Evidence map›Paper›PMID 32353184›Full record

ArticleEpilepsia2020

Severe psychological distress among patients with epilepsy during the COVID-19 outbreak in southwest China.

Xiaoting Hao, Dong Zhou, Zhe Li, Guojun Zeng, Nanya Hao, Enzhi Li, Wenjing Li, Aiping Deng, Mintao Lin, Bo Yan

Open access · bronzeAbstract read
In one paragraph

Article in Epilepsia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 7 pooled it
20.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 7 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Pooled it
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  4. COVID-19, de novo seizures, and epilepsy: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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  8. Article
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  11. Epilepsy in Asian countries.Acta epileptologica · 2023
    Review
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  16. Seizure control during the COVID-19 pandemic: Correlating Responsive Neurostimulation System data with patient reports.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Xiaoting HaoDepartment of Neurology, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.ORCID 0000-0002-0372-1634
Dong ZhouDepartment of Neurology, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.ORCID 0000-0001-5096-7023
Zhe LiMental Health Center, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.
Guojun ZengDepartment of Vascular Surgery, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.
Nanya HaoDepartment of Neurology, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.
Enzhi LiDepartment of Neurology, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.
Wenjing LiWest China School of Nursing, Sichuan University, Sichuan Province, Chengdu, China.
Aiping DengWest China School of Nursing, Sichuan University, Sichuan Province, Chengdu, China.
Mintao LinWest China School of Medicine, Sichuan University, Sichuan Province, Chengdu, China.
Bo YanDepartment of Neurology, West China Hospital, Sichuan University, Sichuan Province, Chengdu, China.ORCID 0000-0001-5767-2535
Sichuan University · CN

Funding

National Key R&D Program of China 2017YFC0907705The National Key R&D Program of China 2017YFC0907702
6 · The paper itself

Abstract

objectiveTo compare the severity of psychological distress between patients with epilepsy and healthy controls during the COVID-19 outbreak in southwest China, as well as identify potential risk factors of severe psychological distress among patients with epilepsy.

methodsThis cross-sectional case-control study examined a consecutive sample of patients older than 15 years treated at the epilepsy center of West China Hospital between February 1 and February 29, 2020. As controls, sex- and age-matched healthy visitors of inpatients (unrelated to the patients) were also enrolled during the same period. Data on demographics and attention paid to COVID-19 were collected by online questionnaire, data on epilepsy features were collected from electronic medical records, and psychological distress was evaluated using the 6-item Kessler Psychological Distress Scale (K-6). Potential risk factors of severe psychological distress were identified using multivariate logistic regression.

resultsThe 252 patients and 252 controls in this study were similar along all demographic variables except family income. Patients with epilepsy showed significantly higher K-6 scores than healthy controls and spent significantly more time following the COVID-19 outbreak (both P < .001). Univariate analyses associated both diagnosis of drug-resistant epilepsy and time spent paying attention to COVID-19 with severe psychological distress (defined as K-6 score >12; both P ≤ .001). Multivariate logistic regression identified two independent predictors of severe psychological distress: time spent paying attention to COVID-19 (odds ratio [OR] = 1.172, 95% confidence interval [CI] = 1.073-1.280) and diagnosis of drug-resistant epilepsy (OR = 0.283, 95% CI = 0.128-0.623). SIGNIFICANCE: During public health outbreaks, clinicians and caregivers should focus not only on seizure control but also on mental health of patients with epilepsy, especially those with drug-resistant epilepsy. K-6 scores > 12 indicate severe psychological distress. This may mean, for example, encouraging patients to engage in other activities instead of excessively following media coverage of the outbreak.

Indexed as

Coronavirus InfectionsPandemicsPneumonia, ViralPsychological DistressAdolescentAdultAnxietyAttentionBetacoronavirusCase-Control StudiesChinaCOVID-19Cross-Sectional StudiesDepressionDisease OutbreaksDrug Resistant EpilepsyCOVID-19drug-resistant epilepsyepilepsyoutbreakpsychological distressstress status

Identifiers

PMID32353184
PMCPMC7267575
OpenAlexW3022772134

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.