title: Parental psychopathology and self-rated quality of life in adolescents with epilepsy in Nigeria.
abstract: This study sought to investigate the relationship between parental psychopathology and health-related quality of life in a group of Nigerian adolescents with epilepsy. The participants were 86 adolescents with epilepsy (50 males, 36 females; mean age 14y 5mo [SD 2y 1mo]; age range 12-18y). There were 54 (62.8%) adolescents with complex partial seizures, six (7.0%) with simple partial seizures, 14 (16.3%) with generalized tonic-clonic seizures, four (4.7%) with absence seizures, and eight (9.2%) with other types of seizure. They completed the Quality of Life in Epilepsy Inventory for Adolescents (QOLIE-AD-48). Parents also completed the General Health Questionnaire, Zung's Self-Rating Anxiety Scale, and Zung's Self-Rating Depressive Scale as measures of their psychopathology. Factors correlating with poor overall quality of life in the adolescents include longer duration of illness, large number of antiepileptic drugs, more severe medication toxicity, and psychopathology in the parents. General psychopathology in parents is significantly associated with QOLIE-AD-48 subscales of Epilepsy Impact (r=0.527, p<0.001), Attitude (r=0.214, p=0.047), Physical Function (r=0.417, p<0.001), Stigma (r=0.305, p=0.004), Social Support (r=0.365, p=0.001), and School Behaviour (r=0.220, p=0.042). There is a possibility of a cross-cultural difference on the effect of epilepsy on the quality of life of adolescents. Psychopathology in parents is significantly associated with poorer quality of life of these adolescents. Physicians should consider this, therefore, when planning intervention strategies in improving the quality of life in adolescents with epilepsy.
authors.affiliation: Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Hospital, Ilesa, Osun State, Nigeria. biodunwuya@yahoo.com
authors.forename: Abiodun O
authors.initials: AO
authors.lastname: Adewuya
mesh_terms: D000293:Adolescent; D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D016241:Child of Impaired Parents / Q000523:psychology*; D003710:Demography; D004827:Epilepsy / Q000188:drug therapy / Q000523:psychology*; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders; D009549:Nigeria; D010290:Parents / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D000297:Psychology, Adolescent; D011788:Quality of Life / Q000523:psychology*; D012647:Self-Assessment; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D012944:Social Support
chemical_list: D000927:Anticonvulsants