The effect of COVID-19 pandemic on seizure control and self-reported stress on patient with epilepsy
The effect of COVID-19 pandemic on seizure control and self-reported stress on patient with epilepsy
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DOI：
10.1016/j.yebeh.2020.107323
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发表时间：
2020-11-01
影响因子：
2.6
通讯作者：
Baothman, Renad
中科院分区：
文献类型：
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作者：
Alkhotani, Amal;Siddiqui, Muhammad, I;Baothman, Renad
目的：该研究的目的是评估癫痫患者（PWE）在COVID-19大流行期间是否经历了癫痫发作频率和自我报告压力的增加。方法：这是一项于2020年4月在沙特阿拉伯进行的横断面研究。通过治疗神经科医生向PWE分发电子自填问卷。变量包括人口统计学和基线临床特征（年龄、性别、生活状况、职业状况、癫痫类型、癫痫持续时间、抗癫痫药物（AED）的数量、已知精神疾病的存在和精神药物的使用）、他们在大流行前一个月的癫痫控制、这段时间内的感知压力、睡眠变化、依从性变化，结果：共有156名患者完成了问卷调查，其中29.5%的患者报告癫痫发作频率增加。此外，在此期间，59.4%的人报告自我报告的压力增加，71.2%的人在睡眠中经历了显着变化。更高的基线癫痫发作频率，更多的抗癫痫药物，不遵守，增加自我报告的压力，睡眠变化的显着因素与癫痫发作频率增加在pandemite.Conclusion：确定癫痫复发的高风险患者是重要的，以提供足够的支持，以减少这种风险。(C)2020爱思唯尔公司All rights reserved.
Objectives: The objective of the study was to assess if patients with epilepsy (PWE) experienced an increase in seizure frequency and self-reported stress during the COVID-19 pandemic.Methods: This is a cross-sectional study conducted in Saudi Arabia in April 2020. An electronic self-administered questionnaire was distributed to PWE via their treating neurologist. The variables included were demographic and baseline clinical characteristics (age, gender, living situation, occupational status, type of epilepsy, duration of epilepsy, number of antiepileptic medications (AEDs), presence of known psychiatric illness, and use of psychiatric medications), their seizure control in the month prior to the pandemic, perceived stress during this period of time, sleep changes, compliance changes, and change in seizure control during the pandemic.Results: A total of 156 patients completed the questionnaire, with 29.5% reporting an increase in seizure frequency. Additionally, 59.4% reported an increase in self-reported stress and 71.2% experienced a significant change in their sleep during this period. Higher baseline seizure frequency, more AEDs, noncompliance, increase in self-reported stress, and sleep changes are the significant factors associated with increase in seizure frequency during the pandemic.Conclusion: Identifying high-risk patients for seizure recurrence is important in order to provide them with adequate support to reduce such risk. (C) 2020 Elsevier Inc. All rights reserved.