Determinants of quality of life in adults living with epilepsy.

Journal: Annals of African medicine

Volume: 19

Issue: 3

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.

Abstract summary 

Quality of life (QOL) is a vital outcome measure in people living with epilepsy. The aim of this study is to determine the sociodemographic and clinical factors that predict poor QOL in patients with epilepsy.This is a descriptive cross-sectional study that was carried out at the outpatient psychiatric clinic of Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria, for 6 months. Seventy-four patients with epilepsy who met the inclusion criteria were recruited to participate in the study. The mental health of these patients and their QOL were assessed using the Mini-International Neuropsychiatric Interview and the short form of the World Health Organization QOL instrument, respectively. Data were analyzed using epi-info version 6.04d, and logistic regression analysis was performed to determine factors that predict poor QOL.Psychiatric disorder was found in 33 (44.6%) of the respondents. The presence of these psychiatric disorders was predictive of poor score on the overall QOL (odds ratio [OR] = 0.382; 95% confidence interval [CI] = 0.145-0.983; P = 0.0046), physical (OR = 0.269; 95% CI = 0.100-1.722; P = 0.009), and psychological health domain (OR = 0.269; 95% CI = 0.102-0.709; P = 0.008). Longer duration of epilepsy was predictive of a poor score on the health satisfaction item (OR = 0.202; 95% CI = 0.06-0.679; P = 0.010) while being single was predictive of poor score on the social relationship domain (OR = 0.177; 95% CI = 0.065-0.482; P = 0.001).The presence of psychiatric disorder, long duration of epilepsy, and being single were predictive of poor QOL. The importance of social relation, prompt seizure control, and efficient collaboration between psychiatrist and other medical professionals in the care of patients with epilepsy cannot be overemphasized.

Authors & Co-authors:  Ayanda Kazeem Ayinde KA Sulyman Dauda D

Study Outcome 

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Statistics
Citations :  World Health Organization WHOQOL: Measuring Quality of Life. Geneva: World Health Organization; 1997. pp. 1–13.
Authors :  2
Identifiers
Doi : 10.4103/aam.aam_20_18
SSN : 0975-5764
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Epilepsy;World Health Organization Quality of life-BREF;psychiatric disorder;quality of life
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
India