Evidence map›Paper›PMID 42416931›Full record

ArticleCureus2026

Assessment of Knowledge and Attitudes Related to Breath-Holding Spells Among Adults in Riyadh, Saudi Arabia.

Rimah O Alfawzan, Saba A Algashami, Rana I Alrgaiba, Mohammed Almesned

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In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rimah O AlfawzanFamily Medicine, King Saud Medical City, Riyadh, SAU.
Saba A AlgashamiFamily Medicine, King Saud Medical City, Riyadh, SAU.
Rana I AlrgaibaFamily Medicine, King Saud Medical City, Riyadh, SAU.
Mohammed AlmesnedFamily Medicine, King Saud Medical City, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreath-holding spells (BHS) are benign, self-limiting episodes in children that often cause parental anxiety. Adult awareness is crucial to mitigate undue panic and prevent inappropriate medical interventions, yet public understanding of BHS is limited, particularly in Saudi Arabia.

aimTo evaluate and quantify the levels of knowledge, awareness, and attitudes toward BHS among adults in Riyadh, and to identify specific socio-demographic factors significantly associated with good knowledge scores using a structured cross-sectional design.

methodsA descriptive cross-sectional study was conducted among 444 Saudi adults in Riyadh, Saudi Arabia. Data were collected using an expert-reviewed, pilot-tested online questionnaire. Knowledge scores were calculated based on correct responses (≥60%=good knowledge). Data were analyzed using IBM SPSS Statistics for Windows, Version 28 (Released 2021; IBM Corp., Armonk, New York, United States), and associations were tested using the chi-square test.

resultsMost participants were female (n=367, 82.7%) and married (n=287, 64.6%), with a bachelor's degree (n=258, 58.1%). Only 44.4% (n=197) had heard of BHS, and 24.3% (n=108) demonstrated good knowledge. The main sources of information perceived as helpful were the internet (n=207, 46.6%), family/friends (n=195, 43.9%), and healthcare providers (n=192, 43.2%), although only 9.5% (n=42) had actually received direct BHS information from a provider previously. Younger adults (18-25 years) and single participants had significantly higher knowledge (p<0.05), while gender, education, income, and parental status showed no significant association. Most participants reported high anxiety regarding episodes (n=339, 76.4%) and indicated they would seek medical advice for recurrent spells (n=278, 62.6%) regardless of knowledge level.

conclusionsKnowledge and awareness of BHS in Riyadh are suboptimal despite high concern and willingness to seek care. Age and marital status were the only significant predictors of knowledge. These findings highlight the need for primary care-based education to improve public understanding of BHS, reduce anxiety, and minimize unnecessary healthcare utilization.

Indexed as

attitudesbreath-holding spellsknowledgeprimary health caresaudi arabia

Identifiers

PMID42416931
PMCPMC13337343

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LicenceCC BY
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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.