Sultan Qaboos Univ Med J. 2012 Nov;12(4):449-57. Epub 2012 Nov 20.
Quality of life and its determinants in people with epilepsy in basrah, iraq.
Sultan Qaboos University medical journal
Mohammed Shakir, Jasim N Al-Asadi
Affiliations
Affiliations
- Basrah Health Directorate, Basrah, Iraq;
PMID: 23275841
PMCID: PMC3523994
Abstract
OBJECTIVE: The objective of this study was to assess the quality of life (QOL) in people with epilepsy and to evaluate various factors affecting their QOL.
METHODS: A total of 116 patients with epilepsy and a control group of 116 apparently healthy persons were included in this case-control study which was conducted at the neurology outpatient clinic of Basrah General Hospital, Iraq. An interview was performed with the use of a special questionnaire, which included data pertaining to socio-demographic characteristics, and clinical characteristics (for patients with epilepsy only). The QOL was assessed with the use of a Short Form (SF-36) health survey.
RESULTS: Epileptic patients showed lower overall QOL scores as compared to controls. In the univariate analysis, patients who were older, from rural areas, and with low education and income levels had low er overall QOL scores. Frequent seizures as well as increased duration of epilepsy were also significant factors associated with reduction in QOL scores. In the multivariate regression analysis, age, educational level, income and frequency of seizures were significant determinants of QOL.
CONCLUSION: Certain socio-demographic factors as well as clinical factors were crucial in determining QOL in epilepsy patients. Recognition of these factors will lead health professionals to develop different strategies to improve the QOL of those patients.
Keywords: Adults; Epilepsy; Iraq; Quality of life; Regression analysis; Socioeconomic status
References
- BMC Neurol. 2011 Mar 10;11:33 - PubMed
- Soc Psychiatry Psychiatr Epidemiol. 2009 Aug;44(8):693-701 - PubMed
- Ann Indian Acad Neurol. 2011 Jul;14(3):158-63 - PubMed
- J Neurol Neurosurg Psychiatry. 2000 Feb;68(2):150-6 - PubMed
- Epilepsia. 2004 Aug;45(8):971-7 - PubMed
- Epilepsia. 2005 Jan;46(1):132-40 - PubMed
- J Neurol Neurosurg Psychiatry. 2003 May;74(5):570-3 - PubMed
- Qual Life Res. 1999 Dec;8(8):675-85 - PubMed
- Epilepsy Behav. 2011 Oct;22(2):376-9 - PubMed
- Epilepsia. 2005 Apr;46(4):470-2 - PubMed
- Epilepsia. 2005 Nov;46(11):1820-7 - PubMed
- Epilepsy Behav. 2006 Jun;8(4):756-64 - PubMed
- Epilepsia. 2000 Jan;41(1):85-90 - PubMed
- Epilepsia. 2004 Jul;45(7):838-43 - PubMed
- Saudi Med J. 2009 Oct;30(10):1328-35 - PubMed
- Epilepsy Behav. 2009 Jan;14(1):179-89 - PubMed
- Epilepsia. 2001 Sep;42(9):1160-8 - PubMed
- Seizure. 2005 Apr;14(3):157-63 - PubMed
- Can J Neurol Sci. 2008 Jul;35(3):280-6 - PubMed
- Qual Life Res. 2008 Sep;17(7):987-96 - PubMed
- Epilepsia. 2004 May;45(5):544-50 - PubMed
- Cochrane Database Syst Rev. 2008 Jul 16;(3):CD002029 - PubMed
- Epilepsia. 1997 Mar;38(3):353-62 - PubMed
- Psychiatry Clin Neurosci. 2001 Apr;55(2):141-6 - PubMed
- Epilepsy Behav. 2009 Oct;16(2):325-9 - PubMed
- Epilepsy Behav. 2011 Jan;20(1):44-7 - PubMed
- Epilepsy Behav. 2003 Oct;4 Suppl 2:S25-38 - PubMed
- Epilepsia. 1993;34 Suppl 4:S34-8 - PubMed
- Qual Life Res. 1999 Jun;8(4):351-64 - PubMed
- J Med Assoc Thai. 2009 Jun;92(6):762-8 - PubMed
- J Neurosci Rural Pract. 2011 Jan;2(1):33-8 - PubMed
- Seizure. 2007 Mar;16(2):128-33 - PubMed
- Epilepsia. 2001;42 Suppl 3:66-9 - PubMed
- Epilepsia. 1990 Jul-Aug;31(4):418-26 - PubMed
- Soc Sci Med. 1990;31(2):165-70 - PubMed
Publication Types