Attention deficit hyperactivity disorder in epileptic children
Gun-Ha Kim1, Ji Yeon Kim, Jung Hye Byeon
1Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.
Insights
Attention deficit hyperactivity disorder (ADHD) prevalence in epileptic children with controlled seizures and no intellectual disability is similar to healthy children. This study found no significant difference in ADHD diagnosis rates between the groups.
Area of Science:
- Neurology
- Child Psychiatry
Background:
- Attention deficit hyperactivity disorder (ADHD) is frequently observed in children with epilepsy.
- Previous research suggests a higher prevalence of ADHD in epileptic children compared to the general population.
Purpose of the Study:
- To investigate the prevalence of ADHD in epileptic children with well-controlled seizures and no intellectual disability.
- To compare ADHD rates in this specific epileptic cohort with healthy pediatric controls.
Main Methods:
- A case-control study involving epileptic children (ages 6-12) with controlled seizures and no intellectual disability, and healthy controls.
- ADHD diagnosis was based on DSM-IV criteria.
- Exclusion criteria included intellectual disability and recent persistent seizures.
Main Results:
- Out of 102 enrolled epileptic children, 6.9% were diagnosed with ADHD.
- The control group had 3.6% ADHD diagnoses (4 of 110).
- No statistically significant difference in ADHD prevalence was found between epileptic children and controls (P=0.29).
Conclusions:
- Epileptic children with well-controlled seizures and normal intellectual functioning do not exhibit a higher prevalence of ADHD compared to the general pediatric population.
- ADHD accompaniment did not vary based on seizure type or epilepsy syndrome in this cohort.
Abstract:
It is well-known that the prevalence of attention deficit hyperactivity disorder (ADHD) is higher in epileptic children than in the general pediatric population. The aim of this study was to compare the accompaniment of ADHD in epileptic children with well-controlled seizures and no significant intellectual disability with that in healthy controls. We included epileptic children between the ages of 6 and 12 yr visiting our clinic for six consecutive months and controls without significant medical or psychiatric illnesses. We excluded patients with intellectual disability or persistent seizures during the recent three months. The diagnosis of ADHD was based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). After exclusion of 84 patients, we enrolled 102 (54.8%) children (mean age, 9.4 ± 2.0 yr). Seven (7 of 102, 6.9%) were diagnosed with ADHD. As compared to control group (4 of 110, 3.6%), there was no difference in ADHD accompaniment (P = 0.29). No difference was observed in ADHD accompaniment according to seizure type and epilepsy syndrome. In conclusion, the accompaniment of ADHD in epileptic children with well-controlled seizures and no intellectual disability may not differ from that of the general pediatric population.
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