Relationship between psychosocial factors and disability in women with epilepsy

Most of the neurological and psychiatric disorders bring special concerns for women and epilepsy is no exception. Along with its impact on normal functioning due to unpredictable nature of attacks and traumatic manifestations, the psychosocial factors exacerbate the condition leading to disability. The aim of the study was to examine the relationship between the psychosocial factors and functioning and social disability. A sample of 150 women with epilepsy was selected from the out patient departments of NIMHANS through random method. A quantitative, descriptive research design was adopted. WHODAS II¹ was used along with socio-demographic profile schedule. Analysis was done using SPSS 15 with descriptive statistics, Pearson's correlation coefficient and multiple regression analysis. The mean age was 29.05 years (SD [±] 8.24). A majority of them (67.3%) were non-earning members. Frequent seizure attacks were observed with 20.7% of the subjects (repeating in a short span of less than a week). The women showed high mean score on the domains of participation in society and total disability on WHO DAS-2. The Stepwise Multiple Regression Analysis showed that women with higher age group, poor family relationship, frequent seizure attack, and financial difficulties were predicted to be the factors causing disability. To reduce the disability and enhance the functioning it is essential to initiate a comprehensive and evidence based psychosocial intervention modalities. Thus Social Work intervention should emphasize the holistic approach of the health and well-being of women with epilepsy.