%

“…Epileptic patients who had poor Social support were nearly three times and moderate social support were nearly two times more likely to have poor sleep quality as compared to participants who have strong social support. This finding was supported by a study conducted in Southeast Asia [8].…”

Section: Discussionsupporting

confidence: 76%

“…Sleep is a natural reversible sleep-wake cycle and physiological process that is characterized by perceptual disengagement [6]. Sleep quality is measured by how long and how healthy an individual sleeps, it also contains how problematic it is for an individual to fall asleep and how many times a person wakes up throughout the night [7,8]. Based on the 2017 result of the National Sleep Foundation (NSF) in the United States of America (USA), good sleep quality is indicated by sleeping more time while in bed (at least 85% of the total time), falling asleep within 30 minutes or less, waking up not more than once per night, and being awake for 20 minutes or less after initially falling asleep [9].…”

Section: Introductionmentioning

confidence: 99%

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Sleep quality and associated factors among adult patients with epilepsy attending follow-up care at referral hospitals in Amhara region, Ethiopia

2021

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Background Globally, epilepsy is the commonest neurological disorder in adults. It has significant health and economic consequences to the affected individuals and the family. There is ample evidence that epileptic patients are at increased risk of poor sleep quality than the general population. However, there is limited evidence on sleep quality among epileptic patients and associated factors in Ethiopia. Therefore, this study investigated the prevalence of poor sleep quality and associated factors among adult patients with epilepsy. Method Institutional based cross-sectional study was conducted among adult epileptic patients attending follow-up care at referral hospitals in the Amhara region. A total of 575 epileptic patients were recruited using a stratified systematic random sampling technique. An interviewer-administered semi-structured questionnaire and record review were used for data collection. To assess sleep quality the pretested Pittsburgh Sleep Quality Index (PSQI) tool was used. A binary logistic regression model was used to assess factors associated with poor sleep quality. Variables with a p-value less than 0.2 in the bivariable binary logistic regression analysis were considered for the multivariable binary logistic regression analysis. In the multivariable binary logistic regression analysis, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) were reported to declare the statistical significance and strength of association. Model fitness was assessed using the Hosmer-Lemeshow test and was adequate (p>0.05). Multicollinearity of the independent variables was assessed using the Variance Inflation Factor (VIF) and the mean VIF was less than 10. Results A total of 565 participants were enrolled in the study with a response rate of 98.3%. The prevalence of poor sleep quality among adult epileptic patients was 68.8% [95% CI: 64.8%, 72.5%]. In the multivariable binary logistic regression, being unable to read and write [AOR = 3.16, 95%CI: 1.53, 6.51], taking polytherapy treatment [AOR = 2.10, 95% CI: 1.37, 3.21], poor medication adherence [AOR = 2.53, 95%CI: 1.02, 6.23] and having poor support [AOR = 2.72, 95%CI: 1.53, 4.82] and moderate social support [AOR = 1.89, 95%CI: 1.05, 3.41] were significantly associated with higher odds of poor sleep quality. Conclusion and recommendation Poor sleep quality is a major public health concern in Ethiopia. The patient’s level of education, number of medication use, medication adherence, and social support were found significant predictors of poor sleep quality. These findings highlight improving medication adherence and social support are effective strategies to improve the sleep quality of epileptic patients. Besides, it is better to give special emphasis to those epileptic patients with a low level of education and taking polytherapy to enhance sleep quality.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

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Sleep quality and associated factors among adult patients with epilepsy attending follow-up care at referral hospitals in Amhara region, Ethiopia

2021

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“…The prevalence of social isolation has been previously reported to range from 20 to 67.5% in PWE ( 19 , 24 ). The 68% of PWE with social isolation reported by a recent cross-sectional study from USE was higher than the 21.2% of PWE reported in the current study ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…Studies on the topic of social isolation in adults with epilepsy are limited ( 19 ). Thus, the current study aimed to investigate the prevalence of social isolation and to identify associated factors in adults with epilepsy in northeast China.…”

Section: Introductionmentioning

confidence: 99%

Social Isolation and Associated Factors in Chinese Adults With Epilepsy: A Cross-Sectional Study

et al. 2022

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Objective: We aimed to determine the prevalence of social isolation and associated factors among adults with epilepsy in northeast China.Methods: A cohort of consecutive patients with epilepsy (PWE) from the First Hospital of Jilin University (Changchun, China) was recruited. Demographic and clinical data for each patient were collected during a face-to-face interview. Social isolation was measured using the Berkman-Syme Social Network Index (SNI), and the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) and Quality of Life in Epilepsy Inventory (QOLIE-31) were also administered. Multivariate logistic regression analyses were used to determine the factors associated with social isolation in PWE.Results: A total of 165 patients were included in the final analysis. The mean SNI score was 2.56 (SD: 1.19), and 35 patients (21.2%) were socially isolated. In multivariate logistic regression analysis, higher depressive symptom levels (OR = 1.15, 95% CI: 1.003–1.318, P = 0.045) and poorer quality of life (OR = 0.967, 95% CI: 0.935–0.999, P = 0.047) emerged as independent factors associated with social isolation in PWE.Conclusion: Social isolation is common and occurs in approximately one-fifth of PWE. Social isolation is significantly associated with depressive symptoms and poor quality of life in PWE. Patients need to be encouraged to actively integrate with others and reduce social isolation, which may help improve their quality of life.

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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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Depression, sleep quality, and social isolation among people with epilepsy in Bhutan: A cross-sectional study

Cited by 14 publications

References 26 publications

Sleep quality and associated factors among adult patients with epilepsy attending follow-up care at referral hospitals in Amhara region, Ethiopia

Sleep quality and associated factors among adult patients with epilepsy attending follow-up care at referral hospitals in Amhara region, Ethiopia

Social Isolation and Associated Factors in Chinese Adults With Epilepsy: A Cross-Sectional Study

Status of epilepsy in the tropics: An overlooked perspective

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