Seizure severity and health-related quality of life of adult Nigerian patients with epilepsy

Objectives There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub‐Saharan Africa. We evaluated the relationship of seizure severity to health‐related quality of life of patients with epilepsy being followed up in an outpatie...

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Veröffentlicht in:	Acta neurologica Scandinavica Jg. 129; H. 2; S. 102 - 108
Hauptverfasser:	Adebayo, P. B., Akinyemi, R. O., Ogun, S. A., Ogunniyi, A.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Denmark Blackwell Publishing Ltd 01.02.2014 John Wiley & Sons, Inc
Schlagworte:	Adult African Cross-Sectional Studies Depression epilepsy Epilepsy - psychology Female Humans Male Nigeria Quality of Life seizure severity Seizures - psychology Severity of Illness Index Surveys and Questionnaires Nigeria epilepsy Nigeria adult quality of life seizure severity African
ISSN:	0001-6314, 1600-0404, 1600-0404
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Abstract	Objectives There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub‐Saharan Africa. We evaluated the relationship of seizure severity to health‐related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria. Materials and methods Eighty‐eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE‐31), and the Beck's Depression Inventory‐II (BDI‐II). Results We found a minute association between seizure severity and QOLIE‐31 total score (r = −0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE‐31 seizure worry (R2 = 0.311, β = −0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE‐31 seizure worry score and time to recover predicted a worse QOLIE‐31 total score. Conclusions Reducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state‐of‐the‐art epilepsy care is still farfetched.
AbstractList	Objectives There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa. We evaluated the relationship of seizure severity to health-related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria. Materials and methods Eighty-eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE-31), and the Beck's Depression Inventory-II (BDI-II). Results We found a minute association between seizure severity and QOLIE-31 total score (r = -0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE-31 seizure worry (R2 = 0.311, [beta] = -0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE-31 seizure worry score and time to recover predicted a worse QOLIE-31 total score. Conclusions Reducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state-of-the-art epilepsy care is still farfetched. [PUBLICATION ABSTRACT] There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa. We evaluated the relationship of seizure severity to health-related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria.OBJECTIVESThere is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa. We evaluated the relationship of seizure severity to health-related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria.Eighty-eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE-31), and the Beck's Depression Inventory-II (BDI-II).MATERIALS AND METHODSEighty-eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE-31), and the Beck's Depression Inventory-II (BDI-II).We found a minute association between seizure severity and QOLIE-31 total score (r = -0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE-31 seizure worry (R(2) = 0.311, β = -0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE-31 seizure worry score and time to recover predicted a worse QOLIE-31 total score.RESULTSWe found a minute association between seizure severity and QOLIE-31 total score (r = -0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE-31 seizure worry (R(2) = 0.311, β = -0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE-31 seizure worry score and time to recover predicted a worse QOLIE-31 total score.Reducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state-of-the-art epilepsy care is still farfetched.CONCLUSIONSReducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state-of-the-art epilepsy care is still farfetched. Objectives There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub‐Saharan Africa. We evaluated the relationship of seizure severity to health‐related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria. Materials and methods Eighty‐eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE‐31), and the Beck's Depression Inventory‐II (BDI‐II). Results We found a minute association between seizure severity and QOLIE‐31 total score (r = −0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE‐31 seizure worry (R2 = 0.311, β = −0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE‐31 seizure worry score and time to recover predicted a worse QOLIE‐31 total score. Conclusions Reducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state‐of‐the‐art epilepsy care is still farfetched. There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa. We evaluated the relationship of seizure severity to health-related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria. Eighty-eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE-31), and the Beck's Depression Inventory-II (BDI-II). We found a minute association between seizure severity and QOLIE-31 total score (r = -0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE-31 seizure worry (R(2) = 0.311, β = -0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE-31 seizure worry score and time to recover predicted a worse QOLIE-31 total score. Reducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state-of-the-art epilepsy care is still farfetched. There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa. We evaluated the relationship of seizure severity to health-related quality of life of patients with epilepsy being followed up in an outpatient neurology clinic in southwestern Nigeria. Eighty-eight consecutive patients with epilepsy who met the recruitment criteria completed the study questionnaire in company of an eyewitness. The study questionnaire comprised of the National Hospital Seizure Severity Scale (NHS3), the Quality of Life Inventory in Epilepsy (QOLIE-31), and the Beck's Depression Inventory-II (BDI-II). We found a minute association between seizure severity and QOLIE-31 total score (r = -0.262, P = 0.014). Increased seizure severity predicted a worse QOLIE-31 seizure worry (R2= 0.311, beta = -0.289; P = 0.003). Of the seven seizure severity items, generalization of seizures and presence of falls were items that predicted a worse QOLIE-31 seizure worry score and time to recover predicted a worse QOLIE-31 total score. Reducing seizure severity may be an alternate endpoint in epilepsy care in Nigeria (particularly difficult to control seizures) because of its practical clinical relevance in view of the fact that state-of-the-art epilepsy care is still farfetched.
