Symptoms of anxiety and depression among adolescents with seizures in Irbid, Northern Jordan (original) (raw)
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Socio-demographic characteristics of adolescents with epilepsy in Northern Jordan
Seizure, 2002
The main objectives of this study were to determine the socio-demographic characteristics of epilepsy, and to compare these results with findings of comparable studies from other parts of the world. Method: Initially, the target population of this study consisted of 116 patients with epilepsy randomly selected, over a 6-month period, from those patients attending the neurology clinic at Princess Basma Teaching Hospital (PBTH) in Northern Jordan. However, seven patients were dropped from the study and eight others refused to participate in the study. A semi-structured clinico-epidemiological questionnaire was used to investigate the most significant socio-demographic characteristics of this group of adolescent Jordanian patients with epilepsy such as age, sex, living status, family history, type of epilepsy, and some other special clinical investigations. To further evaluate the significance of a family history of epilepsy, the education attainment and employment in these patients with epilepsy were compared with a similar number of age, sex matched control cases obtained from patients attending the hospital for reasons other than epilepsy. Results: Among the study population, the mean age at presentation was 19 years (SD ± 2.7); 54 were males 47 were females. Fifty three patients had a poor level of education because they had less than 10 years of formal education, 29 had an average level of education (10-12 years) of formal education, and 19 had achieved a higher level of education. Thirty patients were employed, 21 unemployed and 50 were students. Twelve patients were living alone and leading independent lives, 88 patients were living with parents and siblings. One male patient was married and living with his wife and children. A positive family history was present in first degree relatives in 11 patients as compared to 3 in the control group. Ninety eight patients suffered from generalized epilepsy and three from partial epilepsy. Sixty seven patients reported an aura and 84 patients had post ictal complaints such as sleepiness, headache, or drowsiness. Conclusion: Socio-demographic characteristics of this group of adolescents with epilepsy are compatible with the results of the work of others such as Elwes [Neurosurg Psychiatr 54 (1991) 200], in the North East of England and Hauser from the Mayo clinic in his descriptive study of the epidemiology of epilepsy.
Mental health problems in children with uncomplicated epilepsy; relation with parental anxiety
The Turkish Journal of Pediatrics, 2016
Mental health problems and parental anxiety in children with epilepsy were investigated. Parents of 83 children with epilepsy and 172 healthy children were asked to complete Strengths and Difficulties Questionnaire for their children and State-Trait Anxiety Inventory for themselves. In those with epilepsy, 39.8% (n: 33) were girls, 60.2% (n: 50) were boys and their mean age was 9.34 ± 3.99 years. Control group was more successful in school (p<0.001). Emotional problems score in children with epilepsy was higher than control group (p<0.001). Case group's behavior problems and attention deficit hyperactivity scores were higher (p<0.001, p=0.009 respectively). Prosocial behavior scores of the control group were significantly higher (p=0.004). State (p=0.001) and trait (p=0.001) anxiety levels of parents of children with epilepsy were higher. Children with epilepsy have more neuro-behavioral problems; and their parents have greater anxiety levels. Physicians should be in contact with children with epilepsy for the psychological health of the family besides seizure control.
Psychiatric comorbidities in a sample of Iranian children and adolescents with epilepsy
Journal of Analytical Research in Clinical Medicine, 2017
Epilepsy is a common disorder worldwide, commonly starting during childhood. Despite the high impact of psychiatric comorbidities in these patients, little is known about Iranian children with epilepsy. This cross sectional study was carried out in the tertiary clinics of the Tabriz University of Medical Sciences, Tabriz, Iran. All of the children (aged between 6 and 18) with a diagnosis of epilepsy were enrolled in this study. A semi-structured psychiatric interview was carried out using the Farsi (Persian) version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL). From a total of 298 participants, 270 (90.6%) completed the process, including 120 (44.4%) girls and 150 (55.6%) boys. At least one psychiatric diagnosis was made in 222 (82.2%) patients. The most prevalent psychiatric disorders in children and adolescents with epilepsy were attention deficit/hyperactivity disorder (34.4%), major depressive disorder (MDD) (29.6%), social phobia (14.8%) and oppositional defiant disorder (ODD) (14.8%). Agoraphobia and anorexia nervosa were significantly more prevalent among girls. The following disorders were more prevalent in children aged between 13 and 18: MDD (47.5%), psychotic disorder (2.5%), social phobia (23.7%), generalized anxiety disorder (GAD) (15.3%), conduct disorder (13.6%), chronic motor tic disorder (13.6%) and substance related disorders (4.8%). Separation anxiety (15.1%) and enuresis (1.5%), on the other hand, were more prevalent among younger children. A logistic regression model showed that psychiatric disorders in parents or siblings could independently predict at least one psychiatric comorbidity in children with epilepsy. Iranian children with epilepsy face a high burden of psychiatric and behavioral comorbidities compared to same aged general population that should be considered for comprehensive care.
Epilepsy & behavior : E&B, 2015
Children (5-15years) with active epilepsy were screened using the parent-report (n=69) and self-report (n=48) versions of the Spence Children's Anxiety Scale (SCAS) and the self-report version of the Children's Depression Inventory (CDI) (n=48) in a population-based sample. A total of 32.2% of children (self-report) and 15.2% of children (parent-report) scored ≥1 SD above the mean on the SCAS total score. The subscales where most difficulty were reported on parent-report were Physical Injury and Separation Anxiety. There was less variation on self-report. On the CDI, 20.9% of young people scored ≥1 SD above the mean. Children reported significantly more symptoms of anxiety on the SCAS total score and three of the subscales (p<.05). There was a significant effect on the SCAS total score of respondents by seizure type interaction, suggesting higher scores on SCAS for children with generalized seizures on self- but not parent-report. Higher CDI scores were significantly asso...
