Cognitive predictors of adaptive functioning in children with symptomatic epilepsy

Kerr, Elizabeth; Fayed, Nora

doi:10.1016/j.eplepsyres.2017.07.015

Cited by 5 publications

(4 citation statements)

References 47 publications

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“…Patterns of cognitive impairment are highly heterogeneous in disorders affecting youth, particularly in the context of personal illness and environmental factors (e.g., premorbid learning style, age of onset, or social milieu; Doyle et al, 2018;Kavanaugh, Cancilliere, & Spirito, 2019). Nevertheless, cognitive deficits across various health conditions are generally found to predict real-world functioning including educational and occupational, interpersonal, independent living, and psychological domains (Arnett et al, 2013;Kerr & Fayed, 2017;Lee et al, 2018). Cognitive difficulties in youth may also increase caregiver burden and interfere with the effectiveness of medical and psychological interventions (Gonzalez-Heydrich et al, 2014;Hetrick et al, 2015;Patel, Wong, Cuevas, & Van Horn, 2013).…”

Section: Introductionmentioning

confidence: 99%

Brief, Performance-Based Cognitive Screening in Youth Aged 12–25: A Systematic Review

Bryce

Bowden

Wood

et al. 2021

J Int Neuropsychol Soc

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Objective: Cognitive screening is an efficient method of detecting cognitive impairment in adults and may signal need for comprehensive assessment. Cognitive screening is not, however, routinely used in youth aged 12–25, limiting clinical recommendations. The aims of this review were to describe performance-based cognitive screening tools used in people aged 12–25 and the contexts of use, review screening accuracy in detecting cognitive impairment relative to an objective reference standard, and evaluate the risk of bias of included studies. Method: Electronic databases (Scopus, Medline, PsychINFO, and ERIC) were searched for relevant studies according to pre-determined criteria. Risk of bias was rated using the Quality Assessment of Diagnostic Accuracy Studies-2. Dual screening, extraction, and quality ratings occurred at each review phase. Results: Twenty studies met the review inclusion criteria. A diverse range of screening tools (length, format) were used in youth aged 12–25 with or without health conditions. Six studies investigating cognitive screening were conducted as primary accuracy studies and reported some relevant psychometric parameters (e.g., sensitivity and specificity). Fourteen studies presented correlational data to investigate the cognitive measure utility. Studies generally presented limited data on classification accuracy, which impacted full screening tool appraisal. Risk of bias was high (or unclear) in most studies with poor adherence to the Standards for Reporting Diagnostic Accuracy Studies (STARD) criteria. Conclusions: Few, high quality studies have investigated the utility of cognitive screening in youth aged 12–25, with no screening measure emerging as superior at detecting cognitive impairment in this age group.

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Section: Introductionmentioning

confidence: 99%

Brief, Performance-Based Cognitive Screening in Youth Aged 12–25: A Systematic Review

Bryce

Bowden

Wood

et al. 2021

J Int Neuropsychol Soc

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“…The predictors of WeeFIM outcomes have been explored in children with TBI [39][40][41][42][43] or in other clinical populations, such as patients with active epilepsy [44] or those diagnosed with anti-N-methyl-D-aspartate receptor encephalitis [45] or myelomeningocele pediatric patients [46].…”

Section: Introductionmentioning

confidence: 99%

Processing Speed and Time since Diagnosis Predict Adaptive Functioning Measured with WeeFIM in Pediatric Brain Tumor Survivors

Oprandi

Oldrati

Fave

et al. 2021

Cancers

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(1) Background: Brain tumor (BT) survivors show difficulties in the acquisition of developmental milestones, related to academic achievement, vocational employment, social relationships, and autonomy. The skills underlying adaptive functioning (AF) are usually damaged in BT survivors due to the presence of the brain tumor, treatment-related factors, and other neurological sequelae. In this study, we aimed to explore the contribution of different cognitive factors in children with BT to AF, considering diagnosis-related variables. (2) Methods: Standardized cognitive assessment was undertaken and clinical information was collected from a retrospective cohort of 78 children with a BT, aged between 6 and 18 year old at the time of the assessment. Regression models were computed to investigate the influence of the selected variables on daily functional skills as measured by the Functional Independence Measure for Children (WeeFIM). (3) Results: The analyses showed that the main explanatory variables are processing speed and time since diagnosis. Other clinical variables, such as age at diagnosis and hydrocephalus, differentially influence functional skills according to distinct domains (i.e., self-care, mobility, and cognition). (4) Conclusions: The main explanatory variables of AF that emerged in our models point to a potential target of improving AF management in pediatric BT survivors.

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“…Adaptive functioning describes one's ability to engage in activities of daily living and function independently at an age-appropriate level (Schalock et al, 2010). The Scales of Independent Behavior-Revised (SIB-R) has been previously used as a measure of adaptive functioning in other clinical populations including autism spectrum disorder (Shattuck et al, 2007), intellectual disability (Kraemer & Blacher, 2001), traumatic brain injury (Keenan et al, 2007), and epilepsy (Kerr & Fayed, 2017), as these central nervous system pathologies often result in deficits in activities of daily living. Similarly, independent living skills are a key area of interest when evaluating cognitive deficits in long-term survivors of brain tumors since previous studies have noted a longitudinal decline in adaptive behavior (Netson et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Radiation and Sex Differences on Adaptive Functioning in Adult Survivors of Pediatric Posterior Fossa Brain Tumors

Panwala

Fox

Tucker

et al. 2019

J Int Neuropsychol Soc

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Objective: Radiation therapy (RT) improves rates of survival of patients with childhood brain tumors but increases deficits in cognition and independent living skills. Previous literature has studied difficulties in basic cognitive processes, but few explore impairment in higher-order skills such as adaptive functioning. Some studies identify females as at risk for cognitive deficits due to RT, but few investigate sex differences in adaptive functioning. It was hypothesized that females would exhibit poorer long-term independent living skills and core cognitive skills relative to males following RT. Methods: Forty-five adult survivors of posterior fossa childhood brain tumors (24 females) completed the Wechsler Abbreviated Scale of Intelligence (WASI-II), Wechsler Memory Scale, Third Edition (WMS-III) Digit Span Forward (DSF) and Backward (DSB), and Oral Symbol Digit Modalities Test (OSDMT). Informants completed the Scales of Independent Behavior-Revised (SIB-R). Results: DSF and OSDMT were positively correlated with all five SIB-R domains, full-scale IQ (FSIQ) was positively correlated with four SIB-R domains, and DSB was positively correlated with three SIB-R domains. There was an interaction between sex and RT for OSDMT and community living skills with trend level interactions for personal living skills and broad independent living skills, where females without RT had higher scores than females with RT. Conclusions: Female survivors were more affected by RT than males across the community living skills domain of adaptive functioning as well as processing speed. Processing speed deficits may have a cascading impact on daily living skills. Future studies should investigate how clinical and biological factors may contribute to personalized treatment plans between sexes. (JINS, 2019, 25, 729–739)

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Cognitive predictors of adaptive functioning in children with symptomatic epilepsy

Cited by 5 publications

References 47 publications

Brief, Performance-Based Cognitive Screening in Youth Aged 12–25: A Systematic Review

Brief, Performance-Based Cognitive Screening in Youth Aged 12–25: A Systematic Review

Processing Speed and Time since Diagnosis Predict Adaptive Functioning Measured with WeeFIM in Pediatric Brain Tumor Survivors

The Effects of Radiation and Sex Differences on Adaptive Functioning in Adult Survivors of Pediatric Posterior Fossa Brain Tumors

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