Epilepsy knowledge, awareness, and attitudes among pharmacy students in a private university in Lebanon: A cross-sectional study


  • Samar Younes School of Pharmacy, Lebanese International University, Bekaa, Lebanon
  • Mohamad Rahal School of Pharmacy, Lebanese International University, Bekaa, Lebanon
  • Dalal Hammoudi Halat School of Pharmacy, Lebanese International University, Bekaa, Lebanon
  • Mohamed Hendaus School of Pharmacy, Lebanese International University, Bekaa, Lebanon
  • Jihan Safwan School of Pharmacy, Lebanese International University, Beirut, Lebanon
  • Nisreen Mourad School of Pharmacy, Lebanese International University, Bekaa, Lebanon




Attitude, Awareness, Epilepsy, Knowledge, Pharmacy education, Pharmacy student


Introduction: This study aimed to determine the knowledge, awareness, and attitudes regarding epilepsy among undergraduate pharmacy students in a Lebanese private university.   

Methods: A cross-sectional descriptive study was conducted through a web-based questionnaire that was sent to 251 pharmacy students. Data related to demographic characteristics and understanding of epilepsy were collected.   

Results: Around 58% of the students completed the questionnaire, with a mean age of 20.5 years and the majority being females (80%). Most students believed that the origin of epilepsy is neurological (93%). About 47% were aware of the types of seizures. Lectures were the most relevant source of information (64%). The majority of respondents (97%) knew that treatment of epilepsy is mainly by using medications.   

Conclusion: This study reflected a satisfactory level of awareness and knowledge of epilepsy among undergraduate pharmacy students, however, there is a need to improve certain aspects of understanding of epilepsy.

Author Biographies

Samar Younes, School of Pharmacy, Lebanese International University, Bekaa, Lebanon

Department of Biomedical Sciences

Mohamad Rahal, School of Pharmacy, Lebanese International University, Bekaa, Lebanon

Department of Pharmaceutical Sciences

Dalal Hammoudi Halat, School of Pharmacy, Lebanese International University, Bekaa, Lebanon

Department of Pharmaceutical Sciences

Mohamed Hendaus, School of Pharmacy, Lebanese International University, Bekaa, Lebanon

Department of Pharmacy Practice

Jihan Safwan, School of Pharmacy, Lebanese International University, Beirut, Lebanon

Department of Biomedical Sciences

Nisreen Mourad, School of Pharmacy, Lebanese International University, Bekaa, Lebanon

Department of Pharmaceutical Sciences


Adoukonou, T., Tognon-Tchegnonsi, F., Gnonlonfoun, D., Djidonou, A., Sego-Sounon, D., Gandaho, P., & Houinato, D. (2015). Aspects socioculturels de l’épilepsie dans une communauté rurale au nord Bénin en 2011. Bulletin de la Société de pathologie exotique, 108(2), 133–138. https://doi.org/10.1007/s13149-015-0425-6

Ak, P.D., Atakli, D., Yuksel, B., Guveli, B.T., & Sari, H. (2015). Stigmatization and social impacts of epilepsy in Turkey. Epilepsy & Behavior, 50, 50–54. https://doi.org/10.1016/j.yebeh.2015.05.014

Al-Eryani, B., Saied, K.G., Alddin, R.S., Al-Sobaihi, S., Lutf, W., & Al-Taiar, A. (2015). Knowledge of, attitudes toward, and perceptions of epilepsy among university students in Yemen. Epilepsy & Behavior, 52, 102–107. https://doi.org/10.1016/j.yebeh.2015.08.011

Al-Hashemi, E., Ashkanani, A., Al-Qattan, H., Mahmoud, A., Al-Kabbani, M., Al-Juhaidli, A., Jaafar, A., & Al-Hashemi, Z. (2016). Knowledge about Epilepsy and Attitudes toward Students with Epilepsy among Middle and High School Teachers in Kuwait. International Journal of Pediatrics, e5138952. https://doi.org/10.1155/2016/5138952

Al-Rashed, H., Al-Yahya, D., Al-Kandari, A., Shehab, A., Al-Sabah, R., & Al-Taiar, A. (2009). Knowledge of, perceptions of, and attitudes toward epilepsy among university students in Kuwait. Epilepsy & Behavior, 14(2), 367–371. https://doi.org/10.1016/j.yebeh.2008.11.015

Anjum, F., Ghayas, S., Ali, T., Jahan, N., Qadeer, H., & Arshad, A. (2014). Awareness of epilepsy in pharmacy students in different universities of Karachi, Pakistan. African Journal of Pharmacy and Pharmacology, 8(10), 278–283. https://doi.org/10.5897/AJPP2013.4021

Bahou, Y., Alzghoul, L., Alajloni, E.M., Albliwi, M. A., Alsabatin, N.O., & Toubah, Y.K. (2020). Knowledge and awareness among patients with epilepsy observed at Jordan University Hospital. Epilepsy & Behavior, 102. https://doi.org/10.1016/j.yebeh.2019.106697

