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Behavioral Problems in Indian Children with Epilepsy.
Om P Mishra1, Aishvarya Upadhyay, Rajniti Prasad
1Department of Pediatrics and *Division of Biostatistics, Department of Community Medicine; Institute of Medical Sciences, Banaras Hindu University, Varanasi, India. Correspondence to: Prof OP Mishra, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. opmpedia@yahoo.co.uk.
Indian Pediatrics
|December 30, 2016
Summary
Children with epilepsy show higher behavioral problems, particularly externalizing issues. Younger age of onset, seizure frequency, and disease duration are linked to these behavioral challenges.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Behavioral Science
Background:
- Epilepsy is a common neurological disorder in children.
- Behavioral problems are frequently observed in children with epilepsy, impacting their development and quality of life.
Purpose of the Study:
- To determine the prevalence of behavioral problems in children diagnosed with epilepsy.
- To identify factors associated with behavioral issues in this population.
Main Methods:
- A cross-sectional study involving children with epilepsy and healthy controls aged 2-14 years.
- The Child Behavior Checklist (CBCL) was administered to parents for behavioral assessment.
- Statistical analysis correlated clinical factors with behavioral outcomes.
Main Results:
- Children with epilepsy exhibited significantly higher mean CBCL scores across most domains compared to controls.
- Externalizing problems were prevalent in younger children (2-5 years), while both internalizing and externalizing problems were common in older children (6-14 years).
- Younger age of onset, increased seizure frequency, and longer disease duration correlated significantly with behavioral problems. Antiepileptic drug polytherapy was linked to internalizing problems in older children.
Conclusions:
- Behavioral problems are more prevalent in children with epilepsy.
- Early onset, seizure frequency, and disease duration are significant predictors of behavioral issues.
- Understanding these associations can inform targeted interventions for affected children.
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