Research Article
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Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy

Year 2026, Volume: 16 Issue: 1, 89 - 95, 19.03.2026
https://izlik.org/JA93RT97KN

Abstract

Aim: Epilepsy frequently occurs in childhood and represents one
of the most common neurological conditions seen in this age
group. Managing the disorder effectively requires both adequate
seizure control and the development of strong self-efficacy skills.
This study aimed to explore the association between seizure-related
self-efficacy and various sociodemographic factors among
school-aged and adolescent children diagnosed with epilepsy.
Material and Methods: The study was descriptive and crosssectional
in design, conducted between March and August
2017 at the Pediatric Neurology Outpatient Clinic of a hospital
in Istanbul. A total of 127 children meeting the inclusion criteria
participated in the study after providing informed consent. Data
were gathered through a structured “Information Form” and the
“Seizure Self-Efficacy Scale for Children with Epilepsy.” Statistical
analyses included frequency distributions, one-way ANOVA, and
Student’s t-test.
Results: The average age of the participants was 12.6 years; the
majority were female (60.6%) and middle school students (51.2%).
The mean seizure self-efficacy score was 3.12, with a Cronbach’s
alpha of 0.866 indicating strong internal consistency. A significant
positive correlation was found between age and seizure self-efficacy
scores (p=0.017). Additionally, maternal (p=0.003) and paternal
(p=0.043) education levels were significantly associated with
differences in self-efficacy scores.
Conclusion: Children face challenges related to long-term medication
use and seizures. As age and parental education levels increase,
seizure self-efficacy improves.

