The validity of questionnaire‐based assessment of psychopathology in children with epilepsy

Wright, Isobel

doi:10.1111/j.1469-8749.2008.03262.x

Cited by 5 publications

(5 citation statements)

References 2 publications

(3 reference statements)

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“…62 Therefore endorsement of attention and hyperactivity/impulsivity symptoms may reflect other factors, such as seizure characteristics, antiepileptic medication side effects, effect of cognitive deficits, or other mood/behavioral problems. 63 In addition, ratings from both parents and teachers are recommended for assessment of developmental ADHD. Rates of ADHD diagnosis may also be higher if based only on parent ratings.…”

Section: Assessment Of Adhdmentioning

confidence: 99%

Practical Considerations for the Assessment and Treatment of ADHD in Children with Epilepsy

Diekroger

Tangen

2018

J Pediatr Epilepsy

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Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent psychiatric comorbidities in children with epilepsy, but it is under diagnosed and under treated which can impact the quality of life. Knowledge regarding ADHD characteristics, epilepsy-related risk factors, and associations with specific types of epilepsy provide a base for assessment. Epilepsy-related variables have not consistently predicted ADHD status, so screening and assessment for ADHD in children with epilepsy should be systematic and broad. Different assessment tools and techniques can be helpful including rating scales, diagnostic interviews, and neuropsychological testing. Treatment of ADHD with methylphenidate has been found to be safe and effective including in populations with uncontrolled seizures and coexisting intellectual disability. There are limited data on other medication and behavioral treatments. To improve assessment, diagnosis and treatment, medical provider knowledge, and practices, as well as family barriers to behavioral health should be targeted.

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Section: Assessment Of Adhdmentioning

confidence: 99%

Practical Considerations for the Assessment and Treatment of ADHD in Children with Epilepsy

Diekroger

Tangen

2018

J Pediatr Epilepsy

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“…An example of this overlap would be the unusual repetitive and stereotyped behaviours common in children with ASD which can be difficult to distinguish from seizures (Tuchman & Rapin, 2002). • It has been suggested that behavioural checklists that are intended to identify difficulties with attention falsely categorise absence seizures as difficulties such as inattention (Wright, 2009; but see Gleissner et al, 2008). An expert clinical interview and observation should usually separate absence seizures with a clear onset that interrupts an activity from contingent diversion of attention and non-specific daydreaming (Reilly, Kent, & Neville, 2012).…”

Section: Neurodevelopmental Disorders and Emotional Difficulties In Cmentioning

confidence: 99%

Children with epilepsy: the role of the educational psychologist

Reilly¹,

Fenton²

2013

Educational Psychology in Practice

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Childhood epilepsy is the most common paediatric neurological disorder. It is a condition with a well-documented association with cognitive, behavioural and emotional difficulties. Children with epilepsy are at increased risk of global and specific cognitive impairments. They are also at increased risk for symptoms associated with attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), depression and anxiety. The cognitive, behavioural and emotional difficulties associated with childhood epilepsy are often overshadowed by the need to treat epileptic seizures. Psychologists working in schools can provide valuable insight into the cognitive, behavioural and emotional issues faced by children with epilepsy through appropriate assessment and the recommendation of interventions which will lessen the impact of such difficulties. Educational psychologists can also help the children's families cope with a condition with challenging psychosocial implications and provide a valuable link between school staff and supporting health professionals.

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“…Measures of psychopathology in population‐based studies may include behavioural checklists, diagnostic interviews or both. It has been argued that measurement of rates of psychopathology in childhood epilepsy via behavioural checklists may be compromised in that some items may tap into seizure characteristics as opposed to actual behavioural or psychiatric conditions (Wright, ). However, Gleissner et al.…”

Section: Population‐based Studies Of Psychopathology In Childhood Epimentioning

confidence: 99%

“…Measures of psychopathology in population-based studies may include behavioural checklists, diagnostic interviews or both. It has been argued that measurement of rates of psychopathology in childhood epilepsy via behavioural checklists may be compromised in that some items may tap into seizure characteristics as opposed to actual behavioural or psychiatric conditions (Wright, 2009). However, Gleissner et al (2008) found that on the Child Behavior Checklist (CBCL; Achenbach, 1991) the number of ambiguous items is small and suggest that is it a valid measure of psychopathology in children with epilepsy.…”

Section: Population-based Studies Of Psychopathology In Childhood Epimentioning

confidence: 99%

“…There have been suggestions that behavioural checklists that are intended to identify difficulties with attention falsely categorise absence seizures as difficulties with inattention (Wright, ; but see Gleissner et al., ). An expert clinical interview should usually separate absence seizures with a clear onset that interrupt an activity from contingent diversion of attention and non‐specific daydreaming.…”

Section: Attention Deficit/hyperactivity Disorder In Childhood Epilepsymentioning

confidence: 99%

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Review: Psychopathology in childhood epilepsy

Reilly¹,

Kent²,

Neville³

2012

Child Adoles Ment Health

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Background Population‐based studies of psychopathology are important in childhood epilepsy given that there is a spectrum of severity with regard to the impact of epilepsy and associated behavioural/psychiatric difficulties. Method Population‐based studies in childhood epilepsy which have focused on global measures of psychopathology and rates of specific behavioural and psychiatric disorders were reviewed with respect to prevalence of disorders and possible correlates of difficulties. Clinic‐based studies and meta‐analyses were reviewed where they added to an understanding of the correlates or treatment of psychopathology in childhood epilepsy. The systematic review methodology was based on a search of PubMed from January 1980 to June 2011. Results Children with epilepsy are at significantly higher risk for a range of behavioural and psychiatric disorders including attention deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), depressive and anxiety disorders. Available evidence suggests that these difficulties are under‐recognised and there have been few studies focussing on interventions to treat these behavioural and psychiatric issues in childhood epilepsy. Conclusion Population‐based studies suggest high rates of psychopathology in childhood epilepsy. As a result children with epilepsy need close monitoring with regard to the presence of behavioural difficulties. There is a need for studies on how such difficulties can be best managed so that affected children and their families can maximise their quality of life.

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The validity of questionnaire‐based assessment of psychopathology in children with epilepsy

Cited by 5 publications

References 2 publications

Practical Considerations for the Assessment and Treatment of ADHD in Children with Epilepsy

Practical Considerations for the Assessment and Treatment of ADHD in Children with Epilepsy

Children with epilepsy: the role of the educational psychologist

Review: Psychopathology in childhood epilepsy

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