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Quality of life of children with benign rolandic epilepsy
Anne M Connolly1, Ellen Northcott, David R Cairns
1School of Women's and Children's Health, University of New South Wales, Department of Speech Pathology, Sydney Children's Hospital, New South Wales, Australia.
Insights
Children with benign rolandic epilepsy often experience reduced quality of life. Cognitive abilities and parental emotional impact significantly influence their well-being.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Quality of Life Research
Background:
- Benign rolandic epilepsy (BRE) is a common childhood epilepsy syndrome.
- Understanding the impact of BRE on children's quality of life (QoL) is crucial for effective management.
- Cognitive function and parental well-being are potential factors affecting QoL in these children.
Purpose of the Study:
- To assess the quality of life in children diagnosed with benign rolandic epilepsy.
- To investigate the predictive relationship between cognitive abilities and QoL in BRE patients.
- To determine the influence of parental emotional impact on the child's QoL, independent of cognitive factors.
Main Methods:
- A cohort of 30 children with benign rolandic epilepsy was recruited from Sydney electroencephalography laboratories.
- Participants underwent comprehensive cognitive assessments.
- Parents completed validated questionnaires assessing child behavior, QoL, and parental emotional impact.
Main Results:
- Children with BRE exhibited higher rates of competence issues and lower psychosocial scores compared to normative data.
- General intellectual ability was a significant predictor of QoL in self-esteem and language domains, even after controlling for parental emotional impact.
- Parental emotional impact emerged as a major independent predictor of the child's overall quality of life.
Conclusions:
- Quality of life in children with benign rolandic epilepsy may be compromised.
- Cognitive variables and the emotional burden on parents are key determinants of QoL in this population.
- Interventions addressing parental well-being and cognitive support may improve QoL for children with BRE.
Abstract:
The first objective of this study was to determine the quality of life of children with benign rolandic epilepsy. Secondly, this investigation aimed to predict the influence of cognition on quality of life, controlling for the emotional impact of the epilepsy on the parent. Initial recruitment was through the major electroencephalography laboratories of metropolitan Sydney. The syndrome was defined using the International League Against Epilepsy classification. Patients underwent a comprehensive cognitive assessment, and parents completed the Child Health Questionnaire, Child Behavior Checklist, and Quality of Life in Childhood Epilepsy Questionnaire. Parental emotional impact was assessed using a subscale from the Child Health Questionnaire. The cohort included 30 patients (22 males, 8 females), mean age 9.67 years. There was a higher incidence of competence problems compared with normative data. The average psychosocial score was significantly lower than normative data. Controlling for parental emotional impact, general intellectual ability predicted quality of life in the areas of self-esteem and language. Clinical variables had minimal impact and were not included in the regression models. Parental emotional impact, however, was a major independent predictor of quality of life. Quality of life may be compromised in children with benign rolandic epilepsy and is related to cognitive variables and emotional impact of the epilepsy on the parent.
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