TY - JOUR
T1 - Behavioral problems in children with epilepsy in rural Kenya
AU - Kariuki, Symon M.
AU - Abubakar, Amina
AU - Holding, Penny A.
AU - Mung'ala-Odera, Victor
AU - Chengo, Eddie
AU - Kihara, Michael
AU - Neville, Brian G.
AU - Newton, Charles R.J.C.
N1 - Funding Information:
The Wellcome Trust—UK (through Wellcome Trust Senior Fellowship 083744 to C.N.) and KEMRI supported this study. We thank the mapping, census, and epilepsy field teams who made this study possible. Katie Alcock was invaluable in computing the cognitive scores. This article is published with the permission of the director of KEMRI.
PY - 2012/1
Y1 - 2012/1
N2 - The aims of this study were to record behavioral problems in children with epilepsy (CWE), compare the prevalence with that reported among healthy children without epilepsy, and investigate the risk factors. A child behavioral questionnaire for parents comprising 15 items was administered to the main caregiver of 108 CWE and 108 controls matched for age in Kilifi, Kenya. CWE had a higher mean score for reported behavioral problems than controls (6.9 vs 4.9, t= 4.7, P< 0.001). CWE with active epilepsy also recorded more behavioral problems than those with inactive epilepsy (8.2 vs 6.2, t= - 2.9, P= 0.005). A significantly greater proportion of CWE (49% vs 26% of controls) were reported to have behavioral problems. Active epilepsy, cognitive impairment, and focal seizures were the most significant independent covariates of behavioral problems. Behavioral problems in African CWE are common and need to be taken into consideration in planning comprehensive clinical services in this region.
AB - The aims of this study were to record behavioral problems in children with epilepsy (CWE), compare the prevalence with that reported among healthy children without epilepsy, and investigate the risk factors. A child behavioral questionnaire for parents comprising 15 items was administered to the main caregiver of 108 CWE and 108 controls matched for age in Kilifi, Kenya. CWE had a higher mean score for reported behavioral problems than controls (6.9 vs 4.9, t= 4.7, P< 0.001). CWE with active epilepsy also recorded more behavioral problems than those with inactive epilepsy (8.2 vs 6.2, t= - 2.9, P= 0.005). A significantly greater proportion of CWE (49% vs 26% of controls) were reported to have behavioral problems. Active epilepsy, cognitive impairment, and focal seizures were the most significant independent covariates of behavioral problems. Behavioral problems in African CWE are common and need to be taken into consideration in planning comprehensive clinical services in this region.
KW - Behavioral problems
KW - Children
KW - Cognitive impairment
KW - Epilepsy
KW - Kenya
UR - http://www.scopus.com/inward/record.url?scp=84855908815&partnerID=8YFLogxK
U2 - 10.1016/j.yebeh.2011.10.017
DO - 10.1016/j.yebeh.2011.10.017
M3 - Article
C2 - 22119107
AN - SCOPUS:84855908815
SN - 1525-5050
VL - 23
SP - 41
EP - 46
JO - Epilepsy and Behavior
JF - Epilepsy and Behavior
IS - 1
ER -