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Published on: March 14, 2018
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.
Abstract:
Children with epilepsy are at risk for impaired social cognition and autism. We aimed at evaluating the utility of the social responsiveness scale (SRS) for assessment of social impairment in these children. Prospective study; the SRS was applied to a group of children with epilepsy and a healthy control group. Intellectual disability in the epilepsy group was assessed utilizing adapted versions of the Wechsler Intelligence and adaptive behavior scales. One hundred and one children with epilepsy and 92 healthy children were included. The majority of children in both groups had normal SRS scores. Significant differences were identified in children with high total scores indicating significant deficiencies in reciprocal social behavior; high scores were found in 16% of children with epilepsy versus 7% of normal children, p < .05, particularly involving social communication, p < .05. Intellectual disability was identified in 42% of children with epilepsy, particularly processing speed index, p < .001. Intellectual disability had a significant effect on total scores, p = .016. Children with epilepsy have increased risk of social impairments. Social impairments are more likely in the presence of intellectual disability. The SRS is a quick identification tool that can be employed in the outpatient setting.
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