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Factors associated with behavioral problems in children with idiopathic epilepsy
Vaios Dafoulis1, Efrosini Kalyva
1School of Medicine, Aristotle University of Thessaloniki, Greece. vadafoulis@yahoo.gr
Insights
Children with idiopathic epilepsy exhibit more behavioral issues like hyperactivity and conduct problems compared to healthy peers. Factors such as later epilepsy onset and polytherapy correlate with these behavioral challenges.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Epilepsy Research
Background:
- Idiopathic epilepsy is a common neurological disorder in children.
- Behavioral problems are frequently observed in children with epilepsy.
- Understanding these problems and associated factors is crucial for comprehensive care.
Purpose of the Study:
- To compare behavioral problems in children with idiopathic epilepsy versus healthy controls.
- To identify factors associated with behavioral problems in pediatric epilepsy.
- To investigate differences based on epilepsy type (focal vs. generalized).
Main Methods:
- Parent proxy-reports using Vanderbilt ADHD Diagnostic Parent Rating Scale and Strengths and Difficulties Questionnaire.
- Clinical interviews (K-SADS-PL) with children diagnosed with idiopathic epilepsy.
- Comparative analysis between 106 children with epilepsy and 305 healthy controls (ages 6-9).
Main Results:
- Parents reported increased hyperactivity, emotional, and conduct problems, with less prosocial behavior in children with epilepsy.
- No significant differences were found in peer problems, inattention, oppositional/defiant disorder, or anxiety/depression.
- Later age of onset, polytherapy, male gender, and seizure frequency predicted behavioral problems.
- Children with benign focal epilepsy showed fewer behavioral problems than those with generalized epilepsy.
Conclusions:
- Children with idiopathic epilepsy experience a distinct pattern of behavioral problems compared to healthy peers.
- Epilepsy characteristics (onset, type, treatment) and patient demographics influence behavioral outcomes.
- Targeted interventions addressing these specific behavioral issues and associated factors are warranted.
Abstract:
The present study examined whether the perceived behavioral problems of children with idiopathic epilepsy differed from those of healthy controls according to parent proxy-reports and which factors are associated with these problems. The parents of 106 children with idiopathic epilepsy and 305 healthy controls aged 6-9 years old completed the Vanderbilt ADHD Diagnostic Parent Rating Scale and the Strengths and Difficulties Questionnaire. The 106 children with idiopathic epilepsy were also interviewed using the K-SADS-PL. The parents of children with idiopathic epilepsy reported more hyperactivity, emotional and conduct problems than the parents of healthy controls, as well as less prosocial behavior. Parents detected no differences in peer problems, inattention, oppositional/defiant disorder, and anxiety/depression. Age of onset of epilepsy (later), the number of administered antiepileptic drugs (polytherapy), and gender (male) predicted behavioral problems in children with idiopathic epilepsy. The frequency of seizures was associated with behavioral problems, while age was not. Finally, children with benign focal epilepsy were rated by their parents as having less behavioral problems than children with generalized epilepsy.
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