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Behavioural Co-morbidities in Children With Epilepsy Using Strengths and Difficulties Questionnaire: A Case-Control
Shubham Kamble1, Anuragsingh Chandel1, Varsha Chauhan1
1Department of Paediatrics, MGIMS, Sevagram, Wardha, Maharshtra, India.
Journal of Child Neurology
|July 28, 2026
Summary
Children with epilepsy show significantly increased behavioral issues, including conduct problems and hyperactivity, compared to healthy peers. Early screening for these neuro-behavioral difficulties is crucial, especially in underserved regions.
Area of Science:
- Neuroscience
- Child Psychology
- Global Health
Background:
- Childhood epilepsy presents significant behavioral comorbidities, often underrecognized in resource-limited settings.
- These hidden challenges in children with epilepsy (CWE) require better characterization, particularly in rural India.
- Understanding the neuro-behavioral burden is key to improving care for CWE.
Purpose of the Study:
- To quantify behavioral comorbidities in children with epilepsy (CWE) in rural India.
- To compare the behavioral profiles of CWE with healthy controls.
- To assess the impact of epilepsy onset on behavioral difficulties.
Main Methods:
- An observational case-control study involving 126 children (aged 2-13 years) from central rural India.
- 63 children with epilepsy and 63 healthy controls were enrolled.
- The Strengths and Difficulties Questionnaire (SDQ) was used for parent-reported behavioral assessment.
Main Results:
- Children with epilepsy exhibited a significant increase in behavioral issues post-onset (49.2%) compared to their baseline (17.5%).
- CWE showed higher risk scores for conduct problems, hyperactivity, peer problems, and total difficulties versus controls.
- Emotional symptoms did not differ significantly between CWE and controls.
Conclusions:
- Childhood epilepsy carries a substantial neuro-behavioral burden, highlighting the need for integrated care approaches.
- Routine Strengths and Difficulties Questionnaire (SDQ) screening is vital for early detection of behavioral issues in CWE.
- Psychiatric management and early detection are critical, especially in resource-limited regions for children with epilepsy.
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01:28Conduct Disorder
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
01:30Attention-Deficit/Hyperactivity Disorder
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.