Family factors and psychopathology in children with epilepsy: A literature review

Children with epilepsy, even those with new-onset seizures, exhibit relatively high rates of behavior problems. The purpose of this study was to explore the relationships among early temperament, family adaptive resources, and behavior problems in children with new-onset seizures. Our major goal was to test whether family adaptive resources moderated the relationship between early temperament dimensions and current behavior problems in 287 children with new-onset seizures. Two of the three temperament dimensions (difficultness and resistance to control) were positively correlated with total, internalizing, and externalizing behavior problems (all p < 0.0001). The third temperament dimension, unadaptability, was positively correlated with total and internalizing problems (p < 0.01). Family adaptive resources moderated the relationships between temperament and internalizing and externalizing behavior problems at school. Children with a difficult early temperament who live in a family environment with low family mastery are at the greatest risk for behavior problems.

Section: Discussionmentioning

confidence: 99%

Temperament, family environment, and behavior problems in children with new-onset seizures

Baum¹,

Byars²,

deGrauw³

et al. 2007

“…FAMILY RESILIENCE ASSESSMENT SCALE 8  In contrast, young people who experienced greater illness severity would have significantly lower levels of family resilience [8,10,[42][43][44][45]. Correlational analyses were performed to establish the statistical significance of relationships between measures of family resilience and young people's selfesteem.…”

Section: Reliability and Validitymentioning

confidence: 99%

“…Family functioning, which plays a significant role in young people's adaptation, has been identified as one of the modifiable processes for intervention [6,7]. Compared to their peers, young people with epilepsy had poorer parent-child relationships, greater problems with family functioning (e.g., poorer communication between family members, lower family cohesion), higher levels of stress and conflict within their families [8]. Associations between family functioning and a range of psychosocial and health outcomes in young people with epilepsy has also been demonstrated.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Family Resilience Assessment Scale: A Singaporean perspective

Chew

Haase

2016

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 In turn, their ability to cope with multiple demands is likely to affect young people's adaptation. The purpose of this study was to examine psychometric properties of the Family Resilience Assessment Scale (FRAS), an assessment tool that measures the construct of family resilience. A total of 152 young people with epilepsy, aged 13 to 16 years old, from KK Women's and Children's Hospital, Singapore, completed the FRAS along with Rosenberg's Self-Esteem scale. Factor structure of the FRAS was examined. Exploratory factor analysis resulted in a 7-factor solution -Meaning making and Positive outlook; Transcendence and spirituality; Flexibility and Connectedness; Social and economic resources (community); Social and economic resources (neighbors); Clarity and Open emotional expression; Collaborative problem-solving -accounting for 83.0% of the variance. Internal consistency of the scale was high (α=0.92). Family resilience was significantly correlated with higher levels of self-esteem. Our study provides preliminary findings that suggest FRAS is a reliable and valid scale for assessing the construct of family resilience among young people with epilepsy in Singapore.

“…Several systematic reviews conclude young people with epilepsy have higher levels of psychiatric diagnosis, externalizing and internalizing problems, lower health-related quality of life, social competence and poorer academic achievements, compared to their peers [4][5][6][7]. However, young people with epilepsy do not necessarily have negative outcomes.…”

Section: Introductionmentioning

confidence: 99%

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

Chew

Haase

Carpenter

2017

. 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.