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Resilience of adolescents and teenagers with self-limited and genetic-generalized epilepsy during the COVID-19 pandemic.

Authors:
Stephanie Kwok Jennifer Engle Anita N Datta

Epilepsy Behav Rep 2022 25;17:100520. Epub 2021 Dec 25.

Department of Pediatrics, Division of Neurology, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.

Introduction: The study-objective was to determine the emotional impact of the COVID-19 pandemic on children with self-limited and genetic-generalized epilepsy.

Methods: Patients completed the Children's Depression Inventory-2 (CDI-2) and Multidimensional Anxiety Scale for Children 2nd Edition (MASC-2) questionnaires before and during the pandemic. Via tele-visits, a pandemic-lifestyle survey and Obsession with COVID-19 Scale (OCS) was administered.

Results: Fifty subjects with a mean (SD) age of 14.44 (2.97) years and 4.85 (2.97) years of epilepsy were included. Overall, mood (62%), anxiety (61%), sleep (68%) and seizure frequency (88%) were unchanged/improved during the pandemic. There was no significant difference in pre-COVID-19 and during COVID-19 CDI-2 and MASC-2 total -scores. In 24% with a worsening CDI-2 total -score, associations included higher total OCS score ( = 0.001), poor sleep ( = 0.013) and pre-existing psychiatric history ( = 0.0450). In 28% with a worsening MASC-2 total -score, associations included less exercise during the pandemic ( = 0.028) and lower maternal education history ( = 0.022). On OCS, 6% were in the dysfunctional range.

Conclusions: This cohort demonstrated emotional resilience during the COVID-19 pandemic. However, screening is important, as a subgroup experienced disruptive changes, possibly related to modifiable factors, such as sleep and exercise.

Lay Summary: To determine the impact of the COVID-19 pandemic on children with epilepsy (CWE), 50 CWE completed a pandemic-lifestyle survey. Questionnaires for anxiety and depression completed before and during the COVID-19 pandemic were also compared. Overall, there was no worsening of seizures, anxiety, or depression during the pandemic. During the pandemic, 24% had more depressive symptoms (associations: poor sleep and psychiatric history) and 28% had more anxiety (associations: less exercise and lower maternal education).This cohort showed emotional resilience during the COVID-19 pandemic. Regular screening is important, as some CWE experienced disruptive changes, related to modifiable-factors, such as sleep and exercise.

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Source
http://dx.doi.org/10.1016/j.ebr.2021.100520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8709791PMC
December 2021

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