The effect of seizure on school attendance among children with epilepsy: a follow-up study at the pediatrics neurology clinic, Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia

Hassen, Oumer; Beyene, Ayalew Moges

doi:10.1186/s12887-020-02149-y

Cited by 14 publications

(9 citation statements)

References 7 publications

(9 reference statements)

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“…Children with epilepsy have been shown to have higher rates of school absenteeism related to seizures and must also overcome comorbid learning di culties commonly associated with epilepsy (21). In addition, children with epilepsy face persistent misconceptions, unfavorable attitudes, and stigmatization, which likely negatively impact their academic achievement (19,21). In the present study, 37.2% of the school-age children were not attending school.…”

Section: Discussionmentioning

confidence: 59%

“…Even among the presently studied caregivers, more than half (56.7%) believe that children with epilepsy cannot be intelligent, and 39.1% say that children with epilepsy should not attend school. Children with epilepsy have been shown to have higher rates of school absenteeism related to seizures and must also overcome comorbid learning di culties commonly associated with epilepsy (21). In addition, children with epilepsy face persistent misconceptions, unfavorable attitudes, and stigmatization, which likely negatively impact their academic achievement (19,21).…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitudes, and practices among caregivers of children with epilepsy in outpatient pediatric neurology clinic: a cross-sectional study at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Negussie,

Dehan,

Mekonnen

et al. 2023

Preprint

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Background: Caregivers' knowledge and attitudes significantly impact epilepsy care, influencing help-seeking behavior and treatment decisions. In Ethiopia, epilepsy is often misunderstood, associated with misconceptions, and accompanied by persistent negative attitudes. The objective of this study is to assess the knowledge, attitude, and practice of caregivers of children with epilepsy Methods: A hospital-based cross-sectional study was conducted. A total of 120 caregivers were interviewed using a pretested structured questioner. Data were analyzed using SPSS version 23. Descriptive and analytical statistical procedures, with 95% confidence interval were employed and significance level was determined at p-value < 0.05. Results: A significant proportion of the caregivers were familiar with the term 'epilepsy', with more than half having heard or read about it (62; 51.7%) or knowing someone other than the child with epilepsy (61; 50.8%). The identified causes of epilepsy varied, with birth injury 44 (36.7%) being the most common cause reported by caregivers. Notably, there were associations between caregiver sex, awareness of epilepsy through hearing or reading, knowing someone with epilepsy, and their level of knowledge about epilepsy. The study also revealed negative attitudes toward epilepsy. More than half of the participants (56.7%) believed that a child with epilepsy cannot have a high level of intelligence, the majority (76.7%) would not allow their child to play with a child who has epilepsy, and 39.1% believed that a child with epilepsy should never attend school. Additionally, a significant number of caregivers resorted to traditional treatments 35 (29%). A considerable percentage of children with epilepsy received alternative treatments (85 [70%] along with antiepileptic medications). The majority of caregivers recognized the importance of seeking medical attention for individuals with epilepsy. Conclusions: A significant knowledge gap was identified among caregivers of children with epilepsy, revealing prevalent misconceptions and negative attitudes. Improving the epilepsy knowledge, attitude, and practice gap in caregivers will potentially contribute to overall improved awareness, as caregivers can serve as resources and advocates for people with epilepsy.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes, and practices among caregivers of children with epilepsy in outpatient pediatric neurology clinic: a cross-sectional study at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Negussie,

Dehan,

Mekonnen

et al. 2023

Preprint

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“…In a study that showed the correlation between epilepsy and school attendance, females had a higher percentage of absenteeism. [ 29 ] On the contrary, Nabukenya et al . results found that being a female is significantly associated with better HRQOL.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in paediatrics with intractable epilepsy in a large paediatric university hospital in Riyadh, Saudi Arabia