Benamer, H.T.S., & Grosset, D.G. (2009). A systematic review of the epidemiology of epilepsy in Arab countries. Epilepsia, 50(10), 2301–2304. https://doi.org/10.1111/j.1528-1167.2009.02058.x

Beydoun, A., Sawaya, M.-T., Alam, E., Hmaimess, G., Ezzeddine, K., & Younes, F. (2015). Treatment registry in focal epilepsy (TRIP): Multicenter observational study in Lebanon. Seizure. European Journal of Epilepsy, 27, 54–59. https://doi.org/10.1016/j.seizure.2015.03.001

Bhesania, N.H., Rehman, A., Savul, I.S., & Zehra, N. (1969). Knowledge, attitude and practices of school teachers towards epileptic school children in karachi, pakistan. Pakistan Journal of Medical Sciences, 30(1). https://doi.org/10.12669/pjms.301.4307

Caixeta, J., Fernandes, P.T., Bell, G.S., Sander, J.W., & Li, L.M. (2007). Epilepsy perception amongst university students: A survey. Arquivos de Neuro-Psiquiatria, 65, 43–48. https://doi.org/10.1590/S0004-282X2007001000007

Caveness, W.F., & Gallup Jr., G.H. (1980). A Survey of Public Attitudes Toward Epilepsy in 1979 with an Indication of Trends over the Past Thirty Years. Epilepsia, 21(5), 509–518. https://doi.org/10.1111/j.1528-1157.1980.tb04302.x

Chung, M.-Y., Chang, Y., Lai, Y.-H. C., & Lai, C.-W. (1995). Survey of Public Awareness, Understanding, and Attitudes Toward Epilepsy in Taiwan. Epilepsia, 36(5), 488–493. https://doi.org/10.1111/j.1528-1157.1995.tb00491.x

Dantas, F.G., Cariri, G.A., & Ribeiro Filho, A.R.V. (2001). Knowledge and attitudes toward epilepsy among primary, secondary and tertiary level teachers. Arquivos de Neuro-Psiquiatria, 59, 712–716. https://doi.org/10.1590/S0004-282X2001000500011

Epilepsy: A public health imperative. (n.d.). (2022). Available at: https://www.who.int/publications/i/item/epilepsy-a-public-health-imperative

Epilepsy according to the Christian, Jewish and Islamic religions: An overview / Anna Vanzan Paladin. (n.d.). Wellcome Collection. (2022). Available at: https://wellcomecollection.org/works/qjc3rxy8

Falavigna, A., Teles, A.R., Roxo, M.R.R., Velho, M.C., Silva, R.C. da, Mazzocchin, T., & Vedana, V.M. (2009). Awareness and attitudes on epilepsy among undergraduate health care students in Southern Brazil. Journal of Epilepsy and Clinical Neurophysiology, 15, 19–23. https://doi.org/10.1590/S1676-26492009000100005

Falco-Walter, J.J., Scheffer, I.E., & Fisher, R.S. (2018). The new definition and classification of seizures and epilepsy. Epilepsy Research, 139, 73–79. https://doi.org/10.1016/j.eplepsyres.2017.11.015

Fong, C.G., & Hung, A. (2002). Public Awareness, Attitude, and Understanding of Epilepsy in Hong Kong Special Administrative Region, China. Epilepsia, 43(3), 311–316. https://doi.org/10.1046/j.1528-1157.2002.31901.x

Gedefa, M., Wolde, T., & Solomon, G. (2012). Knowledge, Attitudes and Practices with respect to Epilepsy among Preparatory School Students in Mekelle city, Ethiopia. International Journal of Collaborative Research on Internal Medicine & Public Health, 4(3). https://internalmedicine.imedpub.com/abstract/knowledge-attitudes-and-practices-with-respect-to-epilepsyrnamong-preparatory-school-students-in-mekelle-city-ethiopia-6073.html

Hasan, S.S., & Khan, D.M.H.S. (2011). Knowledge, awareness and attitudes of pharmacy students toward epilepsy. Pharmacy Education, 11. https://pharmacyeducation.fip.org/pharmacyeducation/article/view/297

Hijazeen, J.K., Abu-Helalah, M.A., Alshraideh, H.A., Alrawashdeh, O.S., Hawa, F.N., Dalbah, T.A., & Abdallah, F.W. (2014). Knowledge, attitudes, and beliefs about epilepsy and their predictors among university students in Jordan. Epilepsy & Behavior, 41, 238–243. https://doi.org/10.1016/j.yebeh.2014.10.010

Hills, M.D., & MacKenzie, H.C. (2002). New Zealand Community Attitudes toward People with Epilepsy. Epilepsia, 43(12), 1583–1589. https://doi.org/10.1046/j.1528-1157.2002.32002.x

Jacoby, A. (2002). Stigma, epilepsy, and quality of life. Epilepsy & Behavior, 3(6), 10–20. https://doi.org/10.1016/S1525-5050(02)00545-0

Jensen, R., & Dam, M. (1992). Public Attitudes Toward Epilepsy in Denmark. Epilepsia, 33(3), 459–463. https://doi.org/10.1111/j.1528-1157.1992.tb01691.x