References

  • 1. World Health Organization. Epilepsy [Internet]. 2019 [cited 2024 Nov 19]. Available from: https://www.who.int/newsroom/factsheets/detail/epilepsy
  • 2. Turkish Neurology Association. Epilepsy Working Group diagnosis and treatment guide [Internet]. 2021 [cited 2024 Nov 19]. Available from: https://www.noroloji.org.tr/TNDData/Uploads/files/Epilepsi%202015%20G%C3%BCncellenmi%C5%9F.pdf
  • 3. Günbey C, Turanlı G. Epilepsy and pediatric epilepsy syndromes. Turk J Pediatr Dis. 2022;16:249–257. https://doi.org/10.12956/tchd.888121
  • 4. Akdağ G, Algın Dİ, Erdinç OO. Epilepsy. Osmangazi Med J. 2016;38(Suppl 1):35-41. https://doi.org/10.20515/otd.88853
  • 5. Balal M, Demir T, Aslan K, Bozdemir H. Prevalence of epilepsy in Adana province and its relationship with sociodemographic factors. Turk J Fam Med Prim Care. 2017;11(1):20–28. https://doi.org/10.21763/tjfmpc.296272
  • 6. Başkale H, Çetinkaya B, Ceylan SS, Öztaş Ü. Life satisfaction and coping attitudes of mothers of children with epilepsy. Curr Pediatr. 2019;17(2):265–278. https://doi.org/10.4274/jcp.2019.0024
  • 7. Yorulmaz DS, Çınar S, Kanbay Y. Experiences and seizure burden of children diagnosed with epilepsy and their families: a phenomenological study. Turkiye Klinikleri J Health Sci. 2021;6(4):734–744. https://doi.org/10.5336/healthsci.2020-80352
  • 8. Dunn D, Walsh K. Anxiety in children and adolescents with epilepsy. J Pediatr Epilepsy. 2018;7(3):97–102. https://doi.org/10.1055/s-0038-1676537
  • 9. Tutar Güven Ş, İşler A. The importance of seizure self-efficacy in children with epilepsy in terms of disease management. Epilepsy. 2014;20(3):103–106. https://doi.org/10.5505/epilepsi.2014.92905
  • 10. Kahraman A, Bolışık B. Examination of attitudes of children with epilepsy towards their illness. Peer Rev Acad J Sports Health Med Sci. 2014;10(4):53–66.
  • 11. Huang Y, Li S, Lu X, Chen W, Zhang Y. The effect of self-management on patients with chronic diseases: a systematic review and meta-analysis. Healthcare (Basel). 2024;12(21):1–15. https://doi.org/10.3390/healthcare12212151
  • 12. Kolahi AA, Abbasi-Kangevari M, Bakhshaei P, Mahvelati-Shamsabadi F, Tonekaboni SH, Farsar AR. Knowledge, attitudes, and practices among mothers of children with epilepsy: a study in a teaching hospital. Epilepsy Behav. 2017;69:147–152. https://doi.org/10.1016/j.yebeh.2016.10.018
  • 13. Ayar D, Bektas M, Ünalp A, Edizer S, Yalçintuğ FM, Güdeloğlu E. The association between seizure self-efficacy of children with epilepsy and perceived stigma. Epilepsy Behav. 2020;110:107141. https://doi.org/10.1016/j.yebeh.2020.107141
  • 14. Tutar Güven Ş, Fırat MZ, Dalgıç Aİ. Seizure self-efficacy scale for children with epilepsy: confirmatory and exploratory factor analysis. J Pediatr Res. 2017;4(4):220–226. https://doi.org/10.4274/jpr.60490
  • 15. Akbarbegloo M, Valizadeh L, Zamanzadeh V, Jabarzadeh F. The relationship between self-efficacy and psychosocial care in adolescents with epilepsy. Epilepsy Res Treat. 2015;2015:1–7. https://doi.org/10.1155/2015/756849
  • 16. Caplin D, Austin JK, Dunn DW, Shen J, Perkins S. Development of a self-efficacy scale for children and adolescents with epilepsy. Child Health Care. 2002;31(4):295–309. https://doi.org/10.1207/S15326888CHC3104_3
  • 17. Tutar Güven Ş, İşler A. Validity and reliability study of the seizure self-efficacy scale for children with epilepsy. Arch Neuropsychiatr. 2015;52:47–53. https://doi.org/10.5152/npa.2015.7399
  • 18. Smith G, Modi AC, Johnson EK, Shegog R, Austin JK, Wagner JL. Measurement in pediatric epilepsy self-management: a critical review. Epilepsia. 2018;59(3):509–522. https://doi.org/10.1111/epi.13992
  • 19. Zhao J, Li S, Zhang N, Cui C, Wang T, Fan M, et al. Felt stigma and associated factors in children and adolescents with epilepsy: a multicenter cross-sectional study in China. Front Neurol. 2024;15:1–11. https://doi.org/10.3389/fneur.2024.1459392
  • 20. Wagner JL, Modi AC, Johnson EK, Shegog R, Escoffery C, Bamps Y, et al. Self-management interventions in pediatric epilepsy: What is the level of evidence?. Epilepsia. 2017;58(5):743–754. https://doi.org/10.1111/epi.13711
  • 21. Ferro MA, Avison WR, Campbell MK, Speechley KN; Canadian Child Neurocognitive Outcomes Study Group. The impact of maternal depressive symptoms on health-related quality of life in children with epilepsy: a prospective study of family environment as mediators and moderators. Epilepsia. 2011;52(2):316–325. https://doi.org/10.1111/j.1528-1167.2010.02769.x
  • 22. Tekçiftçi F. The relationship between seizure self-efficacy and quality of life in children with epilepsy [master’s thesis]. Konya: Necmettin Erbakan University, Institute of Health Sciences; 2024.
  • 23. Duran S, Can Öz Y. Self-management, spousal support, and related factors among individuals diagnosed with epilepsy. Arch Epilepsy. 2024;30(1):78–83. https://doi.org/10.4274/ArchEpilepsy.2024.23109

