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Behavioral problems of siblings of epileptic children in Enugu
1Department of Pediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria. dr_Annabel@yahoo.com
Insights
Siblings of children with epilepsy exhibit more behavioral problems than their peers. Poor seizure control in the child with epilepsy is strongly linked to these behavioral disturbances in siblings.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Behavioral Science
Background:
- Psychosocial dysfunction is documented in siblings of chronically ill children.
- Limited research exists on siblings of children with epilepsy.
- This study addresses the impact of childhood epilepsy on healthy siblings.
Purpose of the Study:
- To investigate the extent of epilepsy's impact on healthy siblings.
- To compare behavioral disturbances in siblings of children with epilepsy to controls.
- To identify factors associated with behavioral problems in siblings.
Main Methods:
- Recruited 156 children with epilepsy and their school-age siblings, plus 156 controls.
- Collected demographic data and parental questionnaires.
- Utilized Rutter's behavior scale (Teacher's Scale) to assess sibling and control behavior.
Main Results:
- Prevalence of behavioral problems was significantly higher in siblings of children with epilepsy (38.5%) compared to controls (15.4%).
- Significant differences in the types of behavioral problems were observed between groups.
- Poor seizure control in the child with epilepsy was strongly associated with increased behavioral problems in siblings (P < 0.001).
Conclusions:
- Siblings of children with epilepsy experience more behavioral disturbances.
- Effective seizure control is crucial for mitigating behavioral issues in siblings.
- Further research is needed to understand and address the psychosocial needs of these siblings.
Background And Objective:
The existence of a psychosocial dysfunction in the siblings of children with chronic illness has been documented. There are very few reports on siblings of children with epilepsy. The aim of this study is to investigate to what extent the children's epilepsy has affected their healthy siblings in our own center.
Materials And Methods:
Epileptic patients who consecutively referred to the Pediatric Neurology Clinic of the University of Nigeria Teaching Hospital, Enugu, from October 1999 to September 2000 were recruited. Demographic data were obtained, with a questionnaire administered to the parents. Information on the behavior of the school-age siblings and control was obtained by the class teachers using Rutter's behavior scale (B2) for children (Teacher's Scale).
Results:
One hundred and fifty-six children with epilepsy, of age four to fifteen years, 124 males and 32 females, with a Male: Female ratio of 4: 1, were recruited; and 156 school-age siblings of the epileptic children (index children) and 156 controls were studied. Prevalence of behavioral problems was 38.5 and 15.4%, respectively, among the index and control children ( P < 0.001). There was no significant sex difference in the two groups. There was a significant difference in the distribution of the types of behavior problems between the index and controls ( P < 0.05). The duration of epilepsy did not affect the prevalence of behavior problems ( P < 0.05), but seizure control had a significant effect on the prevalence of behavior problems ( P < 0.001).
Conclusions:
Siblings of children with epilepsy have more behavioral disturbances than controls. A strong association was found between poor seizure control and the prevalence of behavioral problems.
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