Assessment of Quality of Life and Associated Factors among People with Epilepsy Attending at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
Science Journal of Public Health
Volume 2, Issue 5, September 2014, Pages: 378-383
Received: Jul. 20, 2014;
Accepted: Jul. 28, 2014;
Published: Aug. 10, 2014
Views 3877 Downloads 376
Minale Tareke Tegegne, Department of Psychiatry, Dessie Referral Hospital, Dessie, Ethiopia
Niguse Yigzaw Muluneh, Department of Psychiatry, College of Medicine and Health science, University of Gondar, Gondar, Ethiopia
Teketel Tegegne Wochamo, Department of Psychiatry, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
Andargie Abate Awoke, College of Medicine and Health science, Bahir Dar University, Bahir Dar, Ethiopia
Tilahun Belete Mossie, Department of Psychiatry, Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia
Molla Ayele Yesigat, Department of Psychiatry, Federal Ministry Health, Addis Ababa, Ethiopia
Background: There is shortage of literature on the impact of epilepsy on quality of life (QoL). We conducted a study to assess the quality of life and associated factors among epileptic patients in Ethiopia. Method: An institution based cross -sectional study was conducted From April to May, 2013, among 423 samples of epileptic patients from outpatient department of Amanuel Mental Specialized Hospital. Quality of life was assessed using world Health Organization Quality of Life questionnaire (WHO QOL BREF) scale; in addition, perceived stigma scale and Hospital Anxiety and Depression scale were used for interviewing the study participants. Logistic regression analysis was done to identify factors associated with quality of life. Result: A total of 415 epileptic patients were included in this cross-sectional study. Out of which, 45.8% of the study participants had poor quality of life. Respondents who are unable to read and write, primary school, those who had frequent seizures, taking more than one type of antiepileptic drugs, anxiety, depression and perceived stigma, were found to be significantly associated with poor quality of life. Conclusion: Poor quality of life was found to be high among epilepsy patients. Managing patients with epilepsy to become seizure free, educating people regarding epilepsy and treatment of co-morbid disorders will help to improve quality of life in patients with epilepsy.
Minale Tareke Tegegne,
Niguse Yigzaw Muluneh,
Teketel Tegegne Wochamo,
Andargie Abate Awoke,
Tilahun Belete Mossie,
Molla Ayele Yesigat,
Assessment of Quality of Life and Associated Factors among People with Epilepsy Attending at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia, Science Journal of Public Health.
Vol. 2, No. 5,
2014, pp. 378-383.
WHO: Atlas: Epilepsy care in the world . Geneva, Switzerland: World Health Organization Press. 2005.
InternationalLeagueAgainstEpilepsy.: Quality of Life: General Considerations. Epilepsia 2003, 44(6):57–58.
Baskind R, Birbeck GL: Epilepsy-associated stigma in sub-Saharan Africa:The social landscape of a disease. Epilepsy & Behavior 2005, 7:68–73.
Sibat H: Novel aspect of epilepsy: In tech 2011.
WHO: Division Of Mental Health And Prevention Of Substance Abuse: WHOQOL User Manual.Geneva, Switzerland. 1998.
Rajabi F, Dabiran S, Hatmi ZN, Zamani G: Quality of Life of Epileptic Patients Compared to General Population in Tehran. Acta Medica Iranica 2009, 47(1):75-78.
Chin JH: Epilepsy treatment in sub-Saharan Africa: closing the gap. African Health Sciences 2012, 12(2):186 - 192.
Skevington SM, Lotfy M, O’Connell KA: The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial A Report from the WHOQOL Group. Quality of Life Research 2004, 13:299-310.
Billington DR, Landon J, Krägeloh CU, Shepherd D: The New Zealand World Health Organization Quality of Life (WHOQOL) Group. The New Zealand Medical Journal 2010, 123(1315).
Higginson IJ, Carr AJ: Measuring quality of life: using quality of life measures in the clinical setting. BMJ 2001, 322: 1297-1300.
Deribew A, Tesfaye M, Hailmichael Y, Negussu N, Daba S, Wogi A, Belachew T, Apers L, Colebunders R: Tuberculosis and HIV co-infection: its impact on quality of life. Health and Quality of Life Outcomes 2009, 7:105.
Reda AA: Reliability and Validity of the Ethiopian Version of the Hospital Anxiety and Depression Scale (HADS) in HIV Infected Patients. PLoS ONE 2011, 6(1):e16049.
Ohaeri JU, AwadallaAW, Farah AA: Quality of life in people with epilepsy and their family caregivers: An Arab experience using the short version of WHO Quality of Life Instrument. Saudi Med J 2009, 30(10):1328-1335.
Kinyanjui DW, Kathuku DM, Mburu JM: Quality of life among patients living with epilepsy attending the neurology clinic at kenyatta national hospital, Nairobi, Kenya: a comparative study. Health and Quality of Life Outcomes 2013, 11:98.
Djibuti M, Shakarishvili R: Influence of clinical, demographic, and socioeconomic variables on quality of life in patients with epilepsy: findings from Georgian study. J Neurol Neurosurg Psychiatry 2003, 74:570-573.
Senol V, Soyuer F, Arman F, O¨ztu¨rk A: Influence of fatigue, depression, and demographic, socioeconomic, and clinical variables on quality of life of patients with epilepsy. Epilepsy & Behavior 2007, 10:96–104.
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. Neurology Asia 2011, 16(1):33-37.
Baker GA, Jacoby A, Gorry J, Doughty J, Ellina V: Quality of Life of People with Epilepsy in Iran, the Gulf,and Near East. Epilepsia 2005, 46(1):130-140.
Mosaku KS, Fatoye FO, Komolafe M, Lawal M, Ola BA: Quality of life and associated factors among adults with epilepsy in Nigeria. Int J Psychiatry Med 2006, 36(4):469-481.
Wang T, Wang H, Cheng J: Eleven influential factors for quality of life in adults with epilepsy. Neural Regen Res 2008, 3(4):422-426.
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(7):834-843.
Hawari I, Syeban Z, Lumempouw SF: Low education, more frequent of seizure, more types of therapy, and generalized seizure type decreased quality of life among epileptic patients Med J Indones 2007 16(2):101-103
Kwan P, Yu E, Leung H, Leon T, Mychaskiw MA: Association of subjective anxiety, depression, and sleep disturbance with quality-of-life ratings in adults with epilepsy. Epilepsia 2009, 50(5):1059-1066.
Joseph N, Ray A, Reshma BK, Bhat S, Herady M, Kumar A, Kiran K S: Assessment of quality of life, stigma associated and self-management practices among patients suffering from epileptic seizures: A cross sectional study. Journal of Neuroscience and Behavioural Health 2011, 3(7):91-98.
Shakir M, Al-Asadi J: Quality of Life and its Determinants in People with Epilepsy in Basrah, Iraq. Sultan Qaboos University Med J 2012, 12(4):449-457.
Salgado PCB, Cendes F: The effects of epileptic seizures upon Quality of Life. J Epilepsy Clin Neurophysiol 2009, 15(3):110-113.
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(6):762-769.