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[Children with brain seizures: impact on their families. A clinical and social study]
M Rufo1, M Escalante, A Delgado-Rodríguez
1Sección de Neurología Pediátría, Hospital Infantil Universitario Virgen del Rocío, Sevilla, España.
Insights
Family environment significantly impacts psychosocial integration in children with cerebral seizures, beyond illness severity. Early denial and anxiety are common, highlighting the need for comprehensive social work support.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Social Work in Healthcare
Context:
- Prospective follow-up study of 23 children with diverse cerebral seizures.
- Analysis of medical and social aspects within family environments.
- Inclusion of both male and female pediatric patients.
Purpose:
- To analyze the characteristics and situations of family environments of children with cerebral seizures.
- To evaluate the medical and social integration of these children.
- To identify factors influencing psychosocial outcomes.
Summary:
- Family attitudes towards childhood seizures varied between medical and social work assessments, with initial denial and high parental anxiety observed.
- Economic status did not significantly influence family attitudes towards the condition.
- Psychosocial integration was influenced by environmental factors, not solely by seizure severity, with psychotic sphere disorders showing greater impact.
Impact:
- Highlights the critical role of family environment and social work in managing childhood seizures.
- Identifies anxiety and denial as key challenges in parental acceptance of diagnosis.
- Suggests a multifactorial approach to pediatric seizure management, integrating medical and psychosocial support.
Introduction And Material:
Over a two-year period, a total of 23 children (13 males and 11 females) entered in the Unit of Infantile Neurology of our hospital affections of diverse types of cerebral seizures, were subjected to follow-up study prospective from the point of view medical and social, analyzing the characteristic and situation of their family environment.
Results And Conclusions:
Between the outputs, they have met important differences between the attitude in front of the problem of the several family groups, according to it's valued for the doctor or for the Unit of Social Work. At the beginning he is not frequent the acceptance of the illness, contrarily to the one which the denial happens to. Have been detected a tall index of anxiety-anguish between the relatives setting in connection with the correct acceptance diagnostic. They have not met differences between the attitude in front of the problem and the economical status associate referred to the profession, the instruction or the housing of the parents. The severity of the illness has not been the only factor in the integration psychosocial of the children with seizures, existing other factors of environmental character that rebound same on the medium. The disorders of the psychotic sphere was those that were affected with an old intensity.