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.
Abstract:
Epilepsy is the most common neurological disorder affecting children, and the greatest burden of childhood epilepsy is found in the developing countries of the world. Behavioral problems are reported to occur more frequently in children with epilepsy, but there are limited studies on the pattern of behavioral problems in children living with epilepsy in sub-Saharan Africa. Eighty-four consecutive cases of epilepsy aged ≥5 years seen at the pediatric neurology clinic of the University College Hospital, Ibadan, Nigeria over a period of 9 months were screened for behavioral problems using the Rutter A2 scale. Behavioral problems were found in 39 (46.6%) of 84 subjects and occurred more frequently in males. Presence of associated learning difficulties (OR 5.13, 95% CI 1.61-16.36) and being diagnosed with epilepsy within 6 months of the onset of the first epileptic seizure (OR 4.54, 95% CI 0.073-0.69) independently predicted psychopathology in the cases studied. Emotional and behavioral problems are common in Nigerian children with epilepsy. There is a need for effective mental health services for children with epilepsy in order to optimize outcomes.
More Related Videos
09:57Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
Published on: September 20, 2024
09:16Use of a Wireless Video-EEG System to Monitor Epileptiform Discharges Following Lateral Fluid-Percussion Induced Traumatic Brain Injury
Published on: June 21, 2019
Related Concept Videos
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Epilepsy ll: Types
Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures l: Introduction
Encephalitis l: Introduction
Seizures ll: Types
