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Correlates of parental stress and psychopathology in pediatric epilepsy
Rania Shatla1, Hala El Said Sayyah, Hanan Azzam
1Ain Shams University, Cairo, Egypt.
Insights
Children with epilepsy experience high parental stress and behavioral issues. This study highlights the significant impact of childhood epilepsy on family well-being and mental health.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Family Studies
Background:
- Chronic childhood epilepsy significantly impacts family dynamics.
- Inadequate family adaptation to childhood epilepsy is a risk factor for psychopathology.
- Understanding these challenges is crucial for supportive interventions.
Purpose of the Study:
- To assess parenting stress in parents of children with epilepsy.
- To identify factors associated with parenting stress.
- To examine the relationship between epilepsy and psychopathology in children.
Main Methods:
- Utilized the Parenting Stress Index (PSI) for parents.
- Administered the Children's Depression Inventory (CDI), Spence Anxiety Scale, and Child Behavior Checklist (CBCL) to children.
- Included cognitive assessments like the Benton Visual Retention Test and Wechsler Intelligence Scale for Children.
Main Results:
- Children's IQ scores and visual retention were within average ranges.
- Child Behavior Checklist scores indicated significant internalizing, externalizing, and overall behavior problems.
- High scores on the Children's Depression Inventory and Parenting Stress Index were observed.
Conclusions:
- Pediatric epilepsy, particularly intractable cases, is strongly linked to elevated parental stress.
- Children with epilepsy exhibit higher rates of behavioral and emotional difficulties.
- Findings underscore the need for integrated family support in managing childhood epilepsy.
Background:
Chronic conditions like epilepsy in a child can affect his/her entire family. The failure of the family members to adapt adequately to the unique demands of this childhood chronic illness can be considered as an important risk factor for development of psychopathology.
Objectives:
The objectives of this study were to study the profile of parenting stress in parents of children with epilepsy and its correlates; and, to examine the correlates of psychopathology in these children.
Material And Methods:
Twenty three epileptic children and their families were subjected to Parenting Stress Index (PSI), Scores for indices such as The Children's Depression Inventory (CDI), Benton Visual Retention test, Spence anxiety scale for children, The Child Behavior Checklist (CBCL) and Wechsler Intelligence Scale for Children were calculated.
Results:
Mean verbal and performance IQ score was 94, while the mean total IQ score was 95. Mean scores for all Wechsler IQ Scores as well as Benton Visual retention test were within the average range. Means for total internalizing CBCL t scores (M, Mean=70; Standard Deviation, SD=4.4), total externalizing CBCL t scores (M=60, SD=9.6), and total behavior problems CBCL t scores (M=67, SD=5.2) were above the standard cut off levels of 65 for clinical behavioral problems. Mean score on CDI was 42 ± 2. Scores of the PSI equal to or higher than 85(th) percentile were considered pathologically high.
Conclusion:
The results of our study indicated that pediatric patients with epilepsy, specifically with intractable cases, are correlated with high levels of parental stress.
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