scholarly journals Perception about Etiology of Epilepsy and Help-Seeking Behavior in Patients with Epilepsy

2021 ◽  
Author(s):  
Gautam Das ◽  
Samar Biswas ◽  
Souvik Dubey ◽  
Durjoy Lahiri ◽  
Biman Kanti Ray ◽  
...  
Keyword(s):  
Help Seeking ◽  
Tertiary Care ◽  
Epileptic Seizures ◽  
Treatment Seeking ◽  
Professional Help ◽  
Epileptic Patients ◽  
Seeking Behavior ◽  
Tertiary Care Centers ◽  
Patients With Epilepsy

Abstract Objectives Patients with epilepsy and their family have diverse beliefs about the cause of their illness that generally determine their treatment-seeking behavior. In this study, our aim was to find out different beliefs about epilepsy that lead to different help-seeking patterns, which act as barrier to the intended modern medical management of epilepsy. Materials and Methods One hundred and fifty consecutive consenting patients accompanied by a reliable informant/family member fulfilling the International Classification of Epileptic Seizures (ICES), simplified version, were included. Demographic and clinical data of all the eligible subjects was collected. Perceived cause of illness and help-seeking pattern were explored from patient/informant by administering proper instruments. Results Respondents identified varied causes of epilepsy and explored multiple help-seeking options before reaching tertiary care centers. We observed that, generally, epileptic patients/relatives who had belief in causes like supernatural causes sought help from nonprofessional personnel and those attributed their symptom to bodily pathology had professional help-seeking. Conclusions The belief in supernatural causes not being conformed to the biomedical models of the epileptic disorders increases the treatment gap.

scholarly journals Beliefs about the cause of schizophrenia among caregivers in Midwestern Nigeria

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Osayi Igberase ◽  
Esther Okogbenin
Keyword(s):  
Formal Education ◽  
Primary Caregivers ◽  
World Health ◽  
Treatment Seeking ◽  
Benin City ◽  
International Classification Of Disease ◽  
Seeking Behavior ◽  
Icd 10 ◽  
Health Organization

Schizophrenia is a devastating illness with a chronic and relapsing course. While Western countries may endorse, biological and psychosocial causes more commonly than supernatural causes, non-western cultures like Nigeria in contrast, tend to endorse supernatural causes. Belief in supernatural causes has been reported to have consequences for treatment seeking behavior. This study aimed to examine the causes of schizophrenia reported by family members of outpatients with schizophrenia in a neuropsychiatric hospital in Midwestern Nigeria. In this study, we recruited a convenient sample of 200 consecutive caregivers of patients visiting the outpatient department of the Psychiatric Hospital, Benin City, Nigeria. These primary caregivers were unpaid relatives who provided support to patients. The patients were service users who fulfilled the diagnostic criteria of the International Classification of Disease [ICD-10; World Health Organization 1993] for schizophrenia and had been on treatment for at least two years. Majority (72.0%) of caregivers endorsed supernatural causes as most important in the etiology of schizophrenia, while 28.0% endorsed natural causes. Every participant without formal education endorsed supernatural attribution. In our study, it was evident that participants embraced multiple causal attributions for schizophrenia.

scholarly journals Treatment seeking behavior among post-menopausal females attending out-patient clinic of Obstetrics and Gynecology at a tertiary care centre, Bhopal, Madhya Pradesh

2018 ◽  
Vol 5 (12) ◽  
pp. 5365
Author(s):  
Nisha Singh ◽  
Yogendra Chouhan ◽  
Seema Patel
Keyword(s):  
Postmenopausal Women ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Treatment Seeking ◽  
Health Seeking ◽  
Tertiary Care Centre ◽  
Self Medication ◽  
Cross Sectional ◽  
Registration System ◽  
Seeking Behavior