Psychosocial problems and seizure-related factors in children with epilepsy
Developmental Medicine & Child Neurology, 2006
In this study we describe psychosocial functions and seizurerelated factors in a population-based sample of children with epilepsy. Psychosocial problems (Achenbach scales), cognitive function, and socioeconomic status were studied in 117 children with epilepsy aged between 6 and 13 years (mean age 11y [SD 2y 1mo] and 10y 8mo [SD 2y]; 71 males, 46 females) and in randomly selected controls matched with 117 children for sex and age (mean age 11y 2mo [SD 2y 1mo] and 10y 5mo [SD 2y 4mo]; 69 males, 48 females). The children had partial (n=67), generalized (n=43), or undetermined (n=7) epilepsy syndromes, and partial (n=68), generalized (n=47), or other (n=2) main seizure types. Psychosocial problems were more common among children with epilepsy than controls (odds ratio 5-9) and significantly related to epilepsy syndrome, main seizure type, age at onset, and seizure frequency. Mothers and teachers reported males with epilepsy as having more problems than females. Females self-reported psychosocial problems, males did not. Psychosocial problems were common in childhood epilepsy. Females appreciated the problems more realistically than males. Psychosocial problems should be considered an integral part of epilepsy management.
Controlled Study of Distress in Parents of Children with Epilepsy
2020
BackgroundChildhood epilepsy can have a significant impact on family functioning with high rates of patent anxiety and depression being reported.ObjectivesTo demonstrate the frequency of depression, anxiety and distress among the parents of epileptic children.Patients and MethodsA cross sectional study design was carried out on 100 children and their parents attending the outpatient clinics in Minia University Hospital, arranged in two groups, Group (A) consisted of 50 epileptic children and their caregivers. On the other hand, Group (B) consisted of 50 age- and sex matched controls. Comprehensive Assessment was carried out. A well-prepared sheet had been used for the evaluation of subjects of the study. Twenty-one item Depression Anxiety Stress Scale (DASS-21), Hamilton Anxiety Scale (HAM - A) and Hamilton Rating Scale for Depression (HRSD) were used for interviewing the parents of the epileptic children to screen for depression, anxiety, stress in those parents. This process prece...
The Professional Medical Journal, 2021
Objectives: To compare the prevalence of psychosocial problems in children with and without epilepsy. Study Design: Comparative Cross Sectional study. Settings: The Children’s Hospital and The Institute of Child Health Multan (CH & ICH). Period: July 2019 to December 2019. Material & Methods: Fifty-nine patients of either gender, 5 -12 years of age, diagnosed as Epilepsy were included in group A. For the group B the patient of same number, age and gender without epilepsy visiting the general outpatient department of the hospital with acute illness were included. The children having known psychiatric disorder, and intellectual disability were excluded. Educational level of parents, socioeconomic status, Time of onset, type, outcome of epilepsy, number of antiepileptic medicines used and EEG findings were noted. Intelligence Quotient of each patient was calculated. A Pediatric Symptom Checklist was used for psychosocial problems in all children. Data was analyzed by using SPSS version...
Objective: To assess depression and anxiety symptoms of adolescents with epilepsy compared with adolescents without epilepsy. Method: The study sample consisted of: case participants (50 subjects) attending the pediatric epilepsy clinic of a tertiary hospital and control participants (51 subjects) from public schools. The instruments utilized were: identification card with demographic and epilepsy data, Beck Depression Inventory and State-Trait Anxiety Inventory. Results: No significant differences were founded between the groups regarding scores for depression and anxiety symptoms but both groups presented moderate scores of anxiety. A correlation was found between low scores anxiety and not frequent seizures, low scores anxiety and perception of seizure control, high scores of anxiety and depression and occurrence of seizures in public places. Conclusion: Low scores of anxiety are associated with not frequent seizures; high scores of anxiety and depression are associated with occurrence of seizures in public places.
Epilepsy & Behavior, 2009
The main goal of this study was to evaluate knowledge of, perceptions of, and attitudes toward epilepsy and then to correlate knowledge with quality of life and stigmatization of children with epilepsy and their families. Specific questionnaires were administered to children aged 8 to 17 with epilepsy (n = 220) and their parents (n = 313). Poor school performance, less social support, less self-esteem, higher anxiety, greater stigmatization, and more depressive symptoms were documented in children who were less knowledgeable (P < 0.05). Parents were found to be more knowledgeable about the antiepileptic drugs used, understanding both the effects and the side effects of the medications (P < 0.05). Family activities were less restricted if they were more knowledgeable and these parents reported worrying less about their children (P < 0.05). Knowledge about epilepsy is associated with less perceived stigmatization and social isolation, as well as fewer depressive symptoms and misperceptions.
Research on psychosocial aspects of epilepsy in Arab countries: A review of literature
Epilepsy & Behavior, 2014
and (2) epilepsy, seizure disorders, and convulsive disorders. Fifty-one studies were conducted in 12 Arab states. Social/emotional, employment, and other problems; knowledge and attitudes; and quality of life (QOL) were the most commonly measured parameters of psychosocial aspects of epilepsy in Arab countries. Results revealed elevated levels of depression and anxiety, a decline in cognitive function, various behavioral problems, sexual dysfunction, and underemployment among persons with epilepsy (PWE). Misconceptions about epilepsy were found to be prevalent. While many studies reported limited knowledge of epilepsy, some studies found an average knowledge. Negative attitudes toward epilepsy were reported in most studies, and moderately positive attitudes were reported in some studies. Finally, PWE showed low overall QOL scores in the majority of studies.