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Published on: September 20, 2024
Depressive Symptoms and Its Correlate Among Children with Epilepsy at Single-center Study in Oman
Hamood Al Kiyumi1, Salim Al-Huseini1, Hassan Mirza2
1Psychiatry Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.
Insights
Depression affects over half of children with epilepsy (CWE) in Oman, with epilepsy type being a significant risk factor. Further research is needed for tailored recognition and management strategies for these children.
Area of Science:
- Pediatric Neurology
- Child Psychiatry
Background:
- Epilepsy is the most common neurological disorder in children.
- Comorbid depression is frequently observed in pediatric epilepsy populations.
Purpose of the Study:
- To assess the frequency of depressive symptoms in children with epilepsy (CWE) in Oman.
- To identify demographic and clinical factors associated with depression in Omani CWE.
Main Methods:
- Cross-sectional study of 75 children (aged 6-12) attending an epilepsy clinic in Oman.
- Utilized the Center for Epidemiologic Studies Depression Scale for Children (CES-DC).
- Examined factors including seizure recurrence, medication compliance, and epilepsy type.
Main Results:
- Depressive symptoms were present in 52.0% of CWE.
- Medication compliance was high (96.0%), but 48.0% experienced recurrent seizures.
- Epilepsy type showed a significant association with depressive symptoms.
Conclusions:
- Depression is prevalent among Omani children with epilepsy.
- Specific clinical factors, such as epilepsy type, increase depression risk.
- Findings highlight the need for further research into tailored recognition and management of depression in CWE.
Objectives:
Epilepsy is the most common neurological disorder in children and comorbid depression is common. This study aimed to assess the frequency of depressive symptoms along with demographic and clinical factors in children diagnosed with epilepsy in a tertiary care institution in Oman.
Methods:
This cross-sectional study was conducted between June 2016 and August 2018 and included children (n = 75) aged 6-12 years old attending the epilepsy clinic at Sultan Qaboos University Hospital, Oman. The cohort constituted of children with epilepsy (CWE) following up at a dedicated unit. We used the Center for Epidemiologic Studies Depression Scale for Children to assess the presence of depressive symptoms. Associated factors, including history of seizure in the last three months, compliance with antiepileptic medications, and type of epilepsy were also examined.
Results:
Depressive symptoms were endorsed in 52.0% of CWE and 96.0% were compliant to medications. Recurrent seizures were present in the last three months among 48.0% of the CWE. The type of epilepsy was significantly associated with the presence of depressive symptoms.
Conclusions:
Depression is prevalent among Omani CWE. Certain clinical factors appeared to increase the risk of depression among this population. The findings of this study fill a gap in the existing literature and call for further work aiming to explore possible tailored recognition and CWE.
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