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Social context as a risk factor for psychopathology in children with epilepsy

Katharine Bailey1, Nancie Im-Bolter2

  • 1Queen's University, Department of Psychology, 62 Arch Street, Kingston, Ontario, K7L 3N6, Canada; Trent University, Department of Psychology, Life and Health Sciences Building, Peterborough, Ontario, K9L 0G2, Canada.

Seizure
|March 15, 2018
PubMed

Insights

Childhood epilepsy, a common neurological disorder, is linked to psychopathology. Social factors, not just biology, influence this risk, especially negative interactions in a child's environment.

Area of Science:

  • Pediatric Neurology
  • Developmental Psychology
  • Child Psychiatry

Background:

  • Epilepsy is the most prevalent neurological disorder in children in Western societies.
  • Childhood epilepsy frequently co-occurs with psychopathology.
  • While neurological and biological factors are implicated, social context is crucial for understanding psychopathology development in children with epilepsy.

Purpose of the Study:

  • To examine the developmental influences of social contextual factors on psychopathology in children with epilepsy.
  • To apply Bronfenbrenner's ecological systems theory (microsystem, mesosystem, exosystem, macrosystem) to understand child development in the context of epilepsy.

Main Methods:

  • Utilized Bronfenbrenner's ecological systems theory framework.
  • Analyzed the interplay of various social environmental levels (micro, meso, exo, macro) in relation to child development and epilepsy.
  • Focused on the impact of interpersonal interactions within these systems.

Main Results:

  • Negative interpersonal interactions within the child's immediate environment (microsystem) are significant.
  • The effects of social context are cumulative, with influences rippling across different ecological levels.
  • Social contextual factors contribute to the increased risk of psychopathology in children with epilepsy.

Conclusions:

  • Social contextual factors, particularly negative interpersonal experiences, play a critical role in the development of psychopathology in children with epilepsy.
  • Bronfenbrenner's ecological systems theory provides a valuable framework for understanding these complex developmental pathways.
  • Interventions addressing social environmental factors may be crucial for mitigating psychopathology risk in this population.

Keywords:
BronfenbrennerChildhoodEpilepsyPsychopathologySocial context

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