Background: Onset of menopause causes a variety of somatic, sexual, vasomotor and psychological manifestations which can deteriorate the quality of life of women. According to sample registration system (SRS) 2014, the proportion of women aged 45-59 years is 15.3% and thus it is imperative for healthcare providers to focus more attention on the health of postmenopausal women. In India, however this phase of life is generally ignored. The objectives of the study were to determine the health seeking behavior of postmenopausal women with respect to the problems faced during menopause and to determine the utilization pattern and barriers to utilization of health care services.Methods: Prospective cross-sectional study for one year period starting from 1 July 2015 to 30 June 2016. Data collected using Systematic Random Sampling from 255 postmenopausal women and entered into MS excel 2007. Analysis done with Epi-Info 7.2. Chi- square applied as statistical test of significance and p<0.05 considered to be statistically significant.Results: In present study, majority (73.33%) participants did not take any treatment. 10.98% and 6.67% gave history of self medication and use of home remedies, respectively. Statistically significant correlation was found between treatment taken and factors like residing locality, education and socio-economic class. The most common reason for delayed or no treatment seeking was unawareness, followed by financial issues.Conclusions: Majority postmenopausal women faced one or more problems associated with menopause but very few sought treatment. Lack of knowledge and financial constraints were found to be major barriers to utilization of health services. 

Spontaneous Arm Movement Activity during Sleep in Epileptic and Non-Epileptic Patients

2018 ◽  
Vol 80 (3-4) ◽  
pp. 200-206
Author(s):  
Hendrik Schulz ◽  
Jianghai Ruan ◽  
Rüdiger J. Seitz
Keyword(s):  
Arm Movement ◽  
Epileptic Seizures ◽  
Sleep Architecture ◽  
Rapid Eye Movement Sleep ◽  
Movement Activity ◽  
Epileptic Discharges ◽  
Epileptic Patients ◽  
Patients With Epilepsy ◽  
Electroencephalogram Eeg ◽  
Abnormal Sleep

Purpose: Epilepsy has a complex interaction with sleep. The purpose of this study was to explore the relation between spontaneous arm movements and sleep architecture in patients with epilepsy. Methods: This prospective study included 53 patients with suspected epilepsy (44 ± 18 years; 30 females, 23 males) and 55 age-matched patients with non-epileptic seizures (42 ± 15: 27 females, 28 males). Twenty-four-hour-video-electroencephalography recordings were combined with accelerometry of movement activity of both arms using actiwatches. Results: Patients with suspected epilepsy showed a higher occurrence of epileptic discharges (p = 0.0001) and abnormal focal slowing (p = 0.027) in the electroencephalogram (EEG) than the patients with non-epileptic seizures. Also, the epilepsy patients showed a shorter rapid eye movement-sleep duration compared to controls (0.0001). Accelerometry revealed that the patients with epilepsy moved their dominant right arm more frequently during the night (p = 0.014) than the controls, although there was no difference in arm movement activity during day time. Conclusion: The patients with reported epilepsy exhibited higher spontaneous arm movement activity during sleep. This may be related to abnormal sleep architecture or abnormal EEG activity but was not related to epileptic seizures.

scholarly journals The Antiepileptic Drugs Therapy Practice in Epileptic Patients: What Does Evidence Show?

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Ranjana Banstola ◽  
Gulam Muhammad Khan
Keyword(s):  
Treatment Outcomes ◽  
Patient Specific ◽  
Related Factors ◽  
Epileptic Syndromes ◽  
Epileptic Patients ◽  
Medication Side ◽  
Patients With Epilepsy ◽  
Antiepileptic Drug Therapy ◽  
Selection Of

Introduction: Though studies regarding epilepsy have been conducted in different parts of the world, there is a scarcity of established studies regarding treatment outcomes among patients with epilepsy. Therefore, the aim of this review is to assess antiepileptic drug therapy among patients with epilepsy. This will help in exploring the existing AEDs therapy practice including the outcomes. Methods: Using different search engines like EndNote (Pubmed), Google, Google Scholar and Hinari, literatures were searched for review. Different literatures like, research reports, articles, documents, books and internet findings relevant to this study were reviewed. Findings and discussion: Outcome of AEDs therapy is affected by several factors including patient-related factors, disease related factors and drug related factors. The selection of the most appropriate AEDs for a patient with seizures depends upon the accurate classification of the seizures, the type of epilepsy or epileptic syndromes, and drug such as availability and accessibility of drugs, their efficacy, side effect and comfort use as well as patient factors. So, the selection of AED therapy at present is an empirical process, based on seizure and patient-specific variables and a working knowledge of available AEDs, including AED mechanism of action, pharmacokinetics, drug-drug interactions, and medication side effects and ultimately the treatment outcomes. Conclusion: It is recommended that researchers need to focus on further longitudinal and interventional studies in providing adequate evidence about the cause-effect relationship between the AEDs therapy practice and seizure control.

Sign in / Sign up

Export Citation Format

Share Document