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Assessment of quality of life in children with epilepsy in Oman
Asia Alnaamani1, Faraz Ahmad2,3, Muna Al-Saadoon4
1Child Health, Department of Woman and Child Health, Ministry of Health, 123, Alkhoud, Muscat, Oman.
Insights
Quality of life (QoL) is poor in Omani children with epilepsy, particularly affecting psychosocial function. Management should prioritize QoL alongside seizure control for better outcomes.
Area of Science:
- Pediatrics
- Neurology
- Quality of Life Research
Background:
- Epilepsy is a common neurological disorder in children, significantly impacting their overall well-being.
- Assessing the quality of life (QoL) is crucial for understanding the holistic impact of epilepsy on pediatric patients.
Purpose of the Study:
- To describe the quality of life (QoL) experienced by Omani children diagnosed with epilepsy.
- To identify factors influencing QoL in this pediatric population.
Main Methods:
- A descriptive epidemiological study involving 101 Omani children (aged 5-18 years) with epilepsy.
- Quality of life (QoL) was assessed using the PedsQL (4.0) questionnaire (child and parent reports).
- Statistical analyses included ANOVA, Spearman's rho for agreement, and MANOVA for subscale differences.
Main Results:
- Omani children with epilepsy reported a poor quality of life (QoL), with psychosocial functioning being severely affected.
- Younger children (5-7 years) and females generally experienced lower QoL.
- Moderate to low agreement was observed between children's self-reports and parent proxy reports on the PedsQL™.
Conclusions:
- The study highlights a significant burden of poor quality of life (QoL) among Omani children with epilepsy.
- Psychosocial well-being is a critical area of concern that requires attention in epilepsy management.
- Quality of life (QoL) should be integrated as a key outcome measure in the comprehensive management of childhood epilepsy, beyond just seizure control.
Purpose:
The study aims to describe the quality of life (QoL) in Omani children with epilepsy at Sultan Qaboos University Hospital, Oman.
Methods:
One hundred and one Omani children, with an age range from 5 to 18 years, diagnosed with epilepsy were enrolled in the study over 3 months. Descriptive epidemiology was used to characterize QoL in these children. QoL was measured using the PedsQL (4.0) questionnaire, a 23-item child and parent report questionnaire. Analysis of variance (ANOVA) was used to compare mean QoL scores, and agreement between the QoL reports of children and parents was evaluated using Spearman's rho; while, Multivariate analysis of variance (MANOVA) was performed to determine differences in subscale ratings.
Results:
Factors affecting QoL included family status, income level, social security coverage, type of treatment, seizure frequency, age of onset, and seizure-free duration in years. Children between 5 and 7 years and females, in general, were most affected, as reflected by the overall QoL subscale. Consistency between the children's self-reports and parent proxy reports on the PedsQL™ was moderate to low.
Conclusion:
Omani children with epilepsy have poor QoL, and their psychosocial function is severely affected. Therefore, QoL should be an important outcome measure in managing children with epilepsy rather than just seizure control.
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