Mental health problems in Nigerian children with epilepsy: associations and risk factors

I A Lagunju1, T T Bella-Awusah, I Takon

  • 1Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria. ilagunju@yahoo.co.uk

Insights

Behavioral problems are common in Nigerian children with epilepsy, affecting nearly half of those studied. Learning difficulties and delayed diagnosis independently predicted these issues, highlighting the need for mental health support.

Area of Science:

  • Neurology
  • Child Psychiatry
  • Global Health

Background:

  • Epilepsy is the most common pediatric neurological disorder globally.
  • Sub-Saharan Africa bears a significant burden of childhood epilepsy.
  • Limited research exists on behavioral problems in children with epilepsy in this region.

Purpose of the Study:

  • To investigate the prevalence and patterns of behavioral problems in Nigerian children with epilepsy.
  • To identify factors associated with psychopathology in this population.

Main Methods:

  • A cross-sectional study involving 84 children aged ≥5 years with epilepsy at a Nigerian pediatric neurology clinic.
  • Behavioral problems were assessed using the Rutter A2 scale.
  • Statistical analysis included logistic regression to identify predictors of psychopathology.

Main Results:

  • Behavioral problems were identified in 46.6% of the children studied.
  • These problems were more frequent in males.
  • Associated learning difficulties (OR 5.13) and diagnosis within 6 months of seizure onset (OR 4.54) were independent predictors of psychopathology.

Conclusions:

  • Emotional and behavioral problems are prevalent in Nigerian children with epilepsy.
  • Early diagnosis and addressing learning difficulties are crucial for managing psychopathology.
  • There is an urgent need for integrated mental health services for children with epilepsy in Nigeria.

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