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A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy
Published on: November 13, 2016
Correlates of quality of life with epilepsy
Prahbhjot Malhi1, Pratibha Singhi
1Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh-160 012, India. pmalhi18@hotmail.com
Insights
Children with epilepsy experience a reduced quality of life, with emotional and behavioral issues significantly impacting their well-being. Addressing these challenges is crucial beyond just seizure control.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Quality of Life Research
Background:
- Epilepsy significantly impacts children's lives, affecting their overall well-being.
- Parental concerns often extend beyond seizures to treatment and future challenges.
- Behavioral and emotional functioning are critical aspects of a child's health.
Purpose of the Study:
- To assess the quality of life in children with epilepsy.
- To identify predictors of quality of life, including demographic, disease-related, and psychosocial factors.
- To understand the relationship between epilepsy, psychopathology, and quality of life.
Main Methods:
- A cross-sectional study involving 43 children (aged 4-15) with epilepsy in North India.
- Quality of life assessed using the Impact of Epilepsy Schedule (parent-reported).
- Child's emotional and behavioral functioning evaluated using the Childhood Psychopathology Measurement Schedule.
Main Results:
- Most parents reported significant concerns about seizures, antiepileptic drug treatment, and parenting.
- Approximately 40% of children exhibited clinically significant psychopathology scores.
- Psychopathology scores and maternal education explained 39% of the variance in quality of life.
Conclusions:
- Children with epilepsy often have a compromised quality of life.
- Effective management requires addressing emotional and behavioral difficulties alongside seizure control.
- Interventions should adopt a holistic approach to improve the lives of children with epilepsy.
Objective:
To examine the quality of life of children with epilepsy and to identify the demographic, disease related, and behavioral and emotional functioning variables in the prediction of quality of life of children with epilepsy.
Method:
Forty three children aged 4 to 15 years (Mean=10.3 years) with epilepsy were recruited from the outpatient services of the Department of Pediatrics, of a tertiary care teaching hospital in North India. Quality of life was measured by Impact of Epilepsy Schedule, a 39 items parent reported questionnaire and child's emotional and behavioral functioning at home was assessed by the Childhood Psychopathology Measurement Schedule.
Results:
Majority of the parents expressed major concerns regarding seizures, treatment by anticonvulsants, present and future problems for the child and problems in parenting. Nearly 40% of the children had psychopathology scores in the clinically significant maladjustment range. Step-wise multiple regression analysis revealed that the psychopathology scores and mother's education accounted for 39% of the variance in the quality of life scores.
Conclusion:
Children with epilepsy have a relatively compromised quality of life and focusing simply on control of seizures may not address the full range of child's emotional and behavioral difficulties.
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