Correlates of Behavior Problems in Children with Epilepsy

Austin, Joan K.; Risinger, Michael W.; Beckett, Laurel A.

doi:10.1111/j.1528-1157.1992.tb01768.x

Cited by 165 publications

(130 citation statements)

References 23 publications

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“…In hospitalbased patients, Austin et al (1992) found no relationship between children's epilepsy syndrome and behaviour problems whereas Sabaz et al (2003) reported a greater impact of health-related quality of life in symptomatic than in idiopathic epilepsy.…”

Section: Discussionmentioning

confidence: 84%

Psychosocial problems and seizure-related factors in children with epilepsy

Høie

Sommerfelt

Waaler

et al. 2006

Developmental Medicine &Amp; Child Neurology

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In this study we describe psychosocial functions and seizurerelated factors in a population-based sample of children with epilepsy. Psychosocial problems (Achenbach scales), cognitive function, and socioeconomic status were studied in 117 children with epilepsy aged between 6 and 13 years (mean age 11y [SD 2y 1mo] and 10y 8mo [SD 2y]; 71 males, 46 females) and in randomly selected controls matched with 117 children for sex and age (mean age 11y 2mo [SD 2y 1mo] and 10y 5mo [SD 2y 4mo]; 69 males, 48 females). The children had partial (n=67), generalized (n=43), or undetermined (n=7) epilepsy syndromes, and partial (n=68), generalized (n=47), or other (n=2) main seizure types. Psychosocial problems were more common among children with epilepsy than controls (odds ratio 5-9) and significantly related to epilepsy syndrome, main seizure type, age at onset, and seizure frequency. Mothers and teachers reported males with epilepsy as having more problems than females. Females self-reported psychosocial problems, males did not. Psychosocial problems were common in childhood epilepsy. Females appreciated the problems more realistically than males. Psychosocial problems should be considered an integral part of epilepsy management.

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Section: Discussionmentioning

confidence: 84%

Psychosocial problems and seizure-related factors in children with epilepsy

Høie

Sommerfelt

Waaler

et al. 2006

Developmental Medicine &Amp; Child Neurology

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“…Studies of behavior and mental health problems in youths with epilepsy that explored sex differences reported conflicting results. In some studies females were found to be at a higher risk than males (Austin et al 1992(Austin et al , 2000McDermott et al 1995). In contrast, Stores (1978) found males to have more behavioral difficulties than females.…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Behavior and mental health problems in children with epilepsy and low IQ

Buelow

Austin

Perkins

et al. 2003

Dev Med Child Neurol

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The purpose of this cross-sectional descriptive study was to describe the particular types of behavioral problems, self-concept, and symptoms of depression experienced by children with both low IQ and epilepsy. Three groups of children (83 males, 81 females; mean age 11 years 10 months, SD 1 year 10 months; age range 9 to 14 years) with epilepsy were compared: (Group 1) Low IQ (<85), n=48, 25 males, 23 females; (Group 2) Middle IQ (85 to 100), n=58, 24 males, 34 females; and (Group 3) High IQ (>100), n=58, 34 males, 24 females. The Child Behavior Checklist, Piers-Harris SelfConcept Scale, and Children's Depression Inventory were used to measure behavior, self-concept, and depression respectively. Results indicated that children in the Low IQ group had the most behavioral and mental health problems. Additionally, there were IQ group-by-sex interactions, with females in the Low IQ group being at the highest risk for poor self-concept. Findings suggest that children with both epilepsy and low IQ should be carefully assessed for mental health problems in the clinical setting.Children with chronic epilepsy and children with a low IQ have each been shown to be at increased risk for quality of life problems. Research studies focusing on children with epilepsy and normal IQ, or on children with mental retardation * who do not have epilepsy, show that mental retardation and epilepsy are each independently related to poor quality of life and psychosocial problems (Austin et al. 1994(Austin et al. ,1996Lewis et al. 2000;Sabaz et al. 2001). Because each disorder is associated with such problems it is probable that children with both disorders will experience even greater problems than those with just one of the disorders. Among children with epilepsy, 28 to 38% have some degree of mental retardation (Steffenburg et al. 1996). In addition, there is an unexpectedly high number of children with both epilepsy and low IQ (70 *Correspondence to second author at 1111 Middle Drive, NU 492, Indiana University School of Nursing, Indianapolis, Indiana 46202-5107, USA., joausti@iupui.edu. * UK usage: learning disability. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript to 80) who do not fit the DSM-IV (American Psychiatric Association 1994) criteria for mental retardation (Dodson 2001). On average, the IQ in children with epilepsy is 10 points lower than that of their healthy, age-matched peers (Dodson 2001). Despite the strong relationship between epilepsy and low IQ, only a few studies have addressed the psychosocial and mental health problems of this population.Epidemiological studies of children with mental retardation and epilepsy have established that there are high rates of psychopathology. Rates of psychiatric disorders range from 50 to 59% in children with both epilepsy and mental retardation (Rutter 1989, Steffenburg et al. 1996. The most common psychiatric issues include psychoses, depression attention-deficithyperactivity disorder, socialization problems, aberrant behavior...

