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Executive functioning in childhood epilepsy: parent-report and cognitive assessment.

Joy Parrish1, Elizabeth Geary, Jana Jones

  • 1Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA.

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Summary

Children with recent onset epilepsy exhibit significant executive function (EF) difficulties. Parent-report measures like the Behavior Rating Inventory of Executive Function (BRIEF) effectively identify these executive function challenges.

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Area of Science:

  • Pediatric Neurology
  • Neuropsychology
  • Child Psychiatry

Background:

  • Executive function (EF) assessment is crucial in pediatric populations.
  • Limited standardized measures exist for evaluating EF in children with epilepsy.
  • Recent onset epilepsy may impact cognitive functions, including EF.

Purpose of the Study:

  • To investigate executive function in children with recent onset epilepsy.
  • To compare EF in children with epilepsy versus healthy controls.
  • To evaluate the utility of the Behavior Rating Inventory of Executive Function (BRIEF) and the Delis-Kaplan Executive Function System (D-KEFS) in this population.

Main Methods:

  • Utilized the BRIEF and D-KEFS to assess EF in 53 children with recent onset epilepsy (ages 8-18) and 50 controls.
  • Categorized epilepsy types (localization-related, idiopathic generalized) and assessed seizure control and medication.
  • Correlated BRIEF and D-KEFS scores and compared performance between at-risk and low-risk groups identified by BRIEF.

Main Results:

  • Children with recent onset epilepsy demonstrated significantly greater executive difficulties on both BRIEF and D-KEFS compared to controls.
  • BRIEF and D-KEFS scores were significantly correlated.
  • The BRIEF effectively identified an 'at-risk' group that showed more significant impairment on the D-KEFS.

Conclusions:

  • Children with recent onset epilepsy exhibit significant executive function deficits.
  • The BRIEF is a valuable tool for identifying EF challenges in children with epilepsy.
  • Parental ratings via the BRIEF can aid in the assessment of EF in pediatric epilepsy.