Mental health of children and adolescents with epilepsy: analysis of clinical and neuropsichological aspects

Moreira, Fernanda de Souza; Lima, Andrea Bandeira de; Fonseca, Paula Christina; Filho, Heber de Souza Maia

doi:10.1590/0004-282x20140098

Cited by 14 publications

(4 citation statements)

References 22 publications

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“…The study by Moreira et al ( 51 ), however, suggested no relationship between emotional and behavioral problems and other clinical variables (duration of epilepsy or number of ASMs), but highlighted a significant relationship with children IQ. It would, therefore, be interesting, in a future research, to add this parameter in our analysis.…”

Section: Discussionmentioning

confidence: 94%

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

et al. 2021

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Introduction: The aim of this study was to identify the presence of emotional and behavioral symptoms in children and adolescents with epilepsy, to measure the stress levels in their parents, and to determine if and how parental stress was linked to emotional and behavioral symptoms of their children.Methods: We conducted a cross-sectional observational study including 103 children and adolescents with different form of epilepsy and 93 sex-/age-matched controls. Parental stress and emotional and behavioral symptoms were assessed through two standardized questionnaires: the Parenting Stress Index (PSI) and the Child Behavior Checklist (CBCL), respectively. We also considered the following variables: age, sex, maternal education level, family history of psychiatric disorders, duration of epilepsy, seizure frequency, seizure type, and number of antiseizure medications.Results: The statistical comparison showed that the epilepsy group obtained significantly higher scores than controls in almost all the CBCL and the PSI scales (p < 0.05). The correlation analysis revealed a significant relationship between the PSI Total Stress scale and the following CBCL scales: total problems, internalizing problems, and externalizing problems (p < 0.05). An earlier age of seizure onset was related to a greater presence of externalizing problems, total problems, and total stress (p < 0.05).Conclusion: In the epilepsy group, we found higher levels of parental stress and higher presence of emotional and behavioral symptoms compared to controls, mainly represented by internalizing problems (anxiety and depression symptoms). Therefore, it is important to precociously detect these symptoms and monitor them over time, in order to prevent psychiatric problems. In addition, parents of children with epilepsy should be offered psychological support to cope with parental stress and to improve the relationship with their children.

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Section: Discussionmentioning

confidence: 94%

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

et al. 2021

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“…Another study of our group, analysing the same sample using the Child Behavior Checklist (CBCL) found worse results in psychopathology in children with epilepsy with certain psychopathological variables related to IQ (sluggish cognitive tempo, aggressive behavior, attention problem and activities) and academic performance (conduct, breaking rule behavior and school), also with no relation to clinical variables 29 . The complexity of these relations and the multifactor nature of cognitive dysfunction in epilepsy seem to turn the implemented methodology (cross-sectional) too limited to confirm a causal relationship between attention deficit and epilepsy versus comorbid ADHD.…”

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confidence: 77%

Clinical and neuropsychological assessment of attention and ADHD comorbidity in a sample of children and adolescents with idiopathic epilepsy

Costa

Oliveira

Gomes

et al. 2015

Arq. Neuro-Psiquiatr.

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Children with epilepsy present significant problems concerning attention and comorbidity with attention deficit hyperactivity disorder (ADHD). Objective: To determine the prevalence of attention complaints, ADHD diagnosis and attention profile in a sample of children and adolescents with idiopathic epilepsy. Method: 36 children and adolescents with idiopathic epilepsy and 37 genre and age matched healthy controls underwent several procedures to diagnose their neuropsychological profile and comorbidity with ADHD. Results: The prevalence of ADHD was higher in patients with epilepsy [x 2 = 4.1, p = 0.043, 6 (16.7%) vs 1 (2.7%)], with worse results in attention related WISC items and factors in patients with epilepsy comparing to the controls, but not between patients with and without ADHD. Clinical characteristics did not influence those results. Conclusion: This study found a greater prevalence of problems wih attention in pediatric patients with idiopathic epilepsy, but not a distinct profile between those with or without ADHD.Keywords: epilepsy, attention, ADHD, childhood, adolescence. RESUMOCrianças com epilepsia podem apresentar problemas de atenção e comorbidade com transtorno de atenção e hiperatividade (TDAH). Objetivo: Determinar a prevalência de queixas de atenção, diagnóstico de TDAH e perfil atentivo em uma amostra de crianças e adolescentes com epilepsia idiopática. Método: 36 crianças e adolescentes com epilepsia idiopática e 37 controles saudáveis foram submetidos a vários procedimentos para diagnosticar perfil neuropsicológico e comorbidade com TDAH. Resultados: A prevalência de TDAH foi maior em pacientes com epilepsia [x 2 = 4,1, p = 0,043, 6 ( 16,7%) vs 1 (2,7%)] , que também apresentaram piores resultados em itens e fatores dependentes de atenção do WISC. Não foram observadas diferenças entre pacientes com e sem TDAH. As características clínicas não influenciaram resultados. Conclusão: Este estudo encontrou uma maior prevalência de problemas com atenção em pacientes pediátricos com epilepsia idiopática , mas não um perfil distinto entre aqueles com ou sem TDAH.Palavras-chave: epilepsia, atenção, TDAH, infância, adolescência.Children and adolescents with epilepsy have more problems with attention, and therefore, more behavioral complaints and learning deficits 1,2 . In addition to epilepsy-related variables, many comorbidities contribute to attention deficits in this population, such as learning and psychiatric (mood and anxiety) disorders and attention deficit hyperactivity disorder (ADHD) 1 . ADHD is the most prevalent neuropsychiatric disorder among children in school age (5% in Brazilian sutides) 3,4 . The prevalence of ADHD is higher in children with epilepsy, ranging from 28.6% to 37.7% 1,5,6 . Some authors argue that this prevalence must be equal of the general population (3%-5%) when only patients with normal intelligence and controlled seizures were analyzed 7 . Even though, recent

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“…Studies have revealed that epileptic children are susceptible to severe deficits in memory [9,10,11,12,13,14] and academic achievement [15,16] compared to healthy control group. Severe psychological deficits have also been found among epileptic children compared to healthy control group [17,18,19,20]. Extent studies have also revealed that patients with low socioeconomic status experience more psychological and cognitive deficits compared to those with high socioeconomic status [5,21,22].…”

Section: Introductionmentioning

confidence: 97%

Cognitive and Psychological Deficits in Children with Epilepsy at the Korle-Bu Teaching Hospital in Ghana

Bioh¹,

Durowaa²,

Kumasenu³

et al. 2018

INDJ

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Cognitive and psychological deficits may be frequent in patients with epileptic disorders. The study was aimed at assessing the cognitive (memory and academic achievement) and psychological (anxiety and depression) deficits associated with epileptic disorders. The study also examined the effect of socio-economic status of the patient in ameliorating the cognitive and psychological deficits associated with the epileptic disorder. One hundred (n=100) respondents consisting of epileptic children (n=50) visiting the neurological clinic at the Korle Bu Teaching Hospital and healthy control group (n=50) from West African Basic School were selected to respond to questionnaires measuring cognitive and psychological deficits. Data were analysed using the MANOVA. Results of the study indicated higher psychological deficits among epileptic children compared to healthy control group.

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Mental health of children and adolescents with epilepsy: analysis of clinical and neuropsichological aspects

Cited by 14 publications

References 22 publications

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

Clinical and neuropsychological assessment of attention and ADHD comorbidity in a sample of children and adolescents with idiopathic epilepsy

Cognitive and Psychological Deficits in Children with Epilepsy at the Korle-Bu Teaching Hospital in Ghana

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