Abstract
BackgroundWhen attention deficit Hyperactivity Disorder (ADHD) presents in epileptic children, it makes the treatment complicated and the prognosis poor. Hence, understanding the magnitude of ADHD and associated factors would be important to have a policy intention towards these people and to design appropriate interventions. Therefore, the current study was conducted to determine co-morbidity of attention deficit hyperactivity disorder (ADHD) and associated factors in children with seizure disorders.Methods A hospital based cross-sectional study was conducted by taking 260children who had follow ups in the pediatric seizure clinic. The systematic random sampling technique was used to recruit participants. A structured, pretested and interviewer administered questionnaire which included questions on associated factors and standard disruptive behavioural disorder (DBD) rating scale was used to collect data. Data were coded, entered and cleaned by using the Epi-Data version 3.1 and exported to SPSS version 20 for further analysis. The multivariate binary logistic regression was used to cheek the association between independent and dependent variables. Variables with significant associations were identified on the basis of OR, with a 95%CI and p-value of < 0.05 and considered as statistically significant.ResultThe prevalence of ADHD among epileptic children was found to be 115(44.2%),with a confidence interval of (38.1-50.5),out of which only 3(2.6%) were detected as having mental health problems by the clinician. The predominant subtype was inattentive type 96(61.1%). Factors significantly associated with ADHD were male sex (AOR = 2.70 CI: 1.46-4.97), family history of seizure disorder (AOR=2.42CI:1.26-4.65), family history mental illnesses (AOR=4.14 CI: 1.76-9.68), sudden onset of seizure (AOR=2.37 CI: 1.32-4.27) and uncontrolled seizure (AOR=2.55 CI: 1.41-4.61). Conclusion Attention deficit hyperactivity disorder was common among children with seizure disorders in the study area. Therefore, interventions that would address such factors would help to overcome further complications.
The Impact of Play Therapy Based on Cognitive-behavioral Model on the Social Skills of Preschool Children with Attention Deficit Hyperactivity Disorder