Author	Adebayo, P. B. Ogunniyi, A. Akinyemi, R. O. Ogun, S. A.
Author_xml	– sequence: 1 givenname: P. B. surname: Adebayo fullname: Adebayo, P. B. email: philipab8@yahoo.com organization: Neurology Unit, Department of Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria – sequence: 2 givenname: R. O. surname: Akinyemi fullname: Akinyemi, R. O. organization: Division of Neurology, Department of Medicine, Federal Medical Centre, Ogun state, Abeokuta, Nigeria – sequence: 3 givenname: S. A. surname: Ogun fullname: Ogun, S. A. organization: Neurology Unit, Department of Medicine, Olabisi Onabanjo University Teaching Hospital, Ogun State, Sagamu, Nigeria – sequence: 4 givenname: A. surname: Ogunniyi fullname: Ogunniyi, A. organization: Neurology Unit, Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Oyo-State, Ibadan, Nigeria
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Cites_doi	10.1212/WNL.58.8_suppl_5.S9 10.1016/j.yebeh.2004.07.002 10.1016/j.yebeh.2004.01.010 10.1001/archpsyc.1961.01710120031004 10.1111/j.1528-1167.2005.463010.x 10.1016/j.yebeh.2007.07.018 10.1046/j.1528-1157.2002.32201.x 10.2190/R80G-580X-X1H2-6936 10.1016/j.yebeh.2009.07.037 10.1016/j.yebeh.2007.05.002 10.1016/j.eplepsyres.2007.06.003 10.1212/WNL.62.1.23 10.1111/j.1528-1157.1998.tb01361.x 10.1111/j.1528-1157.1997.tb04511.x 10.1111/j.1528-1157.2000.tb00239.x 10.1111/ane.12014 10.1111/j.1528-1157.1997.tb01128.x 10.1111/j.0013-9580.2003.28403.x 10.1212/01.WNL.0000103282.62353.85
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Keywords	epilepsy Nigeria adult quality of life seizure severity African
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using the QOLIE-31 scale publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2004.07.002 – volume: 5 start-page: 337 year: 2004 ident: 10.1111/ane.12146-BIB0019\|ane12146-cit-0019 article-title: The impact of comorbid depression on health resource utilization in a community sample of people with epilepsy publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2004.01.010 – volume: 4 start-page: 561 year: 1961 ident: 10.1111/ane.12146-BIB0016\|ane12146-cit-0016 article-title: An inventory for measuring depression publication-title: Arch Gen Psychiatry doi: 10.1001/archpsyc.1961.01710120031004 – volume: 46 start-page: 50 issue: Suppl 4 year: 2005 ident: 10.1111/ane.12146-BIB0026\|ane12146-cit-0026 article-title: Antiepileptic drugs and the regulation of mood and quality of life (QOL): the evidence from epilepsy publication-title: Epilepsia doi: 10.1111/j.1528-1167.2005.463010.x – volume: 12 start-page: 84 year: 2008 ident: 10.1111/ane.12146-BIB0012\|ane12146-cit-0012 article-title: Developing two different measures to assess knowledge of epilepsy and attitudes toward epilepsy for Turkish population publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2007.07.018 – volume: 43 start-page: 535 year: 2002 ident: 10.1111/ane.12146-BIB0022\|ane12146-cit-0022 article-title: Seizure reduction and quality of life improvements in people with epilepsy publication-title: Epilepsia doi: 10.1046/j.1528-1157.2002.32201.x – volume: 36 start-page: 469 year: 2006 ident: 10.1111/ane.12146-BIB0004\|ane12146-cit-0004 article-title: Quality of Life and associated factors among adults with epilepsy in Nigeria publication-title: Int J Psychiatry Med doi: 10.2190/R80G-580X-X1H2-6936 – volume: 16 start-page: 325 year: 2009 ident: 10.1111/ane.12146-BIB0009\|ane12146-cit-0009 article-title: Seizure severity is associated with quality of life independent of seizure frequency publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2009.07.037 – volume: 11 start-page: 208 year: 2007 ident: 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Suppl 