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“…Findings from limited empirical evidence document associations between family functioning and a range of psychosocial and health outcomes. For instance, poorer levels of family functioning predicted higher levels of behavior problems, lower self-esteem, social competencies, academic achievement, and treatment adherence [13][14][15][16].…”

Section: New and Existing Resources (Bb)mentioning

confidence: 99%

“…In addition to illness demands, families also have to manage demands arising from negative psychosocial outcomes frequently associated with the presence of epilepsy. For instance, higher levels of behavior problems could lead to increased strains experienced for other family members, poorer quality of parent-child relationships and increased family stress [8,14]. Families' reduced ability to manage these demands and insufficient support are likely to exacerbate the impact of illness severity on young people's self-esteem.…”

Section: Factors That Mediated the Relationship Between Illness Severmentioning

confidence: 99%

Individual and family factors associated with self-esteem in young people with epilepsy: A multiple mediation analysis

Chew

Haase

Carpenter

2017

Epilepsy & Behavior

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. Individual and family factors associated with self-esteem in young people with epilepsy: A multiple mediation analysis. Epilepsy and Behavior, 66, 19-26. DOI: 10.1016/j.yebeh.2016.09.039 Peer reviewed version Link to publication record in Explore Bristol Research PDF-document This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Elsevier at http://www.sciencedirect.com/science/article/pii/S1525505016303407. Please refer to any applicable terms of use of the publisher. University of Bristol -Explore Bristol Research General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms AbstractObjective: As young people experience added demands from living with epilepsy, which may lead to poor psychosocial adjustment, it is essential to examine mechanisms of change to provide practitioners with knowledge to develop effective interventions. The aim of this study was to examine individual and family-level factors -stress and illness perceptions, coping behaviours and family resilience -that promote or maintain young people's self-esteem.Methods: From November 2013 to August 2014, young people attending a neurology clinic in KK Women's and Children's Hospital, Singapore, participated in a cross-sectional survey (n=152; 13-16 years old). Multiple mediation analyses were conducted to evaluate whether these variables mediated the relationship between illness severity (i.e., low, moderate, high) and self-esteem.Results: Multiple mediation analyses demonstrated that illness severity had a direct effect on young people's self-esteem. Compared to those with moderate illness severity (reference group), young people with low severity had significantly higher self-esteem (c=3.42, p<0.05); while those with high severity had a more negative view of themselves (c=-3.93, p<0.001).Illness severity also had an indirect influence on self-esteem through its effects on mediators, such as perceived stress, illness perceptions and family resilience (D1: Total ab=3. 46, 95% CI 1.13, 5.71;). However, young people's coping levels did not predict their self-esteem, when accounting for the effects of other variables.Significance: The continued presence of seizure occurrences is likely to place greater demands on young people and their families: in turn, increased stress and negative illness perceptions, negatively affected family processes that promote resilience. As the mediating effect of these modifiable factors were above and beyond the contributions of illness characteristics and young people's levels of coping, this has implications for developing individual and family interventions aimed to support young people living with epilepsy.

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Correlates of Behavior Problems in Children with Epilepsy

Cited by 165 publications

References 23 publications

Psychosocial problems and seizure-related factors in children with epilepsy

Psychosocial problems and seizure-related factors in children with epilepsy

Behavior and mental health problems in children with epilepsy and low IQ

Individual and family factors associated with self-esteem in young people with epilepsy: A multiple mediation analysis

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