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Published on: September 20, 2024
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.
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.
Objective:
Children with epilepsy are vulnerable to executive dysfunction, but the relationship between executive functioning (EF) and quality of life (QOL) in children with epilepsy is not fully delineated. This exploratory study elucidated the relationship between ecological EF and QOL in pediatric intractable epilepsy.
Method:
Fifty-four consecutively referred pediatric epilepsy surgery candidates and their parents were administered IQ measures, the Behavior Rating Inventory of Executive Function (BRIEF), and the Quality of Life in Childhood Epilepsy (QOLCE) as part of a comprehensive neuropsychological evaluation.
Results:
A significant difference was found in QOL between those with and without clinical impairments on the BRIEF [t(52)=3.93; p<.001]. That is, children with executive dysfunction had lower overall QOL. All seizure variables and BRIEF scales were associated with overall QOL [F(12, 40)=6.508; p=.001; R2=.661]. Working memory from the BRIEF was the most frequently elevated scale in our sample (57%). Those with executive dysfunction had 9.7 times the risk of having poor QOL.
Conclusions:
Poor EF control according to behavior ratings is significantly related to QOL in intractable pediatric epilepsy. Identification of executive dysfunction in home environments is an essential component of presurgical evaluations and target for intervention, which may improve QOL.
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