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Family function in cognitively normal children with epilepsy: impact on competence and problem behaviors
Nancy Thornton1, Lorie Hamiwka, Elisabeth Sherman
1Alberta Children's Hospital, Calgary, AB, Canada.
Insights
Family dynamics impact children with epilepsy and their siblings. While overall family function was average, specific areas like involvement and role performance showed differences, affecting child behavior and competence.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Family Systems Theory
Background:
- Epilepsy in children can impact family functioning and child behavior.
- Understanding family dynamics is crucial for supporting children with neurological conditions.
Purpose of the Study:
- To investigate family functioning and its correlation with behavior and competence in children with epilepsy and their siblings.
- To compare family assessment scores between families with a child with epilepsy and normative data.
Main Methods:
- Cross-sectional study of 82 children (6-17 years) with epilepsy and their siblings.
- Parents completed the Family Assessment Measure III (FAM-III) and Child Behavior Checklist (CBCL) for both children.
- Statistical analysis to compare family scores and correlate with child outcomes.
Main Results:
- Overall family functioning scores were comparable to normative means.
- Families scored higher on Involvement but lower on Role Performance.
- Moderate correlations found between family function, child competence, and behavior problems.
- Children in lower-functioning families experienced more problems, with epilepsy patients showing higher rates in average-functioning families.
Conclusions:
- Family functioning, particularly role performance, is a significant factor for children with epilepsy.
- Interventions should consider family dynamics to support children's behavioral and cognitive development.
- Targeted support for families with children with epilepsy may improve child outcomes.
Abstract:
A cross-sectional cohort of 82 cognitively normal children with epilepsy attending the pediatric neurology clinic, who were aged 6-17 years and who had a similarly aged sibling without seizures or cognitive delay, were identified. The parent was asked to complete the Family Assessment Measure III (FAM-III) as well as the Child Behavior Checklist (CBCL) for both the child with epilepsy and his or her sibling. The Overall Rating Score on FAM-III did not differ significantly from the normative mean, although families scored significantly better on the Involvement subscale and significantly worse on the Role Performance subscale. Moderate correlations were found between competence and behavior problems and family function in both children with epilepsy and their siblings. In families functioning at the highest level, both cohorts did well. In those at the lowest level, approximately half of the children in either cohort had problems. For average functioning families, behavior and competence issues were more frequent in children with epilepsy than their siblings.
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