The association of epilepsy with psychiatric disorder, behaviour disturbance and carer stress [Abstract]
2008
To of adults with intellectual disabilities anddetermine the prevalence and features of epilepsy in a community-
based population
explore whether the presence of epilepsy was associated with greater
psychopathology or carer strain. Methods: Data were collected on the
age, gender, place of residence, adaptive and challenging behaviour,
social abilities and psychiatric status of 318 adults from 40 general
practices, together with the degree of malaise and strain of family
carers. For participants with epilepsy, information on seizures, investigations,
treatment and carer concerns were collected. Association
between epilepsy and psychiatric morbidity, challenging behaviour and
caregiver malaise or strain was explored. Results: Fifty-eight participants
(18%) had epilepsy: 26% were seizure free but 34% had
extremely poorly controlled seizures. Earlier onset and seizure frequency
were associated with adaptive behaviour. Carer concerns were
related to seizure frequency and a history of injury. There were no significant
differences in psychopathology, carer malaise or caregiver
strain between the matched epilepsy and non-epilepsy groups. Conclusions:
While psychopathology and carer strain is common within
this population, underlying disability-related factors appear to be more
important than the presence of epilepsy per se.
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