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Social and cultural representation of Epilepsy in elderly aged 65 and more, during a community survey in two French Departments (Hautevienne and Creuse).

AbstractBACKGROUND:
Epilepsy is often associated with discrediting representations even in the developed countries. The prevalence of disease is 3-5 in thousand.
PURPOSE:
Our purpose was to assess social and cultural representation of epilepsy in the elderly in two French departments (Haute-Vienne and Creuse).
METHODS:
An analysis of the answers given by 380 (190 in Haute-Vienne and 190 in Creuse) persons aged 65 and more, selected with the method of quota, during a face to face interview using a questionnaire which explores the representations of epilepsy. The interview was done in 2003 during the local step of an international multi centric community survey entitled "Mental disorders: Image and Realities in community sample".
RESULTS:
Beliefs in supernatural causes of epilepsy, witchcraft, curse and punishment are more important in elderly aged 65 and more prevalent compared to the younger subjects; it's the opposite for social causes (conflicts, bereavements, stress). The alimentary interdictions are also persistent. Medical assistance keep a good place in the knowledge of the therapy of epilepsy. It showed that those aged 65 and more in Haute-Vienne had social and cultural representation of epilepsy, generally more pessimistic than those of the persons aged less than 65.
CONCLUSION:
The study confirmed a decrease in the stigma about epilepsy. This data suggest a better consideration of the social and cultural representations in the fight against epilepsy even in western countries.
AuthorsF Rafael, C Dubreuil, Jean A Prado, F Burbaud, Jp Clement, Pm Preux, P Nubukpo
JournalAnnals of neurosciences (Ann Neurosci) Vol. 17 Issue 2 Pg. 60-2 (Apr 2010) ISSN: 0972-7531 [Print] United States
PMID25205873 (Publication Type: Journal Article)

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