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Epilepsy is frequently associated with neurocognitive impairments, mental health, and psychosocial problems but these are rarely documented in low- and middle-income countries. The aim of this study was to examine the neurocognitive outcomes, depressive symptoms, and psychosocial adjustments of people with epilepsy (PWE) in Kilifi, Kenya. We evaluated the impact of these outcomes on health-related quality of life. Self-report, interviewer-administered measures of depression (Major Depression Inventory) and quality of life (RAND SF-36) were administered to 63 PWE and 83 community controls. Neurocognitive functioning was assessed using Raven's Standard Progressive Matrices, Digit Span, and Contingency Naming Test. The results show that PWE have poorer scores for executive function, working memory, intelligence quotient (IQ), depression, and quality of life than controls. Twenty-seven (27%) of PWE had depressive symptoms, which was significantly greater than in controls (6%); P 

Original publication

DOI

10.1016/j.yebeh.2018.05.032

Type

Journal article

Journal

Epilepsy Behav

Publication Date

08/2018

Volume

85

Pages

45 - 51

Keywords

Adults, Depressive symptoms, Epilepsy, Kenya, Neurocognitive impairment, Quality of life, Adult, Affect, Cognition, Depression, Epilepsy, Female, Humans, Kenya, Literacy, Male, Mental Health, Quality of Life, Rural Population, Self Report, Social Adjustment, Young Adult