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Ann Neurosci. 2010 Apr;17(2):60-2. doi: 10.5214/ans.0972-7531.1017203.

Social and cultural representation of Epilepsy in elderly aged 65 and more, during a community survey in two French Departments (Hautevienne and Creuse).

Annals of neurosciences

F Rafael, C Dubreuil, Jean A Prado, F Burbaud, Jp Clement, Pm Preux, P Nubukpo

Affiliations

  1. Tropical Neuro epidemiology Institute, EA 3174, Medical School, 2, rue du Dr Marcland, 87025 Limoges;
  2. Regional Health Observatory (ORS ), rue Donzelot, 87000 Limoges;
  3. Tropical Neuro epidemiology Institute, EA 3174, Medical School, 2, rue du Dr Marcland, 87025 Limoges; ; University Hospital; Psychiatry and Psychogeriatrics. Department - Centre Hospitalier Esquirol, 15 rue du Dr Marcland - 87025 Limoges cedex, France.
  4. Regional Health Observatory (ORS ), rue Donzelot, 87000 Limoges; ; University Hospital; Psychiatry and Psychogeriatrics. Department - Centre Hospitalier Esquirol, 15 rue du Dr Marcland - 87025 Limoges cedex, France.

PMID: 25205873 PMCID: PMC4116994 DOI: 10.5214/ans.0972-7531.1017203

Abstract

BACKGROUND: Epilepsy is often associated with discrediting representations even in the developed countries. The prevalence of disease is 3-5 in thousand.

PURPOSE: Our purpose was to assess social and cultural representation of epilepsy in the elderly in two French departments (Haute-Vienne and Creuse).

METHODS: An analysis of the answers given by 380 (190 in Haute-Vienne and 190 in Creuse) persons aged 65 and more, selected with the method of quota, during a face to face interview using a questionnaire which explores the representations of epilepsy. The interview was done in 2003 during the local step of an international multi centric community survey entitled "Mental disorders: Image and Realities in community sample".

RESULTS: Beliefs in supernatural causes of epilepsy, witchcraft, curse and punishment are more important in elderly aged 65 and more prevalent compared to the younger subjects; it's the opposite for social causes (conflicts, bereavements, stress). The alimentary interdictions are also persistent. Medical assistance keep a good place in the knowledge of the therapy of epilepsy. It showed that those aged 65 and more in Haute-Vienne had social and cultural representation of epilepsy, generally more pessimistic than those of the persons aged less than 65.

CONCLUSION: The study confirmed a decrease in the stigma about epilepsy. This data suggest a better consideration of the social and cultural representations in the fight against epilepsy even in western countries.

Keywords: Community survey; Elderly; Epilepsy; Social and cultural representation

References

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