Psychiatric disorders among children and adolescents with active epilepsy in southwestern Uganda.

Journal: PAMJ one health

Volume: 3

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, PO Box , Mbarara, Uganda. Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. Department of Epidemiology and Biostatistics, Makerere College of Health Sciences (MakCHS), Kampala, Uganda.

Abstract summary 

the study aimed to determine the prevalence of emotional, behavioral, developmental and psychosis related disorders among children and adolescents with active epilepsy aged 5 to 18 years in southwestern Uganda.we conducted a cross sectional study at one big urban hospital, two rural health centers and one rural special needs school. The disorders were assessed using an adapted parent version of the Child and Adolescent Symptom Inventory-5 (CASI-5).one hundred and sixty-one participants were assessed, and 93 (57.8%) had at least one psychiatric disorder. Developmental disorders were the most prevalent at 39.8% (95%CI 32.11 - 47.39), followed by emotional disorders, 30.4% (95%CI 23.25-37.62), behavioral disorders, 7.5% (95%CI 3.35-11.55) and psychosis related disorders, 6.2% (95%CI 2.44 - 9.98). Thirty-nine participants (24.2%) had at least two psychiatric disorders. Developmental disorders were associated with younger age (aOR=0.86, p=0.001) and having epilepsy-related physical injuries and deformities (aOR=2.36, p=0.036). Emotional disorders (aOR=1.13, p=0.007) and psychosis related disorders (aOR=1.44, p=0.007) were associated with increasing age, whereas a family history of epilepsy was protective (aOR=0.22, p=0.042).psychiatric disorders were highly prevalent among children and adolescents with epilepsy in southwestern Uganda; highlighting the need to integrate screening and management of these disorders into routine epilepsy care.

Authors & Co-authors:  Kirabira Joseph J Lam Alice A Ssuna Bashir B Rukundo Godfrey Zari GZ

Study Outcome 

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Statistics
Citations :  Bell GS, Neligan A, Sander JW. An unknown quantity - The worldwide prevalence of epilepsy. Epilepsia. 2014July;55(7): 958–62.
Authors :  4
Identifiers
Doi : 9
SSN : 2707-2800
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Cross Sectional Study,
Study Approach
Country of Study
Uganda
Publication Country
Kenya