Food insecurity and epilepsy in a nationally representative sample

Gordon, Kevin; Dooley, Joseph M.

doi:10.1016/j.yebeh.2014.12.009

Cited by 7 publications

(3 citation statements)

References 27 publications

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“…In comparison, ECEs had nearly triple the amount of food insecurity: in academic years 2017–2018 and 2019–2020, localized studies showed that 31.5%–40% of ECEs were food insecure (Mofleh et al, 2022; Otten et al, 2019). Reports with national data reflect these local characteristics: in 2020, nearly 33% of childcare workers experienced some food insecurity, and 20% experienced low to very low food security (Dynia et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Psychological and physiological stress and stressors in early childhood educators: An observational pilot study

Bates,

Dynia

2023

Psychology in the Schools

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While early childhood educators' mental health is important, it may also affect the well‐being and education of their students. Yet, little research has described the stress and stressors of early childhood educators (ECEs), particularly as the pandemic wanes. This pilot study aimed to (1) describe ECEs' psychological and physiological stress and (2) examine the association between ECEs' psychological and physiological stress levels with stressors. A convenience sample of 67 ECEs, serving children 0–5 years old, from 13 early educational centers completed surveys on psychological stress (perceived stress, anxiety, and depression), stressors (economic hardship, food insecurity, and adverse childhood experiences), and demographics in Fall 2021. A subsample of ECEs provided hair samples, analyzed for cortisol, to estimate physiologic stress. Regarding stress, 63% met the criteria for major depressive disorder and 41% for generalized anxiety disorder. Only 26% were taking medications to manage mental health. About 25% experienced the stressors of food insecurity and economic hardship, and 80% experienced at least one adverse childhood experience. Only education level significantly predicted perceived stress and depression—above and beyond stressors, household income, race, and age. The results have policy and practice implications for implementing evidence‐based solutions to buffer stress and stressors in ECEs.

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Section: Introductionmentioning

confidence: 99%

Psychological and physiological stress and stressors in early childhood educators: An observational pilot study

Bates,

Dynia

2023

Psychology in the Schools

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“…The most common among them are: fever in children, tricyclic antidepressants, theophylline, drugs intoxications and drugs abuse, acute neurological disorders and infections (meningitis, encephalitis, stroke, head injury, brain abscess, etc. ), alcoholism, metabolic disorders (hypo/hyperglycemia, hypocalcaemia) 7 , derivative of phencyclidine-metaphit 8 , scabicides-lindane 9, 10 , sleep disturbances [11][12][13] , hyperhomocysteinemia 14 , visual stimuli 15 , stress 16 , the menstrual cycle 17 , a specific diet regimes 18,19 , vascular abnormalities, stroke sequelae and subarachnoid hemorrhage 20 . Experimental models of epilepsy are significant for resolving the mechanisms of epileptogenesis and play very important role in new antiepileptic drugs development.…”

Section: Introductionmentioning

confidence: 99%

The central nervous system is not imunoprivileged: Inflammation and epileptogenesis

Hrnčić¹,

Šutulović²,

Grubač³

et al. 2018

VOJNOSANIT PREGL

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“…A conceptual framework for social determinants of health in epilepsy has been proposed, 23 and a growing body of research has demonstrated the impact of socioeconomic and/or neighborhood deprivation on not only the incidence and prevalence of epilepsy and utilization and access to medical care but also on a number of important epilepsy outcomes including health literacy, food insecurity, stigma, pregnancy outcomes, and surgical outcomes. [23][24][25] However, despite the high prevalence of cognitive dysfunction and depressed mood in TLE and the growing awareness of the social determinant of health, very few studies have examined the relationship between socioeconomic status and neuropsychological functioning, [26][27][28] and we are not aware of any studies on the impact of neighborhood deprivation, more broadly, on cognitive and mood outcomes.…”

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confidence: 98%

Association of Neighborhood Deprivation With Cognitive and Mood Outcomes in Adults With Pharmacoresistant Temporal Lobe Epilepsy

et al. 2023

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Background and ObjectivesTemporal lobe epilepsy (TLE) is the most common adult form of epilepsy and is associated with a high risk of cognitive deficits and depressed mood. However, little is known about the role of environmental factors on cognition and mood in TLE. This cross-sectional study examined the relationship between neighborhood deprivation and neuropsychological function in adults with TLE.MethodsNeuropsychological data were obtained from a clinical registry of patients with TLE and included measures of intelligence, attention, processing speed, language, executive function, visuospatial skills, verbal/visual memory, depression, and anxiety. Home addresses were used to calculate the Area Deprivation Index (ADI) for each individual, which were separated into quintiles (i.e., quintile 1 = least disadvantaged and quintile 5 = most disadvantaged). Kruskal-Wallis tests compared quintile groups on cognitive domain scores and mood and anxiety scores. Multivariable regression models, with and without ADI, were estimated for overall cognitive phenotype and for mood and anxiety scores.ResultsA total of 800 patients (median age 38 years; 58% female) met all inclusion criteria. Effects of disadvantage (increasing ADI) were observed across nearly all measured cognitive domains and with significant increases in symptoms of depression and anxiety. Furthermore, patients in more disadvantaged ADI quintiles had increased odds of a worse cognitive phenotype (p= 0.013). Patients who self-identified as members of minoritized groups were overrepresented in the most disadvantaged ADI quintiles and were 2.91 (95% CI 1.87–4.54) times more likely to be in a severe cognitive phenotype than non-Hispanic White individuals (p< 0.001). However, accounting for ADI attenuated this relationship, suggesting neighborhood deprivation may account for some of the relationship between race/ethnicity and cognitive phenotype (ADI-adjusted proportional odds ratio 1.82, 95% CI 1.37–2.42).DiscussionThese findings highlight the importance of environmental factors and regional characteristics in neuropsychological studies of epilepsy. There are many potential mechanisms by which neighborhood disadvantage can adversely affect cognition (e.g., fewer educational opportunities, limited access to health care, food insecurity/poor nutrition, and greater medical comorbidities). Future research will seek to investigate these potential mechanisms and determine whether structural and functional alterations in the brain moderate the relationship between ADI and cognition.

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Food insecurity and epilepsy in a nationally representative sample

Cited by 7 publications

References 27 publications

Psychological and physiological stress and stressors in early childhood educators: An observational pilot study

Psychological and physiological stress and stressors in early childhood educators: An observational pilot study

The central nervous system is not imunoprivileged: Inflammation and epileptogenesis

Association of Neighborhood Deprivation With Cognitive and Mood Outcomes in Adults With Pharmacoresistant Temporal Lobe Epilepsy

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