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Questionnaire-based assessment of behavioral problems in Japanese children with epilepsy

Katsuhiro Kobayashi1, Fumika Endoh, Tatsuya Ogino

  • 1Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and Okayama University Hospital, 5-1 Shikatacho 2-chome, Kita-ku, Okayama, Japan. k_koba@md.okayama-u.ac.jp

Epilepsy & Behavior : E&B
|March 8, 2013
PubMed

Insights

Behavioral problems are common in Japanese children with epilepsy. Persistent seizures correlate with externalizing behaviors, suggesting a link between seizure activity and conduct issues.

Area of Science:

  • Child Neurology
  • Developmental Psychology
  • Pediatric Psychiatry

Background:

  • Epilepsy is a common neurological disorder in children.
  • Behavioral problems are frequently observed in children with epilepsy.
  • Understanding these behavioral issues is crucial for comprehensive care.

Purpose of the Study:

  • To investigate the prevalence and types of behavioral problems in Japanese children with epilepsy.
  • To examine the relationship between behavioral issues and epilepsy characteristics.
  • To identify risk factors for behavioral problems in this population.

Main Methods:

  • A cross-sectional study involving 108 Japanese children (aged 6-18) with epilepsy and normal intelligence.
  • Parent-completed questionnaires: Child Behavior Checklist (CBCL), Autism Spectrum Screening Questionnaire (ASSQ), and ADHD Rating Scale-IV (ADHD-RS).
  • Multivariate logistic regression analysis to assess the relationship between seizure persistence and behavioral outcomes.

Main Results:

  • Abnormal behavior was reported in 10.5% to 35.6% of children based on the CBCL.
  • Internalizing and externalizing behavior scores positively correlated with ASSQ and ADHD-RS scores.
  • Persistent seizures significantly predicted externalizing behavioral problems (OR: 3.48, 95% CI: 1.34-9.02).

Conclusions:

  • Japanese children with epilepsy exhibit a range of behavioral problems.
  • Seizure persistence is a significant risk factor for externalizing behaviors.
  • Further research is needed to explore the impact of seizure control on behavior.

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