Adolescents' perception of epilepsy compared with other chronic diseases: "Through a teenager's eyes"

Christina Cheung, Elaine C Wirrell

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Adolescent perception of physical and social impact of chronic illness was assessed to determine (1) if there is greater prejudice toward epilepsy than other chronic disease and (2) if adolescents with chronic disease have less prejudice toward similarly affected peers with all types of chronic disease or just their specific chronic disease. Cognitively normal teens aged 13 to 18 years without chronic disease (n = 41) and with epilepsy (n = 32), asthma (n = 38), diabetes (n = 21), and migraine (n = 17) were interviewed in the outpatient clinics of a tertiary care pediatric center regarding their perceptions of the physical and social impact of eight chronic diseases (epilepsy, asthma, diabetes, Down syndrome, arthritis, migraine, leukemia, human immunodeficiency virus [HIV] infection). Epilepsy was perceived to have a more adverse physical impact than all chronic illnesses except Down syndrome. The perception was that it more frequently caused mental handicap, injured the afflicted individual and bystanders, and led to death. Epilepsy was also perceived to have a more negative social impact, particularly on behavior, honesty, popularity, adeptness at sports, and fun. Significantly more adolescents expressed reluctance to befriend peers with epilepsy, both from their own and their perceived parental perspectives. Having a chronic disease did not generally alter the adolescents' perceptions of peers with chronic disease. However, cases with epilepsy ranked this disease to have less social impact than teens with other chronic diseases. In conclusion, adolescents consider epilepsy to have a greater physical and social impact than most chronic diseases. Educational efforts should focus on the "normality" of most persons with epilepsy and emphasize the low risk of injury when proper first aid is followed.

Original languageEnglish (US)
Pages (from-to)214-222
Number of pages9
JournalJournal of Child Neurology
Volume21
Issue number3
StatePublished - Mar 2006
Externally publishedYes

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Epilepsy
Chronic Disease
Social Change
Down Syndrome
Migraine Disorders
Asthma
First Aid
Virus Diseases
Ambulatory Care Facilities
Tertiary Care Centers
Arthritis
Sports
Leukemia
HIV
Pediatrics
Wounds and Injuries

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Cite this

Adolescents' perception of epilepsy compared with other chronic diseases : "Through a teenager's eyes". / Cheung, Christina; Wirrell, Elaine C.

In: Journal of Child Neurology, Vol. 21, No. 3, 03.2006, p. 214-222.

Research output: Contribution to journalArticle

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