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Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective

The purpose of our study was to explore how people with epilepsy fared during two of the most stringent 4-month society-wide COVID-19-related pandemic restrictions in Ireland, in 2020 and one year later in 2021. This was in the context of their seizure control, lifestyle factors, and access to epile...

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Autores principales: Gander, Lara, Stanila, Raluca, Doran, Elizabeth, Crowley, Karen, Ann Healy, Laura, Gough, Anne, Sinnott, Cara, Behan, Claire, Wilson, Sinead, Cunningham, Denise, Kurian, Smitha, Cope, Aisling, Laffan, Aoife, O'Rourke, Dierdre, Zaporojan, Lilia, Doherty, Colin P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9941304/
https://www.ncbi.nlm.nih.gov/pubmed/37075509
http://dx.doi.org/10.1016/j.yebeh.2023.109146
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author Gander, Lara
Stanila, Raluca
Doran, Elizabeth
Crowley, Karen
Ann Healy, Laura
Gough, Anne
Sinnott, Cara
Behan, Claire
Wilson, Sinead
Cunningham, Denise
Kurian, Smitha
Cope, Aisling
Laffan, Aoife
O'Rourke, Dierdre
Zaporojan, Lilia
Doherty, Colin P.
author_facet Gander, Lara
Stanila, Raluca
Doran, Elizabeth
Crowley, Karen
Ann Healy, Laura
Gough, Anne
Sinnott, Cara
Behan, Claire
Wilson, Sinead
Cunningham, Denise
Kurian, Smitha
Cope, Aisling
Laffan, Aoife
O'Rourke, Dierdre
Zaporojan, Lilia
Doherty, Colin P.
author_sort Gander, Lara
collection PubMed
description The purpose of our study was to explore how people with epilepsy fared during two of the most stringent 4-month society-wide COVID-19-related pandemic restrictions in Ireland, in 2020 and one year later in 2021. This was in the context of their seizure control, lifestyle factors, and access to epilepsy-related healthcare services. A 14-part questionnaire was administered to adults with epilepsy during virtual specialist epilepsy clinics in a University Hospital in Dublin, Ireland at the end of the two lockdowns. People with epilepsy were questioned on their epilepsy control, lifestyle factors, and quality of epilepsy-related medical care, compared to pre-COVID times. The study sample consisted of two separate cohorts of those diagnosed with epilepsy (100 (51.8%) in 2020, and 93 (48.2%) in 2021, with similar baseline characteristics. There was no significant change in seizure control or lifestyle factors from 2020 to 2021, except for deterioration in anti-seizure medication (ASM) adherence in 2021 compared to 2020 (p = 0.028). There was no correlation between ASM adherence and other lifestyle factors. Over the two years, poor seizure control was significantly associated with poor sleep (p < 0.001) and average seizure frequency in a month (p = 0.007). We concluded that there was no significant difference between seizure control or lifestyle factors between the two most stringent lockdowns in Ireland, in 2020 and 2021. Furthermore, people with epilepsy reported that throughout the lockdowns access to services was well maintained, and they felt well supported by their services. Contrary to the popular opinion that COVID lockdowns greatly affected patients with chronic diseases, we found that those with epilepsy attending our service remained largely stable, optimistic, and healthy during this time.
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spelling pubmed-99413042023-02-21 Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective Gander, Lara Stanila, Raluca Doran, Elizabeth Crowley, Karen Ann Healy, Laura Gough, Anne Sinnott, Cara Behan, Claire Wilson, Sinead Cunningham, Denise Kurian, Smitha Cope, Aisling Laffan, Aoife O'Rourke, Dierdre Zaporojan, Lilia Doherty, Colin P. Epilepsy Behav Article The purpose of our study was to explore how people with epilepsy fared during two of the most stringent 4-month society-wide COVID-19-related pandemic restrictions in Ireland, in 2020 and one year later in 2021. This was in the context of their seizure control, lifestyle factors, and access to epilepsy-related healthcare services. A 14-part questionnaire was administered to adults with epilepsy during virtual specialist epilepsy clinics in a University Hospital in Dublin, Ireland at the end of the two lockdowns. People with epilepsy were questioned on their epilepsy control, lifestyle factors, and quality of epilepsy-related medical care, compared to pre-COVID times. The study sample consisted of two separate cohorts of those diagnosed with epilepsy (100 (51.8%) in 2020, and 93 (48.2%) in 2021, with similar baseline characteristics. There was no significant change in seizure control or lifestyle factors from 2020 to 2021, except for deterioration in anti-seizure medication (ASM) adherence in 2021 compared to 2020 (p = 0.028). There was no correlation between ASM adherence and other lifestyle factors. Over the two years, poor seizure control was significantly associated with poor sleep (p < 0.001) and average seizure frequency in a month (p = 0.007). We concluded that there was no significant difference between seizure control or lifestyle factors between the two most stringent lockdowns in Ireland, in 2020 and 2021. Furthermore, people with epilepsy reported that throughout the lockdowns access to services was well maintained, and they felt well supported by their services. Contrary to the popular opinion that COVID lockdowns greatly affected patients with chronic diseases, we found that those with epilepsy attending our service remained largely stable, optimistic, and healthy during this time. Elsevier Inc. 2023-05 2023-02-21 /pmc/articles/PMC9941304/ /pubmed/37075509 http://dx.doi.org/10.1016/j.yebeh.2023.109146 Text en © 2023 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Gander, Lara
Stanila, Raluca
Doran, Elizabeth
Crowley, Karen
Ann Healy, Laura
Gough, Anne
Sinnott, Cara
Behan, Claire
Wilson, Sinead
Cunningham, Denise
Kurian, Smitha
Cope, Aisling
Laffan, Aoife
O'Rourke, Dierdre
Zaporojan, Lilia
Doherty, Colin P.
Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective
title Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective
title_full Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective
title_fullStr Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective
title_full_unstemmed Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective
title_short Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective
title_sort living with epilepsy during covid-19 pandemic restrictions: a longitudinal perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9941304/
https://www.ncbi.nlm.nih.gov/pubmed/37075509
http://dx.doi.org/10.1016/j.yebeh.2023.109146
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