Even a single seizure negatively impacts pediatric health-related quality of life
Avani C Modi1, Andrea S King, Sally R Monahan
1Division of Behavioral Medicine and Clinical Psychology, Center for the Promotion of Adherence and Self Management, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. avani.modi@cchmc.org
Insights
Children experiencing a single seizure or newly diagnosed epilepsy show similar, significant impairments in health-related quality of life (HRQOL). Early HRQOL evaluation is crucial for identifying at-risk children needing psychosocial support.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Quality of Life Research
Background:
- Pediatric epilepsy and single seizures are common, impacting psychosocial functioning.
- Previous research focused on epilepsy's effect on health-related quality of life (HRQOL).
- The impact of a single seizure on HRQOL remained unexamined.
Purpose of the Study:
- Compare parent-proxy HRQOL in children with single seizures and newly diagnosed untreated epilepsy to normative data.
- Examine differences in parent-proxy HRQOL between these two pediatric groups.
- Assess the psychosocial impact of initial seizure events.
Main Methods:
- Retrospective medical chart review of children evaluated at a New-Onset Seizure Disorder Clinic.
- Included demographic and seizure data.
- Utilized the parent-proxy Pediatric Quality of Life Inventory (PedsQL) to measure HRQOL.
Main Results:
- 109 children participated (53 single seizure, 56 newly diagnosed untreated epilepsy).
- Both groups exhibited significant HRQOL impairments compared to normative data.
- No significant differences in HRQOL were found between the single seizure and untreated epilepsy groups.
Conclusions:
- Children with a single seizure or epilepsy experience comparable, clinically significant HRQOL impairments.
- HRQOL assessment after a first seizure is vital for early identification of at-risk children.
- Timely psychosocial interventions can be facilitated by early HRQOL evaluation.
Purpose:
Both a single seizure and chronic recurrent seizures (epilepsy) occur commonly in childhood. Although several studies have documented the impact of pediatric epilepsy on psychosocial functioning, such as health-related quality of life (HRQOL), no studies have examined the impact of a single seizure on HRQOL. The primary objectives of this study were: (1) to compare parent-proxy HRQOL in children with a single seizure and newly diagnosed untreated epilepsy to normative data and (2) to examine differences in parent-proxy HRQOL between children with single seizure and newly diagnosed untreated epilepsy.
Methods:
A retrospective medical chart review was conducted on a consecutive cohort of children being evaluated for seizures at a New-Onset Seizure Disorder Clinic. Information from the medical chart review included demographic data, seizure information, and the parent-proxy Pediatric Quality of Life Inventory (PedsQL), a well-validated measure of HRQOL in pediatric chronic illnesses.
Results:
Participants included 109 children (n = 53 single seizure; n = 56 newly diagnosed untreated epilepsy). Results indicated that both children with a single seizure and children with newly diagnosed untreated epilepsy had significant impairments in HRQOL compared to normative data. However, no significant HRQOL differences were found between the single seizure and the untreated epilepsy groups.
Discussion:
Children diagnosed with a single seizure or epilepsy have similar clinically significant impairments in HRQOL. Evaluation of HRQOL, even after a first seizure, is important and will identify children at risk at the earliest opportunity, allowing for timely psychosocial intervention.
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