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Factors influencing the quality of life of school children with epilepsy
| Citace: |
BURŠÍKOVÁ, D.; KOHOUT, J.; BĚLOHLÁVKOVÁ, A.; EBEL, M.; KRŠEK, P. Factors influencing the quality of life of school children with epilepsy. Praha, 2023.15th European Paediatric Neurology Society (EPNS) Congress.
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| Druh: | PŘEDNÁŠKA, POSTER |
| Jazyk publikace: | eng |
| Anglický název: | Factors influencing the quality of life of school children with epilepsy |
| Rok vydání: | 2023 |
| Místo konání: | Praha |
| Autoři: | null null , doc. Mgr. Dana Buršíková Ph.D. , doc. Mgr. Jiří Kohout Ph.D. , MUDr. Anežka Bělohlávková Ph.D. , MUDr. Matyas Ebel Ph.D. , prof. MUDr. Pavel Kršek Ph.D. |
| Abstrakt EN: | Objective: Quality of life (QOL) of children with epilepsy (CWE) and factors affecting it have received considerable attention. However, considerably less emphasis is placed on the associated developmental and psychiatric comorbidities which could have a significant impact on QOL. The aim of this study is to investigate the influence of various factors potentially affecting QOL with emphasis on these comorbidities. Methods: The study involved children with epilepsy (n=104) with duration of epilepsy of 5.6 ? 3.7 years (range of 1-14.5 years). The inclusion criteria were: 1) age between 8 and 15 years, 2) attending a mainstream primary school. To evaluate the QOL, we used the previously validated 23-item Czech version of CHEQOL - 25 having four scales (1. interpersonal and social impact, 2. fears, worries and interests of CWE, 3. intrapersonal and emotional impact, 4. epilepsy as a child's secret) and total score ranging from 23 to 92 points. Psychiatric comorbidities were evaluated with the 27-item Children's Depression Inventory and the 14-item anxiety scale of the Piers Harris Questionnaire. Diagnostics of Attention deficit hyperactivity disorder (ADHD) and learning disorders (LD) was based on assessment by an experienced child psychologist and performed in accordance with Czech standards. 60-item Raven's matrices were used to measure nonverbal intelligence. Medical factors as seizure frequency and type, duration of epilepsy etc. were also evaluated. Results: Total score of QOL were significantly higher for children performing better in the nonverbal intelligence test (p= 0.007). It was found that CWE having LD and/or ADHD had significantly lower QOL (p<0.001) in all scales compared to CWE without these conditions. The total score of QOL was 62.30?12.12 in the prior group compared to 74.54?11.32 in the latter. A very strong relationship was found between QOL and depression and also anxiety (p< 0.001 in both cases). Among the medical factors, neither the number of AEDs nor seizure frequency was statistically significant in any of the scales or in the total QOL score (p >0.05). Duration of epilepsy was near threshold for the total score of QOL (p=0.049). Conclusions: These results suggest that developmental and psychiatric comorbidities could have a greater impact on QOL than medical factors. The findings provide a better understanding of QOL of CWE and the results could be helpful for assessing QOL in patients undergoing epilepsy surgery. |
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