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Behavioral problems, cognitive difficulties and quality of life in children with epilepsy: an analysis of parental

Carmen Soria1, Sylvie Escolano, Sandra El Sabbagh

  • 1a Université Paris Descartes, Institut de Psychologie, Laboratoire de Psychologie et de Neuropyschologie Cognitives - CNRS FRE 3292 , Boulogne-Billancourt , France.

Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence
|September 28, 2011
PubMed

Insights

Proxy reports assess Quality of Life (QOL) and behavior in children with epilepsy. New tools are validated for all children, showing epilepsy type, age, and school setting impact QOL domains.

Area of Science:

  • Pediatric Neurology
  • Quality of Life Research
  • Epilepsy Management

Background:

  • Assessing Quality of Life (QOL) and behavior in children with epilepsy, especially those with cognitive impairments or young age, relies on proxy reports.
  • Existing QOL tools may not be universally applicable across diverse epilepsy types and comorbidities in pediatric populations.

Purpose of the Study:

  • To propose and validate proxy Quality of Life (QOL) tools suitable for all children with epilepsy, regardless of cognitive status.
  • To investigate the influence of epilepsy characteristics (syndrome, age of onset) and child-specific factors (age, school setting) on QOL.

Main Methods:

  • Adaptation of existing QOL scales and development of a new parental questionnaire for proxy assessment.
  • Inclusion of 219 children with varied epilepsy types, with and without cognitive impairment.
  • Analysis of QOL domains including global QOL, illness impact, emotional well-being, behavior, sociability, and parental QOL.

Main Results:

  • School situation, epilepsy syndrome, and child's age significantly impacted various QOL domains.
  • The developed proxy QOL tools demonstrated applicability across different pediatric epilepsy populations.
  • Epilepsy syndromes and associated factors were found to critically influence parental concerns and QOL.

Conclusions:

  • The proposed proxy QOL tools are effective for assessing children with epilepsy in clinical and research settings, irrespective of comorbidities.
  • Understanding the interplay between epilepsy characteristics, child's situation, and QOL is crucial for comprehensive pediatric epilepsy care.

Keywords:
Cognitive impairmentPediatric epilepsyProxy-reportQuality of life

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