Social impairment in children with epilepsy assessed by the social responsiveness scale

Samah K Aburahma1, Hanan Hammouri2, Ethar Hazaimeh1

  • 1Faculty of Medicine, 37251Jordan University of Science and Technology, Irbid, Jordan.

Insights

Children with epilepsy show higher risks for social impairments, especially when intellectual disability is present. The Social Responsiveness Scale (SRS) can help identify these social deficits in pediatric epilepsy patients.

Area of Science:

  • Pediatric Neurology
  • Developmental Psychology
  • Clinical Psychiatry

Background:

  • Children with epilepsy face elevated risks for social cognition deficits and autism spectrum disorder.
  • Assessing social impairment is crucial for early intervention in pediatric epilepsy.

Purpose of the Study:

  • To evaluate the Social Responsiveness Scale (SRS) as a tool for identifying social impairment in children with epilepsy.
  • To explore the relationship between epilepsy, intellectual disability, and social deficits.

Main Methods:

  • A prospective study comparing children with epilepsy (n=101) and healthy controls (n=92).
  • The Social Responsiveness Scale (SRS) was administered to all participants.
  • Intellectual disability was assessed using adapted Wechsler scales and adaptive behavior scales in the epilepsy group.

Main Results:

  • While most children had normal SRS scores, 16% of those with epilepsy scored high, indicating significant social behavior deficiencies, compared to 7% of controls (p < .05).
  • Social communication was particularly affected in children with epilepsy (p < .05).
  • Intellectual disability was present in 42% of children with epilepsy, impacting SRS scores (p = .016).

Conclusions:

  • Children with epilepsy are at increased risk for social impairments.
  • Intellectual disability exacerbates social impairments in children with epilepsy.
  • The SRS is a valuable, rapid screening tool for outpatient pediatric epilepsy clinics.

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