Impact of pediatric epilepsy on Indian families: Influence of psychopathology and seizure related variables
- 作者：Soumitra Shankar Datta ; Titus Samson Premkumar ; Shona Fielding ; Sujith Chandy ; Sudhir Kumar ; John Eagles and Alice Cherian
- 关键词：Epilepsy ; Children ; Family ; Impact
- 刊名：Epilepsy & Behavior
- 出版年：2006
- 期刊代码：76_15255050
- 类别：neu
- 出版时间：August 2006
- 卷：9
- 期：1
- 页码：145-151
- 文件大小：129 K
摘要
The impact of epilepsy on families has been little studied in the developing countries, where it is the most common neurological disorder among children. In Vellore, India, the impact on 132 families who had a child with epilepsy was rated with the Impact of Pediatric Epilepsy on the Family Scale (IPES). An adverse impact was experienced by 42%of families. Multivariate statistical analysis revealed four factors that were significantly associated with high impact: fewer years since diagnosis (OR = 0.81, 95%CI = 0.71–0.93), fewer months since last seizure (OR = 0.58, 95%CI = 0.39–0.87), treatment with multiple antiepileptic drugs (OR = 4.34, 95%CI = 1.22–15.52), and increased behavior problem scores on the Child Behavior Checklist (OR = 1.10, 95%CI = 1.05–1.14). Factor analysis of the IPES was also conducted as a comparison with earlier findings in a developed country. We suggest that early monotherapy should be employed whenever possible and that early recognition and treatment of associated psychological problems may help to reduce the burden on families.