Determinants of quality of life among people with epilepsy attending a secondary care rural hospita in south India

M Ashwin; PS Rakesh; Ruby A Pricilla; K Manjunath; KS Jacob; Jasmin Prasad

doi:10.4103/0976-3147.116467

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Original Article

4 (

Supp 1

); S62-S66

doi:

10.4103/0976-3147.116467

Determinants of quality of life among people with epilepsy attending a secondary care rural hospita in south India

M Ashwin, PS Rakesh, Ruby A Pricilla, K Manjunath, KS Jacob¹, Jasmin Prasad

Departments of Community Health,India

1Departments of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, India

Address for correspondence: Dr. Rakesh PS Department of Community Health, Christian Medical College Vellore . 632 004 India rakeshrenjini@gmail.com

Journal of Neurosciences in Rural Practice

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Abstract

ABSTRACT

Context: Epilepsy is associated with profound physical, psychological, and social consequences. Aims : To assess the quality of life (QOL) among people with epilepsy attending the outpatient department of a secondary care hospital and to determine the various social and demographic factors affecting it. Materials and Methods: The QOL of 100 people with epilepsy attending the outpatient department of a community-based secondary care hospital was assessed using the WHOQOL-BREF (WHOQOL: World Health Organization QOL) questionnaire. Univariate analysis and logistic regression was done to determine the factors associated with poor QOL. Results: The QOL scores for all the domains ranged between 15.7 and 74.55 with a mean score of 51.49 [standard deviation (SD) 12.3]. The mean scores in the physical, psychological, social, and environmental domains were 55.7, 37.92, 57.75, and 50.56, respectively. Age more than 30 years [odds ratio (OR): 4.33, 95% confidence interval (CI): 1.73-10.82], female gender (OR: 2.90, 95% CI: 1.16-7.28), and currently married (OR: 3.82, 95% CI: 1.21-12.11) were the factors significantly associated with lower QOL scores. Conclusions: The QOL among people with epilepsy was lower in the psychological domain. Age more than 30 years, female gender, and being married were identified as the factors associated with poor QOL scores among people with seizure disorders.

Keywords

Quality of life

epilepsy

world health organization quality of life.BREF

Show Related Articles from PubMed

Conflict of Interest

None declared

References

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Shetty P. H., Naik R. K., Saroja A, Punith K, . Quality of life in patients with epilepsy in India. J Neurosci Rural Pract. 2011;2:33-38.
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Coolings J, . Psychosocial well-being and epilepsy: An empirical study. Epilepsia. 1990;31:418-26.
[Google Scholar]
Dansky L. V., Andermann E, Andermann F, . Marriage and fertility in epileptic patients. Epilepsia. 1980;21:261-71.
[Google Scholar]
Kim M. K., . Marital prospects of people with epilepsy among Asians. Neurol Asia. 2007;12:13-4.
[Google Scholar]
Thomas S. V., Koshy S, Sarma S. P., . Frequent seizures and poly therapy can impair quality of life in persons with epilepsy. Neurol India. 2005;53:46-50.
[Google Scholar]
Sinha A, Sanyal D, Mallik S, Sengupta P, Dasgupta S, . Factors associated with quality of life of patients with epilepsy attending a tertiary care hospital in Kolkata. India Neurol Asia. 2011;16:33-7.
[Google Scholar]

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[1] WHO , . International Classification of Functioning, Disability and Health (ICF) [Internet] Available from [Last cited on 2011 Dec 15]
[Publisher] [Google Scholar]

[2] Sridharan R, Murthy B. N., . Prevalence and pattern of epilepsy in India. Epilepsia. 1999;40:631-6.
[Google Scholar]

[3] Lim Y. J., Chan S. Y., Ko Y, . Stigma and health-related quality of life in Asian adults with epilepsy. Epilepsy Res. 2009;87:107-19.
[Google Scholar]

[4] Jacoby A, Baker G. A., . Quality-of-life trajectories in epilepsy: A review of the literature. Epilepsy Behav. 2008;12:557-71.
[Google Scholar]

[5] Devinsky O, Vickrey B. G., Cramer J, Perrine K, Hermann B, Meador K, et al . Development of the quality of life in epilepsy inventory. Epilepsia. 1995;36:1089-104.
[Google Scholar]

