Public awareness and attitudes toward epilepsy in Saudi Arabia is improving.

OBJECTIVE To examine public awareness and attitudes toward epilepsy in Riyadh, the capital city of Saudi Arabia. METHODS A focused 10-item questionnaire was designed to survey public awareness and attitudes toward epilepsy. Personal interviews were conducted randomly by one author in preselected public places in Riyadh, Saudi Arabia during March and April 2011. RESULTS Seven hundred and forty-nine interviews were completed during the study period. Most participants (77.4%) had prior knowledge of epilepsy, and 52% believed that epilepsy is an organic disease. This correlated with their educational level, as those with higher levels of education were more likely to link epilepsy to organic causes (p=0.008). However, 15% also linked epilepsy to evil spirit possession, and up to 37% preferred spiritual rituals and religious healing to medical treatments. Although most respondents (61%) would accept an epileptic patient in a regular job, 71% (particularly males) reported reservations in marrying someone with epilepsy (p=0.001). CONCLUSION The awareness and attitudes of the Saudi public toward epilepsy are showing some improvement. However, it is still thought to be linked to evil spirit possession by some, and spiritual rituals and religious healing are commonly believed to be effective treatments. Targeted areas for focused education were identified.