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.

Epilepsy & Behavior : E&B
|October 24, 2007
PubMed

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.

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