Quality of Life and Associated Factors among Adults with Epilepsy in Nigeria
| Autor: | Femi O. Fatoye, Bola A. Ola, Musiliu Lawal, Kolawole S. Mosaku, Morenikeji A. Komolafe |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Adolescent Nigeria Developing country Social Environment Hospital Anxiety and Depression Scale Affect (psychology) 03 medical and health sciences Epilepsy 0302 clinical medicine Quality of life Sickness Impact Profile medicine Humans Psychiatry Developing Countries Depressive Disorder Sick role business.industry Sick Role Social environment medicine.disease Anxiety Disorders Antidepressive Agents 030227 psychiatry Psychiatry and Mental health Quality of Life Female General Health Questionnaire 0305 other medical science business |
| Zdroj: | The International Journal of Psychiatry in Medicine. 36:469-481 |
| ISSN: | 1541-3527 0091-2174 |
| DOI: | 10.2190/r80g-580x-x1h2-6936 |
| Popis: | Objective: Epilepsy is a common condition worldwide and has been observed to affect quality of life (QOL). Though, much has been written on this subject among western populations, little research has been done in developing countries of Africa including Nigeria. The study aims to identify factors associated with quality of life among adult epilepsy patients in this environment. Method: Respondents were evaluated using the 10-item Quality of Life in Epilepsy Inventory (QOLIE-10), the 30-item General Health Questionnaire (GHQ-30), the modified Mini Mental State Examination (mMMSE), and the Hospital Anxiety and Depression Scale (HADS). Diagnosis of epilepsy was based on clinical and electroencephalographic findings. Results: The mean age of the 51 respondents was 27.7years ( SD = 9.7). Thirteen (25.5%) had an average of 2 seizure episodes in the month preceding the interview, while 37 (72.5%) have had the condition for more than 5 years. Factors that were significantly associated with overall quality of life included being female ( p < 0.05), seizure frequency ( p < 0.01), using more than 1 anti-epileptic drugs (AEDs) ( p < 0.01), GHQ-30 score ( p < 0.01), high anxiety score ( p < 0.001), and high depression score ( p < 0.01). Multiple regression analysis showed that depressive symptoms were the single most important factor explaining low QOL. Other factors were GHQ-30 score, seizure frequency, and being a woman. Conclusion: Controlling seizures and paying attention to the psychological needs of adult epileptics will have a positive effect on the QOL among Nigerian epileptics. |
| Databáze: | OpenAIRE |
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