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Abstract
AWARENESS TOWARD EPILEPSY: ATTITUDE, MANAGEMENT, AND FIRST AID KNOWLEDGE OF SEIZURES
*Asaad Ghanim Jaddoa, Osamah Omar Yousif, Atyeaf Hamid Taib
ABSTRACT
Background: Medical doctors’ knowledge and attitudes toward epilepsy play a crucial role in determining thequality of care, patient safety, and social integration of individuals with epilepsy. Inadequate awareness may leadto misdiagnosis, improper first aid, and suboptimal long-term management. This study aimed to assess the level ofknowledge, attitudes, and perceptions regarding epilepsy presentation, diagnosis, treatment options, and seizurefirst aid among medical doctors in Iraq. Methods: A cross-sectional study was conducted using a structured, selfadministeredquestionnaire distributed to 313 medical doctors across Iraq. The survey assessed demographiccharacteristics, knowledge of epilepsy diagnosis and management, awareness of first aid measures duringseizures, and attitudes toward the social aspects of epilepsy. Participants varied in educational level, professionaltitle, specialty, and workplace. Statistical analysis was performed to identify associations between knowledgelevels and medical specialties. Results: A total of 313 respondents completed the questionnaire, with a mean ageof 41.37 ± 10.86 years. Pediatric specialties constituted the largest group (52.4%). Overall, a low level ofawareness was observed regarding epilepsy management, first aid, and attitudes. More than half of participantsdemonstrated insufficient knowledge of epilepsy diagnosis, with significant variation across specialties (p < 0.05).Knowledge of seizure first aid was inadequate in over 50% of respondents. Awareness of advanced treatmentoptions was limited, particularly for vagus nerve stimulation (71.9%), ketogenic diet (54.3%), and epilepsysurgery (53.1%). Additionally, only 45% correctly identified lamotrigine as a safe option for myoclonic seizures.Conclusion: The study reveals substantial gaps in knowledge and attitudes toward epilepsy among medicaldoctors in Iraq, particularly regarding diagnosis, first aid, and advanced treatment modalities. These findingshighlight the need for targeted educational and training programs to improve epilepsy care and patient outcomes.
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