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CC BY-NC-ND 4.0 · International Journal of Epilepsy 2021; 7(01): 22-28
DOI: 10.1055/s-0041-1731933
Original Article

Perception about Etiology of Epilepsy and Help-Seeking Behavior in Patients with Epilepsy

Gautam Das
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
,
Samar Biswas
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
,
Souvik Dubey
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
,
Durjoy Lahiri
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
,
Biman Kanti Ray
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
,
Alak Pandit
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
,
Sankar Prasad Saha
2   Department of Neurology, Nil Ratan Sarkar Medical College, Kolkata, West Bengal, India
,
Atanu Biswas 
1   Department of Neurology, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
› Institutsangaben Funding None.
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Abstract

Objectives Patients with epilepsy and their family have diverse beliefs about the cause of their illness that generally determine their treatment-seeking behavior. In this study, our aim was to find out different beliefs about epilepsy that lead to different help-seeking patterns, which act as barrier to the intended modern medical management of epilepsy.

Materials and Methods One hundred and fifty consecutive consenting patients accompanied by a reliable informant/family member fulfilling the International Classification of Epileptic Seizures (ICES), simplified version, were included. Demographic and clinical data of all the eligible subjects was collected. Perceived cause of illness and help-seeking pattern were explored from patient/informant by administering proper instruments.

Results Respondents identified varied causes of epilepsy and explored multiple help-seeking options before reaching tertiary care centers. We observed that, generally, epileptic patients/relatives who had belief in causes like supernatural causes sought help from nonprofessional personnel and those attributed their symptom to bodily pathology had professional help-seeking.

Conclusions The belief in supernatural causes not being conformed to the biomedical models of the epileptic disorders increases the treatment gap.

Keywords

epilepsy - perception - behaviour - stigma - supernatural


Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2021

© 2021. Indian Epilepsy Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Atadzhanov M, Haworth A, Chomba EN, Mbewe EK, Birbeck GL. Epilepsy-associated stigma in Zambia: what factors predict greater felt stigma in a highly stigmatized population?. Epilepsy Behav 2010; 19 (03) 414-418
    CrossrefPubMedGoogle Scholar
  • 2 Shorvon SD, Farmer PJ. Epilepsy in developing countries: a review of epidemiological, sociocultural, and treatment aspects. Epilepsia 1988; 29 (Suppl. 01) S36-S54
    CrossrefPubMedGoogle Scholar
  • 3 Sridharan R, Murthy BN. Prevalence and pattern of epilepsy in India. Epilepsia 1999; 40 (05) 631-636
    CrossrefPubMedGoogle Scholar
  • 4 Bharucha NE. Epidemiology of epilepsy in India. Epilepsia 2003; 44 (Suppl. 01) 9-11
    CrossrefPubMedGoogle Scholar
  • 5 Meinardi H, Scott RA, Reis R, Sander JW. ILAE Commission on the Developing World. The treatment gap in epilepsy: the current situation and ways forward. Epilepsia 2001; 42 (01) 136-149
    CrossrefPubMedGoogle Scholar
  • 6 Goel D, Dhanai JS, Agarwal A, Mehlotra V, Saxena V. Knowledge, attitude and practice of epilepsy in Uttarakhand, India. Ann Indian Acad Neurol 2011; 14 (02) 116-119
    CrossrefPubMedGoogle Scholar
  • 7 Baviskar S, Bhagat V, Kirte R, Sharanabasavaraj Ms, Shantala J. Gender disparities in health seeking behavior of epilepsy patients in tertiary care facility of rural Karnataka. Curr Neurobiol 2011; 2 (02) 113-116
    PubMedGoogle Scholar
  • 8 Gelfand M. Epilepsy in the African. Cent Afr J Med 1957; 3 (01) 11-12
    PubMedGoogle Scholar
  • 9 Hills M. Overcoming the stigma of epilepsy. Neurol Asia 2010; 15 (Supple 1) 21-24
    PubMedGoogle Scholar
  • 10 Sinha A, Mallik S, Sanyal D, Sengupta P, Dasgupta S. Healthcare-seeking behavior of patients with epileptic seizure disorders attending a tertiary care hospital, Kolkata. Indian J Community Med 2012; 37 (01) 25-29
    CrossrefPubMedGoogle Scholar
  • 11 Guidelines for epidemiologic studies on epilepsy. Commission on Epidemiology and Prognosis, International League Against Epilepsy. Epilepsia 1993; 34 (04) 592-596
    CrossrefPubMedGoogle Scholar
  • 12 Radhakrishnan K, Pandian JD, Santhoshkumar T. et al Prevalence, knowledge, attitude, and practice of epilepsy in Kerala, South India. Epilepsia 2000; 41 (08) 1027-1035
    CrossrefPubMedGoogle Scholar
  • 13 Joshi HS, Mahmood SE, Bamel A, Agarwal AK, Shaifali I. Perception of epilepsy among the urban secondary school children of Bareilly district. Ann Indian Acad Neurol 2012; 15 (02) 125-127
    CrossrefPubMedGoogle Scholar
  • 14 Das K, Banerjee M, Mondal GP, Devi LG, Singh OP, Mukherjee BB. Evaluation of socio-economic factors causing discontinuation of epilepsy treatment resulting in seizure recurrence: a study in an urban epilepsy clinic in India. Seizure 2007; 16 (07) 601-607
    CrossrefPubMedGoogle Scholar
  • 15 Meyer AC, Dua T, Ma J, Saxena S, Birbeck G. Global disparities in the epilepsy treatment gap: a systematic review. Bull World Health Organ 2010; 88 (04) 260-266
    CrossrefPubMedGoogle Scholar
  • 16 de HM Boer, Mula M, Sander JW. The global burden and stigma of epilepsy. Epilepsy Behav 2008; 12 (04) 540-546
    CrossrefPubMedGoogle Scholar