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Emotional functioning: Long-term outcomes after pediatric epilepsy surgery.

Tamara P Tavares1,2, Klajdi Puka3, Mary Lou Smith3,4,5

  • 1Graduate Program in Neuroscience, University of Western Ontario, London, Ontario, Canada.

Epilepsia
|March 31, 2015
PubMed
Summary

Pediatric epilepsy surgery did not significantly improve anxiety and depression long-term. Seizure control, not surgery status, correlated with affective symptoms, highlighting the need for multiple informants in assessing these conditions in children with epilepsy.

Keywords:
AnxietyChildrenDepressionEpilepsy surgeryOutcome

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Area of Science:

  • Pediatric Neurology
  • Child Psychiatry
  • Epilepsy Surgery Outcomes

Background:

  • Children with epilepsy face a higher risk of anxiety and depression.
  • Epilepsy surgery may improve seizure control and consequently affective symptoms.
  • Limited research exists on long-term affective outcomes post-pediatric epilepsy surgery with control groups.

Purpose of the Study:

  • To investigate long-term anxiety and depressive symptoms in pediatric epilepsy surgery patients.
  • To compare outcomes between surgical and nonsurgical pediatric epilepsy cohorts.
  • To assess the relationship between seizure status and affective symptoms post-intervention.

Main Methods:

  • A cohort of 73 surgical and 40 nonsurgical pediatric epilepsy patients (mean age ~20) was studied.
  • Patient-reported outcomes used the Child Depression Inventory II/Beck Depression Inventory II and State Trait Anxiety Inventory for Children/State Trait Anxiety Inventory.
  • Parental reports utilized the Child Behavior Checklist/Adult Behavior Checklist; baseline data from medical records.

Main Results:

  • Patient-reported anxiety and depressive symptoms were similar between surgical and nonsurgical groups.
  • Parental reports indicated significantly more depressive and anxious/depressed symptoms in patients with ongoing seizures.
  • Parental reports also suggested marginally more withdrawn symptoms in patients with seizures.

Conclusions:

  • Seizure status, rather than surgical intervention, was associated with affective symptoms in pediatric epilepsy.
  • Parental reports are crucial for assessing anxiety and depressive symptoms in this population.
  • Multiple informant perspectives are essential for accurate affective symptomatology assessment.