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Symptoms of anxiety and depression in childhood absence epilepsy
Clemente Vega1, Jennifer Guo, Brendan Killory
1Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Insights
Children with childhood absence epilepsy (CAE) show higher anxiety and depression symptoms, including nervousness, rumination, sadness, and isolation. Early screening for these affective disorders in CAE patients is recommended for better outcomes.
Area of Science:
- Pediatric Neurology
- Child Psychiatry
Background:
- Childhood absence epilepsy (CAE) is increasingly linked to cognitive, behavioral, and emotional disorders.
- Identifying anxiety and depression in children with CAE is challenging but crucial for early intervention and improved development.
Purpose of the Study:
- To examine specific anxiety and depression symptoms in children with CAE.
- To explore the relationship between disease factors and the severity of affective symptoms in CAE.
Main Methods:
- Study included 45 children with CAE and 41 healthy controls, aged 6-16 years.
- Parents completed the Behavior Assessment System for Children (BASC), focusing on Anxiety and Depression subscales.
Main Results:
- Children with CAE exhibited increased symptoms of anxiety (nervousness, rumination) and depression (sadness, crying).
- Psychosocial issues like isolation and low self-esteem were more prevalent in children with CAE.
- Disease duration, intractability, and medication did not correlate with affective problem severity in this sample.
Conclusions:
- Children with CAE experience unique anxiety and depression symptom profiles.
- Early screening for specific affective symptoms in CAE patients can improve treatment and developmental trajectories.
- Further research is needed to understand disease factors' role in affective comorbidities.
Abstract:
Childhood absence epilepsy (CAE) has been recently linked to a number of cognitive, behavioral, and emotional disorders. Identification of affective disorders (anxiety and depression) presents unique challenges in pediatric populations, and successful early intervention may significantly improve long-term developmental outcomes. The current study examined the specific anxiety and depression symptoms children with CAE experience, and explored the role of disease factors in the severity of their presentation. Forty-five subjects with CAE and 41 healthy matched controls, ages 6-16 years, participated in the study. The Behavior Assessment System for Children (BASC) was completed by parents, and the Anxiety and Depression subscales were used to characterize problems. Item analysis within the subscales revealed that children with CAE demonstrated higher rates of symptoms of anxiety (nervousness and thought rumination) and depression (sadness and crying), as well as more general psychosocial problems including isolation and low self-esteem. Disease duration, intractability, and medication effects were not associated with higher rates of affective problems in this limited patient sample. Screening of patients with CAE for comorbid psychiatric disorders early by focusing on specific symptom profiles unique to this population may enhance overall treatment and developmental outcomes.
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