Psychosocial Correlates of Depression in Children and Adolescents with Epilepsy in a Nigeria Neuro-Psychiatric Hospital

OC, Ogun; CA, Gbiri; OA, Akinola; OE, Akinola; OF, Ajirotutu; OA, Fasesan

doi:10.4172/2165-7920.1000152

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Seizure disorder in children can often be associated with anxiety, depression and low self-esteem. Emotional and psychiatric disorders have been reported among children with seizure disorder [2,3,4,29].…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life of children with seizure disorder in Uyo, Nigeria

Akpan

Okpokowuruk

2018

Int J Pediatr Res

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Background: Seizure disorder is a common chronic neurologic condition in children. Children with seizure disorder have been reported to have a more compromised health-related quality of life compared with healthy children. No known study has been undertaken in our environment. Objectives: To assess the health-related quality of life of children with epilepsy and to compare it with that of apparently healthy children in Uyo, Nigeria. Methods: Child self-report and parent-proxy report questionnaires (Pediatrics Quality of Life inventory version 4.0) were administered to 60 children and their mothers. Thirty of the children had seizure disorders and 30 were apparently healthy children who were age, gender and social class matched with the subjects. Parental education and occupation were used to allot a social class to the children. Results: Of the 30 subjects/controls, 10 (33.3%) were males while 20 (66.7%) were females giving a male to female ratio of 1:2. Thirteen belonged to 8-12 years age group, 12 were 13-18 years old while 5 were 5-7 years of age. Majority (27) belonged to the upper and middle social classes and 3 belonged to the lower social class. Twenty children had good seizure control while 10 had one or more seizure episodes per month. Children with seizure disorder had mean total score and mean score in the subscales that was significantly lower than that of the controls. Good quality of life was associated with good seizure control. Conclusion: Children with seizure disorder had lower health related quality of life than apparently healthy children. There is therefore need to maintain good seizure control in children with seizure disorder as it has a positive impact on health-related quality of life of these children.

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Section: Discussionmentioning

confidence: 99%

Health-related quality of life of children with seizure disorder in Uyo, Nigeria

Akpan

Okpokowuruk

2018

Int J Pediatr Res

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Mood and behavior disorder in pediatric epilepsy

Afzal

Dorssos

2015

J Pediatr Epilepsy

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Pediatric epilepsy is frequently associated with psychiatric comorbidities such as mood, anxiety, psychosis, attention-deficit/hyperactivity disorder and disruptive behavior disorder. The incidence of suicide is also higher in this population. Psychiatric conditions were traditionally considered to be a consequence of the seizure disorder; however, more recent advances in the field suggest a bidirectional relationship. Thus, the existence of psychiatric disorders may increase the likelihood of developing a seizure disorder, while the presence of chronic epilepsy and the use of antiepileptic drugs can increase the incidence of comorbid psychiatric disorders and impact the quality of life for affected patients. In this review, internalizing (depression, anxiety and suicide) and, externalizing (attention-deficit/hyperactivity disorder, oppositional defiant disorder and conduct disorder) disorders, and psychosis in pediatric epilepsy are discussed. The role of evidence-based psychosocial and psychopharmacological interventions for these mood and behavior disorders, in addition to the validity of neuropsychological testing to assist identification of these combined conditions in pediatric epilepsy are also reviewed.

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Psychosocial Correlates of Depression in Children and Adolescents with Epilepsy in a Nigeria Neuro-Psychiatric Hospital

Abstract: Background: Depression is mostly reported psychiatric disorders in children with epilepsy.

Cited by 2 publications

References 34 publications

Health-related quality of life of children with seizure disorder in Uyo, Nigeria

Health-related quality of life of children with seizure disorder in Uyo, Nigeria

Mood and behavior disorder in pediatric epilepsy

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