Faktor-Faktor yang Berhubungan dengan Gangguan Emosional Dinilai dari Aspek Internalisasi, Eksternalisasi, dan Atensi pada Anak dengan Epilepsi di RS Adam Malik Medan

Abstract

Background : Children with epilepsy are at risk of experiencing complex emotional disorders that are closely related to their health-related quality of life.

Objective : This study aims to analyze the factors associated with emotional disorders in children with epilepsy.

Methods : This research is a cross-sectional study conducted at the Neurology Division outpatient clinic of RS Adam Malik. The study was conducted from March - April 2025. The target population consisted of children aged 1 to 18 years with epilepsy who were receiving antiepileptic therapy. The sample size is80 participants. The data were analyzed using Chi-square test and logistic regression methods.

Results : This study involved 80 children with epilepsy at RS Adam Malik who met the inclusion criteria. The majority of subjects were male (55.0%), experienced seizures ≥ 5 times per month (75.0%), had generalized seizures (60.0%), received polytherapy (58.7%), and had seizure durations > 60 seconds (66.3%). The Chi-square test showed that the variables significantly associated with emotional disorders in children with epilepsy were seizure frequency (p = 0.001), seizure type (p = 0.000), seizure duration (p = 0.0027), and number of medications taken (p = 0.006). Age and gender was not associated with emotional disorders in children with epilepsy.

Conclusion : The factors associated with emotional disorders in children with epilepsy are seizure frequency, seizure type, seizure duration, and the number of medications taken. Gender was not associated with emotional disorders in children with epilepsy.