Year 2026, Volume: 16 Issue: 1, 89 - 95, 19.03.2026
https://izlik.org/JA93RT97KN

Abstract

References

  • 1. World Health Organization. Epilepsy [Internet]. 2019 [cited 2024 Nov 19]. Available from: https://www.who.int/newsroom/factsheets/detail/epilepsy
  • 2. Turkish Neurology Association. Epilepsy Working Group diagnosis and treatment guide [Internet]. 2021 [cited 2024 Nov 19]. Available from: https://www.noroloji.org.tr/TNDData/Uploads/files/Epilepsi%202015%20G%C3%BCncellenmi%C5%9F.pdf
  • 3. Günbey C, Turanlı G. Epilepsy and pediatric epilepsy syndromes. Turk J Pediatr Dis. 2022;16:249–257. https://doi.org/10.12956/tchd.888121
  • 4. Akdağ G, Algın Dİ, Erdinç OO. Epilepsy. Osmangazi Med J. 2016;38(Suppl 1):35-41. https://doi.org/10.20515/otd.88853
  • 5. Balal M, Demir T, Aslan K, Bozdemir H. Prevalence of epilepsy in Adana province and its relationship with sociodemographic factors. Turk J Fam Med Prim Care. 2017;11(1):20–28. https://doi.org/10.21763/tjfmpc.296272
  • 6. Başkale H, Çetinkaya B, Ceylan SS, Öztaş Ü. Life satisfaction and coping attitudes of mothers of children with epilepsy. Curr Pediatr. 2019;17(2):265–278. https://doi.org/10.4274/jcp.2019.0024
  • 7. Yorulmaz DS, Çınar S, Kanbay Y. Experiences and seizure burden of children diagnosed with epilepsy and their families: a phenomenological study. Turkiye Klinikleri J Health Sci. 2021;6(4):734–744. https://doi.org/10.5336/healthsci.2020-80352
  • 8. Dunn D, Walsh K. Anxiety in children and adolescents with epilepsy. J Pediatr Epilepsy. 2018;7(3):97–102. https://doi.org/10.1055/s-0038-1676537
  • 9. Tutar Güven Ş, İşler A. The importance of seizure self-efficacy in children with epilepsy in terms of disease management. Epilepsy. 2014;20(3):103–106. https://doi.org/10.5505/epilepsi.2014.92905
  • 10. Kahraman A, Bolışık B. Examination of attitudes of children with epilepsy towards their illness. Peer Rev Acad J Sports Health Med Sci. 2014;10(4):53–66.
  • 11. Huang Y, Li S, Lu X, Chen W, Zhang Y. The effect of self-management on patients with chronic diseases: a systematic review and meta-analysis. Healthcare (Basel). 2024;12(21):1–15. https://doi.org/10.3390/healthcare12212151
  • 12. Kolahi AA, Abbasi-Kangevari M, Bakhshaei P, Mahvelati-Shamsabadi F, Tonekaboni SH, Farsar AR. Knowledge, attitudes, and practices among mothers of children with epilepsy: a study in a teaching hospital. Epilepsy Behav. 2017;69:147–152. https://doi.org/10.1016/j.yebeh.2016.10.018
  • 13. Ayar D, Bektas M, Ünalp A, Edizer S, Yalçintuğ FM, Güdeloğlu E. The association between seizure self-efficacy of children with epilepsy and perceived stigma. Epilepsy Behav. 2020;110:107141. https://doi.org/10.1016/j.yebeh.2020.107141
  • 14. Tutar Güven Ş, Fırat MZ, Dalgıç Aİ. Seizure self-efficacy scale for children with epilepsy: confirmatory and exploratory factor analysis. J Pediatr Res. 2017;4(4):220–226. https://doi.org/10.4274/jpr.60490
  • 15. Akbarbegloo M, Valizadeh L, Zamanzadeh V, Jabarzadeh F. The relationship between self-efficacy and psychosocial care in adolescents with epilepsy. Epilepsy Res Treat. 2015;2015:1–7. https://doi.org/10.1155/2015/756849
  • 16. Caplin D, Austin JK, Dunn DW, Shen J, Perkins S. Development of a self-efficacy scale for children and adolescents with epilepsy. Child Health Care. 2002;31(4):295–309. https://doi.org/10.1207/S15326888CHC3104_3
  • 17. Tutar Güven Ş, İşler A. Validity and reliability study of the seizure self-efficacy scale for children with epilepsy. Arch Neuropsychiatr. 2015;52:47–53. https://doi.org/10.5152/npa.2015.7399
  • 18. Smith G, Modi AC, Johnson EK, Shegog R, Austin JK, Wagner JL. Measurement in pediatric epilepsy self-management: a critical review. Epilepsia. 2018;59(3):509–522. https://doi.org/10.1111/epi.13992
  • 19. Zhao J, Li S, Zhang N, Cui C, Wang T, Fan M, et al. Felt stigma and associated factors in children and adolescents with epilepsy: a multicenter cross-sectional study in China. Front Neurol. 2024;15:1–11. https://doi.org/10.3389/fneur.2024.1459392
  • 20. Wagner JL, Modi AC, Johnson EK, Shegog R, Escoffery C, Bamps Y, et al. Self-management interventions in pediatric epilepsy: What is the level of evidence?. Epilepsia. 2017;58(5):743–754. https://doi.org/10.1111/epi.13711
  • 21. Ferro MA, Avison WR, Campbell MK, Speechley KN; Canadian Child Neurocognitive Outcomes Study Group. The impact of maternal depressive symptoms on health-related quality of life in children with epilepsy: a prospective study of family environment as mediators and moderators. Epilepsia. 2011;52(2):316–325. https://doi.org/10.1111/j.1528-1167.2010.02769.x
  • 22. Tekçiftçi F. The relationship between seizure self-efficacy and quality of life in children with epilepsy [master’s thesis]. Konya: Necmettin Erbakan University, Institute of Health Sciences; 2024.
  • 23. Duran S, Can Öz Y. Self-management, spousal support, and related factors among individuals diagnosed with epilepsy. Arch Epilepsy. 2024;30(1):78–83. https://doi.org/10.4274/ArchEpilepsy.2024.23109
There are 23 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Article
Authors

