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Association between behavioral problems and parental stress in children and adolescents with epilepsy

Sai Sirisha1, Sireesha Jala2, Sudhindra Vooturi3

  • 1Department of General Medicine, D. Y. Patil Medical College,Hospital & Research Centre, Pune, India; Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, India.

Epilepsy & Behavior : E&B
|December 25, 2024
PubMed

Insights

Parental stress in epilepsy is linked to behavioral issues, with internalizing behaviors in younger children and externalizing behaviors in older ones. School performance and special education needs significantly impact parental stress levels.

Area of Science:

  • Pediatric Neurology
  • Child Psychology
  • Epilepsy Research

Background:

  • Behavioral problems are common in children and adolescents with epilepsy.
  • Parental stress is a significant factor affecting families with epileptic children.

Purpose of the Study:

  • To evaluate the association between behavioral problems in children and adolescents with epilepsy and parental stress.
  • To explore age-specific differences in these associations.

Main Methods:

  • A prospective observational study involving 314 parents of children and adolescents with epilepsy.
  • Utilized self-reported Child Behaviour Check List (CBCL) and Parental Stress Scale (PSS).
  • Data analyzed across three age groups: 1.5-5, 6-10, and 11-18 years.

Main Results:

  • Internalizing behaviors (anxiety, depression) were higher in children under 5.
  • Parental stress scores were lower for parents of adolescents compared to younger children.
  • Internalizing behaviors correlated with parental stress in younger children, while externalizing behaviors correlated in older children and adolescents.
  • Poor school performance and need for special education were positively correlated with parental stress.

Conclusions:

  • Behavioral problems in pediatric epilepsy vary by age.
  • Parental stress is linked to internalizing behaviors in preschoolers and externalizing behaviors in older children/adolescents.
  • Academic challenges and special schooling needs exacerbate parental stress in families of children with epilepsy.
Abstract

Keywords:
AdolescentsBehavioral problemsChildrenEpilepsyParental stress

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