Information from the abstract
Background: Epilepsy is a chronic neurological disorder commonly associated with depressive symptoms, which can negatively affect quality of life. Early identification through screening is therefore important in pediatric epilepsy care. Objective: To determine the prevalence of depressive symptoms and associated factors among pediatric patients with epilepsy at Maharat Nakhon Ratchasima Hospital. Methods: A cross-sectional study was conducted among patients aged 10–15 years with epilepsy attending the Pediatric Epilepsy Clinic between May 2024 and June 2025. A total of 141 participants were included. Demographic, family, and epilepsy-related data were collected. Depressive symptoms were screened using the Thai version of the Children’s Depression Inventory (CDI). Univariate analysis followed by multivariable logistic regression was performed. Results: The mean age was 12.7 ± 1.6 years, and 59.6% were male. The prevalence of depressive symptoms was 19.9% (28/141). In univariate analysis, maternal and primary caregiver occupation were significantly associated with depressive symptoms. In multivariable analysis, increasing age (adjusted OR 1.60, 95% CI 1.13–2.26), female sex (adjusted OR 3.29, 95% CI 1.11–9.81), seizure frequency of less than once per month to once every three months compared with daily seizures (adjusted OR 5.70, 95% CI 1.55–20.99), and generalized seizure type (adjusted OR 4.04, 95% CI 1.32–12.35) were independently associated with depressive symptoms. Socioeconomic factors were not significant after adjustment. Conclusion: Depressive symptoms were identified in approximately one-fifth of children with epilepsy. Both psychosocial and clinical factors were associated, with family-related factors observed in univariate analysis and clinical variables identified in multivariable analysis. Routine screening should be integrated into pediatric epilepsy care, and longitudinal studies are needed to clarify causal relationships.
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Related topics: Epilepsy research and treatment · Cancer Research and Treatment · Pharmacological Effects and Toxicity Studies
Thai researcher and institutional participation
Paneeta Panjanya · Manachawee Maneeratchakit · Vitchayaporn Emarach Saengow · Maharat Nakhon Ratchasima Hospital
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