1. Challenges in the Management of Children and Adolescents With Epilepsy in China During the COVID-19 Pandemic: An Online Survey-Based Study.
- Author
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Lu Q, Dun S, Wang QH, Wang YY, Chen HM, Zhang Q, and Zou LP
- Subjects
- Humans, Child, Adolescent, Pandemics, SARS-CoV-2, Cross-Sectional Studies, COVID-19 Vaccines therapeutic use, Surveys and Questionnaires, Health Services Accessibility, Anxiety epidemiology, Anxiety therapy, China epidemiology, Depression epidemiology, Depression etiology, Depression therapy, COVID-19 epidemiology, Epilepsy therapy, Epilepsy drug therapy
- Abstract
Introduction: To investigate the challenges in the management of children and adolescents with epilepsy in China during the coronavirus disease (COVID-19) pandemic., Methods: We conducted a cross-sectional survey among 845 patients with epilepsy using an online-based questionnaire. The questionnaire focused on sociodemographic characteristics, epilepsy-related conditions, health care access, COVID-19 vaccination, and the mental health of caregivers. Depression was assessed using Patient Health Questionnaire-9., Results: During the pandemic, 24.73% of the patients had increased seizures. The majority of patients (68.89%) experienced difficulty obtaining antiseizure medications. In addition, 94.79% of the patients had difficulty consulting a doctor. A total of 52.78% of the patients selected telemedicine services, and most found these services to be helpful. Moreover, 76.11% of the patients failed to complete the COVID-19 vaccination. More than half of the caregivers had anxiety and depressive symptoms. The risk factors for depression comprised irregularity in taking antiseizure medications, difficulty in obtaining antiseizure medications, and failure to consult a doctor on time., Conclusions: The COVID-19 pandemic presented a great challenge in the management of children and adolescents with epilepsy in China. The findings highlight the importance of improving health care systems and medication management and the mental health of their caregivers., Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2023
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