Prevalence And Factors Associated With Behavioural Problems In Children With Epilepsy Attending Mulago Hospital, Uganda: A Cross-Sectional Study

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dc.contributor.authorJosias, Kasereka Songya
dc.contributor.authorBangirana, Paul
dc.contributor.authorRujumba, Joseph
dc.contributor.authorMwesige, Angelina Kakooza
dc.date.accessioned2022-02-10T19:37:32Z
dc.date.available2022-02-10T19:37:32Z
dc.date.issued2021
dc.description.abstractTo determine the prevalence of behavioural problems and the associated factors in children with epilepsy (CWE).This was a cross-sectional study conducted at Mulago National Referral Hospital, Kampala, Uganda, from December 2019 to May 2020. A total of 300 CWE aged 6 to 17 years were consecutively enrolled and assessed for behavioural problems using the Strengths and Difficulties Questionnaire. We obtained data on the associated factors by using pretested structured questionnaires, the Rosenberg Self-Esteem Scale, the Kilifi Stigma Scale of Epilepsy, the Morisky medication adherence scale and the Tumaini Child Health Screener for childhood disabilities.  Simple logistic regression and multivariate analysis was done to determine the associated factors while adjusting for the presence of neurodevelopmental disorders and childhood disabilities.Behavioural problems were detected in 108/300 CWE (36%) with more internalizing (28%) than externalizing (21%) behaviour scores noted. The odds of behavioural problems increased with the presence of co-morbid neurodevelopmental disorders or childhood disabilities (cOR: 5.42, p-value < 0.001). Factors associated with occurrence of behavioural problems were high stigma perception (aOR: 4.06, p-value < 0.001) and being seizure-free in the last six months (aOR: 3.43, p-value =0.031) while being an adolescent (aOR: 0.33, p=0.001) lessened the risk.Behavioural problems occur in more than a third of CWE. They are more in the internalizing domain than in the externalizing domain. Their odds increase with high perceived stigma and in the first six months of seizure control.en_US
dc.identifier.citationJosias, K. S., Bangirana, P., Rujumba, J., & Kakooza-Mwesige, A. (2021). Prevalence and factors associated with behavioural problems in children with epilepsy attending Mulago hospital, Uganda: A cross-sectional study. Seizure, 88, 109-115.https://doi.org/10.1016/j.seizure.2021.04.003en_US
dc.identifier.issn1059-1311
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2043
dc.language.isoenen_US
dc.publisherSeizureen_US
dc.subjectBehavioural problems; Children; Epilepsy; Neurodisabilities; Perceived stigma; Ugandaen_US
dc.titlePrevalence And Factors Associated With Behavioural Problems In Children With Epilepsy Attending Mulago Hospital, Uganda: A Cross-Sectional Studyen_US
dc.typeArticleen_US
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