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Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
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Parenting stress does not normalize after child's epilepsy surgery.

Olga Braams1, Joost Meekes2, Kees Braun3

  • 1Sector of Neuropsychology for Children and Adolescents, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands; Brain Center Rudolf Magnus, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands; Department of Pediatric Psychology and Social Work, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands; Bio Research Center for Children, Wekeromseweg 8, 6816 VS Arnhem, The Netherlands.

Epilepsy & Behavior : E&B
|December 4, 2014
PubMed
Summary

Parenting stress in parents of children undergoing epilepsy surgery decreases post-operation but remains elevated. Counseling is recommended to address persistent stress related to epilepsy and child characteristics.

Keywords:
ChildEpilepsyParentingStressSurgery

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Area of Science:

  • Pediatric Neurology
  • Child Psychology
  • Neuropsychology

Background:

  • Epilepsy surgery is a significant event for children and their families.
  • Parenting stress is a recognized factor impacting families with children with epilepsy.
  • Understanding the trajectory of parenting stress around surgery is crucial for support.

Purpose of the Study:

  • To quantify parenting stress in parents before and two years after pediatric epilepsy surgery.
  • To compare parenting stress levels between parents of children with epilepsy and control groups.
  • To identify factors influencing parenting stress post-surgery.

Main Methods:

  • A cohort of 31 parents of children with epilepsy undergoing surgery and 31 control parents were assessed.
  • The Parenting Stress Index questionnaire was administered pre-surgery and two years post-surgery.
  • Neuropsychological assessments, life event evaluations, and epilepsy severity were also measured.

Main Results:

  • Parents of children with epilepsy reported higher stress than controls pre-surgery.
  • Total parenting stress significantly decreased two years post-surgery but remained higher than controls.
  • Specific subscales related to parental role restriction and child distractibility/hyperactivity showed significant decreases.
  • Lower child intelligence correlated with higher stress on specific subscales.
  • Stress reduction was greater in children who became seizure-free.

Conclusions:

  • Parenting stress following pediatric epilepsy surgery diminishes but does not fully normalize within two years.
  • Persistent stress is linked to parental role restrictions and child-specific challenges.
  • Ongoing psychological support and counseling are recommended for parents, irrespective of surgical outcomes.