[6] Cramer J. A., Perrine K, Devinsky O, BryantComstock L, Meador K, Hermann B, . Development and cross cultural translations of a 31-item quality of life in epilepsy inventory. Epilepsia. 1998;39:81-8.
[Google Scholar]

[7] Dodrill C. B., Batzel L. W., Queisser H. R., Temkin N. R., . An objective method for the assessment of psychological and social problems among epileptics. Epilepsia. 1980;21:123-35.
[Google Scholar]

[8] Liou H. H., Chen R. C., Chen C. C., Chiu M. J., Chang Y. Y., Wang J. D., . Health related quality of life in adult patients with epilepsy compared with a general reference population in Taiwan. Epilepsy Res. 2005;64:151-9.
[Google Scholar]

[9] Phabphal K, Geater A, Limapichart K, Satirapunya P, Setthawatcharawanich S, . Quality of life in epileptic patients in Southern Thailand. J Med Assoc Thai. 2009;92:762-9.
[Google Scholar]

[10] Saxena S, Chandiramani K, . BhergavaR. Natl Med J India. 1998;11:160-5.
[Google Scholar]

[11] Development of the World Health Organization WHOQOL-BREF quality of life assessment , . The WHOQOL Group. Psychol Med. 1998;28:551-8.
[Google Scholar]

[12] World Health Organization , . WHO QOL User Manual. Geneva: WHO; 1998.
[Google Scholar]

[13] Jacob R, Tharyan P, . Psychiatric comorbidity and quality of life in people with epilepsy. German J Psychiatry. 2010;13:79-85.
[Google Scholar]

[14] Bruce P. H., Seidenberg M, Bell B, Woodard A, Rutecki P, Sheth R, . Comorbid psychiatric symptoms in temporal lobe epilepsy: Association with chronicity of epilepsy and impact on quality of life. Epilepsy Behav. 2000;1:184-90.
[Google Scholar]

[15] Choi-Know S, Ching C, Kim H, . Factors affecting the quality of life in patients with epilepsy in Seoul, South Korea. Acta Neurol Scand. 2003;108:428-34.
[Google Scholar]

[16] Buck D, Jacoby A, Baker G. A., . Cross-cultural differences in health-related quality of life of people with epilepsy: Findings from a European study. Qual Life Res. 1999;8:675-85.
[Google Scholar]

[17] Mrabet H, Mrabet A, Zouari B, Ghachem R, . Health-related quality of life of people with epilepsy compared with a general reference population: A Tunisian study. Epilepsia. 2004;45:838-43.
[Google Scholar]

[18] Shetty P. H., Naik R. K., Saroja A, Punith K, . Quality of life in patients with epilepsy in India. J Neurosci Rural Pract. 2011;2:33-38.
[Google Scholar]

[19] Agarwal P, Mehndiratta M. M., Antony A. R., Kumar N, Dwivedi R. N., Sharma P, et al . Epilepsy in India: Nuptiality behaviour and fertility. Seizure. 2006;15:409-15.
[Google Scholar]

[20] Coolings J, . Psychosocial well-being and epilepsy: An empirical study. Epilepsia. 1990;31:418-26.
[Google Scholar]

[21] Dansky L. V., Andermann E, Andermann F, . Marriage and fertility in epileptic patients. Epilepsia. 1980;21:261-71.
[Google Scholar]

[22] Kim M. K., . Marital prospects of people with epilepsy among Asians. Neurol Asia. 2007;12:13-4.
[Google Scholar]

[23] Thomas S. V., Koshy S, Sarma S. P., . Frequent seizures and poly therapy can impair quality of life in persons with epilepsy. Neurol India. 2005;53:46-50.
[Google Scholar]

[24] Sinha A, Sanyal D, Mallik S, Sengupta P, Dasgupta S, . Factors associated with quality of life of patients with epilepsy attending a tertiary care hospital in Kolkata. India Neurol Asia. 2011;16:33-7.
[Google Scholar]

Determinants of quality of life among people with epilepsy attending a secondary care rural hospita in south India

Abstract

ABSTRACT

Keywords

Quality of life

epilepsy

world health organization quality of life.BREF

Conflict of Interest

References

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