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Behaviour problems in children and adolescents with seizure disorder: associations and risk factors

Soumitra Shankar Datta1, Titus Samson Premkumar, Sujith Chandy

  • 1Department of Psychiatry, Christian Medical College, Vellore 632002, India. sdatta@nhs.net

Seizure
|March 31, 2005
PubMed

Insights

Psychopathology affects over half of children with epilepsy in India. Higher income, urban living, longer illness duration, and multiple anti-epileptic drugs are linked to increased risk.

Area of Science:

  • Child and Adolescent Psychiatry
  • Neurology
  • Global Health

Background:

  • Epilepsy affects 50 million globally, with 33 million being children.
  • Children and adolescents with epilepsy exhibit high rates of behavioral problems and psychiatric comorbidities.
  • Most children with epilepsy reside in developing countries, yet research in these regions is scarce.

Purpose of the Study:

  • To assess the prevalence of psychopathology in children and adolescents with seizure disorders in Vellore, India.
  • To identify factors associated with psychopathology in this population.

Main Methods:

  • A study was conducted in Vellore, India, involving 132 children and adolescents with seizure disorder.
  • Psychopathology was assessed using the Child Behaviours Checklist (CBCL).
  • Children were categorized into psychiatric cases and non-cases for comparative analysis.

Main Results:

  • Significant psychopathology was observed in 53.8% of children with seizure disorder.
  • Factors independently predicting psychopathology included higher socioeconomic status, urban residence (OR: 7.61), illness duration over 3 years (OR: 2.39), and treatment with multiple anti-epileptic drugs (OR: 3.08).

Conclusions:

  • Psychopathology in children with epilepsy results from a complex interplay of seizure characteristics, socio-demographic factors, and treatment variables.
  • Findings align with studies from industrialized nations, highlighting the need for tailored interventions.
  • Clinicians must be vigilant in identifying psychopathology to facilitate effective interventions for affected children.
Abstract

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