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Mental health problems in children with uncomplicated epilepsy; relation with parental anxiety
Funda Gökgöz-Durmaz1, Fatma Gökşin Cihan1, Meltem Uzun2
1Departments of Family Medicine, Konya Training and Research Hospital Konya, Turkey.
Insights
Children with epilepsy experience more neuro-behavioral issues, including emotional and attention problems. Their parents also report higher anxiety levels, highlighting the need for integrated family care.
Area of Science:
- Pediatrics
- Child Psychology
- Neurology
Background:
- Epilepsy in children is associated with potential neurodevelopmental and mental health challenges.
- Parental well-being is often impacted by the chronic condition of a child.
Purpose of the Study:
- To investigate mental health problems in children with epilepsy.
- To assess parental anxiety levels in families of children with epilepsy.
Main Methods:
- Utilized the Strengths and Difficulties Questionnaire for children.
- Employed the State-Trait Anxiety Inventory for parents.
- Compared 83 children with epilepsy to 172 healthy controls.
Main Results:
- Children with epilepsy showed higher scores for emotional problems, behavioral issues, and attention deficit hyperactivity disorder.
- Control group children demonstrated better school performance and higher prosocial behavior.
- Parents of children with epilepsy exhibited significantly elevated state and trait anxiety levels.
Conclusions:
- Children with epilepsy face increased neuro-behavioral difficulties.
- Elevated parental anxiety is a significant concern in families managing childhood epilepsy.
- Healthcare providers should address the psychological health of the entire family, not just seizure management.
Abstract:
Mental health problems and parental anxiety in children with epilepsy were investigated. Parents of 83 children with epilepsy and 172 healthy children were asked to complete Strengths and Difficulties Questionnaire for their children and State-Trait Anxiety Inventory for themselves. In those with epilepsy, 39.8% (n: 33) were girls, 60.2% (n: 50) were boys and their mean age was 9.34 ± 3.99 years. Control group was more successful in school (p < 0.001). Emotional problems score in children with epilepsy was higher than control group (p < 0.001). Case group's behavior problems and attention deficit hyperactivity scores were higher (p < 0.001, p=0.009 respectively). Prosocial behavior scores of the control group were significantly higher (p=0.004). State (p=0.001) and trait (p=0.001) anxiety levels of parents of children with epilepsy were higher. Children with epilepsy have more neuro-behavioral problems; and their parents have greater anxiety levels. Physicians should be in contact with children with epilepsy for the psychological health of the family besides seizure control.
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