Kabir, M., Iliyasu, Z., Abubakar, I., Kabir, Z., & Farinyaro, A. (2005). Knowledge, attitude and beliefs about epilepsy among adults in a northern nigerian urban community. Semantic Scholar. https://www.semanticscholar.org/paper/KNOWLEDGE%2C-ATTITUDE-AND-BELIEFS-ABOUT-EPILEPSY-IN-A-Kabir-Iliyasu/4e52842f58770f18b65fee000444f74309ced114

Macit, C., Clark, P.M., Taner, N., Bingol, C., Mercanoglu, G., & Yuksel, G. (2018). A survey on awareness, knowledge, and attitudes toward epilepsy in an urban community in Turkey. Nigerian Journal of Clinical Practice, 21(8), 979. https://doi.org/10.4103/njcp.njcp_199_17

Mecarelli, O., Voti, P.L., Vanacore, N., D’Arcangelo, S., Mingoia, M., Pulitano, P., & Accornero, N. (2007). A questionnaire study on knowledge of and attitudes toward epilepsy in school children and university students in Rome, Italy. Seizure - European Journal of Epilepsy, 16(4), 313–319. https://doi.org/10.1016/j.seizure.2007.01.005

Mirnics, Z., Czikora, G., Závecz, T., & Halász, P. (2001). Changes in Public Attitudes Toward Epilepsy in Hungary: Results of Surveys Conducted in 1994 and 2000. Epilepsia, 42(1), 86–93. https://doi.org/10.1046/j.1528-1157.2001.18000.x

Mroueh, L., Boumediene, F., Jost, J., Ratsimbazafy, V., Preux, P.-M., Salameh, P., & Al-Hajje, A. (2020). Quality of life and stigma in Lebanese people with epilepsy taking medication. Epilepsy Research, 167, 106437. https://doi.org/10.1016/j.eplepsyres.2020.106437

Njamnshi, A.K., Tabah, E.N., Bissek, A.-C. Z.-K., Yepnjio, F.N., Kuate, C., Angwafor, S.A., Dema, F., Fonsah, J.Y., Wirngo, M. S., Acho, A., Obama, M.-T., Angwafo, F.F., & Muna, W.F.T. (2010). Knowledge, attitudes and practice with respect to epilepsy among secondary school students in the Kumbo West Health District—North West Region- Cameroon. Epilepsy & Behavior, 18(3), 247–253. https://doi.org/10.1016/j.yebeh.2010.03.013

Obeid, T., Abulaban, A., Al-Ghatani, F., Al-Malki, A.R., & Al-Ghamdi, A. (2012). Possession by ‘Jinn’ as a cause of epilepsy (Saraa): A study from Saudi Arabia. Seizure - European Journal of Epilepsy, 21(4), 245–249. https://doi.org/10.1016/j.seizure.2012.01.001

Pandian, J.D., Santosh, D., Kumar, T.S., Sarma, P.S., & Radhakrishnan, K. (2006). High school students’ knowledge, attitude, and practice with respect to epilepsy in Kerala, southern India. Epilepsy & Behavior, 9(3), 492–497. https://doi.org/10.1016/j.yebeh.2006.07.009

Paschal, A.M., Hawley, S.R., Romain, T.S., Liow, K., Molgaard, C.A., Sly, J., & Sadler, T.L. (2007). Epilepsy patients’ perceptions about stigma, education, and awareness: Preliminary responses based on a community participatory approach. Epilepsy & Behavior, 11(3), 329–337. https://doi.org/10.1016/j.yebeh.2007.06.007

Rahman, A.F.A. (2005). Awareness and knowledge of epilepsy among students in a Malaysian university. Seizure - European Journal of Epilepsy, 14(8), 593–596. https://doi.org/10.1016/j.seizure.2005.09.005

Salame, K., & Mikati, M.A. (2017). Perspectives on Epilepsy from Lebanon. In E. S. Krishnamoorthy, S. D. Shorvon, & S. C. Schachter (Eds.), Epilepsy: A Global Approach (pp. 207–211). Cambridge University Press. https://doi.org/10.1017/9781139547918.047

Shoukat, M., & Iqbal, R. (2019). Epilepsy: A Stigma More than Disease. 2(1). https://doi.org/10.23880/aabsc-16000131

Thapa, L., Bhandari, T. R., Shrestha, S., & Poudel, R. S. (2017). Knowledge, Beliefs, and Practices on Epilepsy among High School Students of Central Nepal. Epilepsy Research and Treatment, e6705807. https://doi.org/10.1155/2017/6705807

Vodopić, S., & Vujisić, S. (2017). Public Awareness, Understanding and Attitudes Towards Epilepsy in Montenegro. Acta Clinica Croatica, 56(3.), 399–405. https://doi.org/10.20471/acc.2017.56.03.06




How to Cite

Younes, S., Rahal, M., Hammoudi Halat, D., Hendaus, M., Safwan, J., & Mourad, N. (2022). Epilepsy knowledge, awareness, and attitudes among pharmacy students in a private university in Lebanon: A cross-sectional study. Pharmacy Education, 22(1), p. 484–491. https://doi.org/10.46542/pe.2022.221.484491



Research Article