The role of executive functioning in quality of life in pediatric intractable epilepsy

Christina Eguizabal Love1, Frank Webbe1, Gunha Kim2

  • 1Florida Institute of Technology, Department of Psychology, 150 W. University Blvd., Melbourne, FL 32901, USA.

Epilepsy & Behavior : E&B
|October 12, 2016
PubMed

Insights

Children with epilepsy and executive dysfunction experience lower quality of life. Identifying executive dysfunction is crucial for interventions to improve QOL in pediatric epilepsy.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Psychology

Background:

  • Children with epilepsy often face executive dysfunction (EF).
  • The link between EF and quality of life (QOL) in pediatric epilepsy requires further exploration.
  • This study investigates ecological EF and QOL in children with intractable epilepsy.

Purpose of the Study:

  • To clarify the relationship between executive functioning and quality of life in pediatric intractable epilepsy.
  • To determine if executive dysfunction impacts QOL in this population.

Main Methods:

  • Fifty-four pediatric epilepsy surgery candidates and their parents participated.
  • Evaluations included IQ measures, the Behavior Rating Inventory of Executive Function (BRIEF), and the Quality of Life in Childhood Epilepsy (QOLCE).

Main Results:

  • Children with executive dysfunction showed significantly lower QOL.
  • Executive dysfunction increased the risk of poor QOL by 9.7 times.
  • Working memory was the most commonly impaired EF scale (57%).

Conclusions:

  • Poor executive functioning is linked to reduced QOL in pediatric intractable epilepsy.
  • Identifying executive dysfunction is vital for presurgical evaluations and interventions.
  • Targeting EF deficits may enhance QOL for children with epilepsy.
Abstract

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