Özge Eda Karadağ Aytemiz

Şükran Musaoğlu

Duygu Gözen

Emine Kansu

Sema Aytar

Submission Date March 24, 2025
Acceptance Date February 10, 2026
Publication Date March 19, 2026
IZ https://izlik.org/JA93RT97KN
Published in Issue Year 2026 Volume: 16 Issue: 1

Cite

APA Karadağ Aytemiz, Ö. E., Musaoğlu, Ş., Gözen, D., Kansu, E., & Aytar, S. (2026). Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy. Kafkas Journal of Medical Sciences, 16(1), 89-95. https://izlik.org/JA93RT97KN
AMA 1.Karadağ Aytemiz ÖE, Musaoğlu Ş, Gözen D, Kansu E, Aytar S. Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy. Kafkas Journal of Medical Sciences. 2026;16(1):89-95. https://izlik.org/JA93RT97KN
Chicago Karadağ Aytemiz, Özge Eda, Şükran Musaoğlu, Duygu Gözen, Emine Kansu, and Sema Aytar. 2026. “Determining Seizure Self-Efficacy in School-Age and Adolescent Children With Epilepsy”. Kafkas Journal of Medical Sciences 16 (1): 89-95. https://izlik.org/JA93RT97KN.
EndNote Karadağ Aytemiz ÖE, Musaoğlu Ş, Gözen D, Kansu E, Aytar S (March 1, 2026) Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy. Kafkas Journal of Medical Sciences 16 1 89–95.
IEEE [1]Ö. E. Karadağ Aytemiz, Ş. Musaoğlu, D. Gözen, E. Kansu, and S. Aytar, “Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy”, Kafkas Journal of Medical Sciences, vol. 16, no. 1, pp. 89–95, Mar. 2026, [Online]. Available: https://izlik.org/JA93RT97KN
ISNAD Karadağ Aytemiz, Özge Eda - Musaoğlu, Şükran - Gözen, Duygu - Kansu, Emine - Aytar, Sema. “Determining Seizure Self-Efficacy in School-Age and Adolescent Children With Epilepsy”. Kafkas Journal of Medical Sciences 16/1 (March 1, 2026): 89-95. https://izlik.org/JA93RT97KN.
JAMA 1.Karadağ Aytemiz ÖE, Musaoğlu Ş, Gözen D, Kansu E, Aytar S. Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy. Kafkas Journal of Medical Sciences. 2026;16:89–95.
MLA Karadağ Aytemiz, Özge Eda, et al. “Determining Seizure Self-Efficacy in School-Age and Adolescent Children With Epilepsy”. Kafkas Journal of Medical Sciences, vol. 16, no. 1, Mar. 2026, pp. 89-95, https://izlik.org/JA93RT97KN.
Vancouver 1.Özge Eda Karadağ Aytemiz, Şükran Musaoğlu, Duygu Gözen, Emine Kansu, Sema Aytar. Determining Seizure Self-Efficacy in School-Age and Adolescent Children with Epilepsy. Kafkas Journal of Medical Sciences [Internet]. 2026 Mar. 1;16(1):89-95. Available from: https://izlik.org/JA93RT97KN