Altwaijri

Yahya

Alasmari

et al. 2020

J Family Med Prim Care

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Context: Epilepsy is said to be intractable when two or more trials of anticonvulsants fail to control the seizures. Literature suggests that intractable epilepsy carries a higher morbidity than controlled epilepsy in children and their caregivers. Aims: The aim of this study is to assess the quality of life (QOL) in children with intractable epilepsy (IE) in KASCH, a tertiary care hospital in Riyadh, Saudi Arabia. Settings and Design: This is a cross-sectional study utilizing a self-administered questionnaire filled by caregivers of epileptic patients visiting the outpatient neurology clinics. Methods and Materials: The quality of life in childhood epilepsy (QOLCE-55) scale examined four domains of life: cognitive, emotional, social, and physical. The sample consisted of 59 parents whose children aged 4-14 of either sex. Statistical Analysis Used: The collected data were analyzed by Statistical Package for the Social Sciences (SPSS) version 22. Results: The mean age of children was 8.9 (SD = 2.9). The mean QOL was 52.8 (SD = 12.9), which reflected a poor QOL. Age was not related to the QOL. Gender was significantly associated with the total and social scores, ( P = 0.04) ( P = 0.001), respectively. Out of all comorbidities, global developmental delay (GDD) and encephalopathy were significantly associated with the QOL ( P < 0.05). Conclusions: Intractable epilepsy impacted all functioning domains of life rendering a poor QOL. Males have reported better QOL and social functioning compared to females. Children with GDD and encephalopathy showed lower well-being.

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“…According to the ILAE guideline, an epilepsy case is defined as someone with an active, recurrent (two or more) condition of an epileptic seizure, which was unprovoked by an immediate cause. The same classification and definition of epilepsy have been used in previous studies in Ethiopia [ 24 , 25 ]. The previous diagnosis of epilepsy was taken from the chart of the patients (yes/no).…”

Section: Methodsmentioning

confidence: 99%

“…In this study, disability was assessed using the World Health Organization Disability Assessment Schedule (WHODAS-2), an instrument designed to measure functional impairment [27]. This tool covers six domains of functioning including cognition, mobility, self-care, getting along (interacting with other people), life activities, and community participation (25) and has been validated in Ethiopia on patients with severe psychiatric disorders [28].…”

Section: Screening For Disabilitymentioning

confidence: 99%

Prevalence and correlates of diagnosed and undiagnosed epilepsy and migraine headache among people with severe psychiatric disorders in Ethiopia

Ayano

Demelash

Yohannes³

et al. 2020

PLoS ONE

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Background There is a paucity of research on the prevalence of diagnosed as well as undiagnosed neurological disorders with episodic manifestations such as epilepsy and migraine headaches in people with severe psychiatric disorders (SPD). To the best of our knowledge, this is the first study analyzing and comparing the prevalence of diagnosed and undiagnosed chronic neurological disorders with episodic manifestations including epilepsy and migraine headache in people with SPD. Method This quantitative cross-sectional survey was undertaken among 309 patients with SPD selected by a systematic random sampling technique. The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID) was used to confirm SPD among the participants. The International Classification of Headache Disorders (ICHD-3) and International League Against Epilepsy (ILAE) were used to define migraine headache and epilepsy, respectively]. Risk factors for chronic neurologic disorders were explored by using logistic regression models. Result In this study, the prevalence of overall neurological disorders, epilepsy, and migraine headache among people with SPD were found to be 5.2% (95%CI 3.2–8.3), 1.6% (95%CI 0.7–3.9), and 3.9% (95%CI 2.2–6.7), respectively. We found that a considerably higher proportion of people with SPD had undiagnosed overall neurological disorder (87.5%; 14/16), epilepsy (60%; 3/5), as well as migraine headaches (100%; 12/12). On the other hand, in this study, 12.5%, 40%, and 0% of patients with overall neurologic disorder, epilepsy, and migraine headaches respectively were diagnosed by the professionals. Higher disability score (WHODAS score) was associated with increased odds of having neurological disorders compared with the lower WHODAS score [OR = 1.30 (95% CI 1.02–1.66)]. Conclusion Whilst the prevalence estimates of neurological disorders with episodic manifestations including epilepsy and migraine headache was high among people with SPD, the vast majority of them remained undiagnosed. The diagnosis rates of those disorders were significantly low, perhaps surprisingly zero for migraine headache. High WHODAS score was associated with increased odds of having neurological disorders. Routine screening and management of epilepsy and migraine headache are imperative among people with SPD.

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The effect of seizure on school attendance among children with epilepsy: a follow-up study at the pediatrics neurology clinic, Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia

Cited by 14 publications

References 7 publications

Knowledge, attitudes, and practices among caregivers of children with epilepsy in outpatient pediatric neurology clinic: a cross-sectional study at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Knowledge, attitudes, and practices among caregivers of children with epilepsy in outpatient pediatric neurology clinic: a cross-sectional study at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Quality of life in paediatrics with intractable epilepsy in a large paediatric university hospital in Riyadh, Saudi Arabia

Prevalence and correlates of diagnosed and undiagnosed epilepsy and migraine headache among people with severe psychiatric disorders in Ethiopia

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