1 year: 1997 ident: 10.1111/ane.12146-BIB0023\|ane12146-cit-0023 article-title: Current issues in the management of epilepsy: the impact of frequent seizures on cost of illness, quality of life, and mortality publication-title: Epilepsia doi: 10.1111/j.1528-1157.1997.tb04511.x – volume: 33 start-page: 39 year: 2004 ident: 10.1111/ane.12146-BIB0007\|ane12146-cit-0007 article-title: Psychosocial and seizure factors related to depression and neurotic-disorders among patients with chronic epilepsy in Nigeria publication-title: Afr J Med Med Sci – volume: 41 start-page: 760 year: 2000 ident: 10.1111/ane.12146-BIB0010\|ane12146-cit-0010 article-title: Relationships between seizure severity and health-related quality of life in refractory localization-related epilepsy publication-title: Epilepsia doi: 10.1111/j.1528-1157.2000.tb00239.x – volume: 16 start-page: 86 year: 2010 ident: 10.1111/ane.12146-BIB0017\|ane12146-cit-0017 article-title: Epilepsy comorbidities publication-title: Continuum (Minneap Minn) – volume: 194 start-page: 1 year: 2012 ident: 10.1111/ane.12146-BIB0020\|ane12146-cit-0020 article-title: The impact of epilepsy on patients' lives publication-title: Acta Neurol Scand Suppl doi: 10.1111/ane.12014 – volume: 32 start-page: 367 year: 2003 ident: 10.1111/ane.12146-BIB0003\|ane12146-cit-0003 article-title: The quality of life of chronic epileptics in Ibadan, Nigeria publication-title: Afr J Med Med Sci – volume: 375 start-page: 63 year: 1996 ident: 10.1111/ane.12146-BIB0015\|ane12146-cit-0015 article-title: The National Hospital Seizure Severity Scale: a further development of the Chalfont Seizure Severity Scale publication-title: Epilepsia – volume: 38 start-page: 353 year: 1997 ident: 10.1111/ane.12146-BIB0001\|ane12146-cit-0001 article-title: Quality of life of people with epilepsy: a European study publication-title: Epilepsia doi: 10.1111/j.1528-1157.1997.tb01128.x – volume: 44 start-page: 1578 year: 2003 ident: 10.1111/ane.12146-BIB0008\|ane12146-cit-0008 article-title: The influence of comorbid depression on seizure severity publication-title: Epilepsia doi: 10.1111/j.0013-9580.2003.28403.x – volume: 62 start-page: 258 year: 2004 ident: 10.1111/ane.12146-BIB0006\|ane12146-cit-0006 article-title: Depression but not seizure frequency predicts quality of life in treatment-resistant epilepsy publication-title: Neurology doi: 10.1212/01.WNL.0000103282.62353.85 – volume: 8 start-page: 94 year: 2005 ident: 10.1111/ane.12146-BIB0013\|ane12146-cit-0013 article-title: The determinants of seizure severity in Nigerian epileptics publication-title: NigerJ Clin Pract – volume: 22 start-page: 480 year: 1981 ident: 10.1111/ane.12146-BIB0014\|ane12146-cit-0014 article-title: International League Against Epilepsy. Proposed revisions of clinical and electroencephalographic classification of epileptic seizures publication-title: Epilepsia
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Snippet	Objectives There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub‐Saharan Africa.... There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa. We evaluated... Objectives There is paucity of information about the association of seizure severity and quality of life in people with epilepsy (PWE) in sub-Saharan Africa....
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SubjectTerms	Adult African Cross-Sectional Studies Depression epilepsy Epilepsy - psychology Female Humans Male Nigeria Quality of Life seizure severity Seizures - psychology Severity of Illness Index Surveys and Questionnaires
Title	Seizure severity and health-related quality of life of adult Nigerian patients with epilepsy
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