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Conde-Guzón PA, Soria-Martín C, Cancho-Candela R, Quirós-Expósito P, Conde-Bartolomé P, Bulteau C. Parental report of quality of life in children with epilepsy: A Spanish/French comparison. Epilepsy Behav 2020; 105:106968. [PMID: 32092458 DOI: 10.1016/j.yebeh.2020.106968] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/11/2020] [Accepted: 02/11/2020] [Indexed: 10/25/2022]
Abstract
BACKGROUND Epilepsy is a chronic neurological condition that affects the quality of life (QoL) of patients and their families. In this study, we compare two sets of reports on QoL that were completed by two samples of parents whose children have epilepsy. METHOD Parents of children with various types of epilepsy from Spain (N = 196) and France (N = 219) completed the same QoL questionnaire. Medical variables were recorded from the referred specialist doctor for each patient. RESULTS The factors associated with parental reports on QoL were similar in both countries. Parents of children with nonidiopathic generalized or unclassified epilepsy reported poorer QoL and the highest proportion of learning and behavioral problems. However, the intensity of difficulties varied between the two samples. CONCLUSIONS This questionnaire made it possible to detect comorbidities and daily life difficulties in children with epilepsy and their families. The type of epilepsy had the same influence on Spanish and French families' ratings of QoL. Families shared the same comorbidities in terms of hyperactivity/attention/sociability problems. Nevertheless, the intensity of reported difficulties varied in both countries, possibly because of differences in cultural and educational environments. This aspect should be further explored in future research.
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Affiliation(s)
- Pablo-A Conde-Guzón
- Department of Psychology, University of León, Spain, Campus de Vegazana, 24071 León, Spain.
| | - Carmen Soria-Martín
- Clinica PCH: Neurological and Neuropsychological Rehabilitation, Madrid, Spain; University Cardenal Cisneros, Faculty of Psychology, Avda. Jesuitas, 34, 28806 Alcalá de Henares, Spain
| | - Ramón Cancho-Candela
- Pediatric Neurology Unit, Pediatrics Department, Hospital Universitario Rio Hortega, C/ Dulzaina, 2, 47012 Valladolid, Spain.
| | - Pilar Quirós-Expósito
- Faculty of Psychology, Department of Basic Psychology, UNED, C/ Juan del Rosal, 10, 24040 Madrid, Spain.
| | - Pablo Conde-Bartolomé
- Faculty of Medicine, University of Salamanca, CM. San Bartolomé, C/Henry Collet, 37, 37007 Salamanca, Spain
| | - Christine Bulteau
- Rothschild Foundation Hospital, Pediatric Neurosurgery Department, 27, Rue Manin, 75019 Paris, France; Memory, Brain and Cognition (MC2Lab, EA 7536), Paris Descartes University, Paris, France.
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Gebauer-Bukurov KE, Nikolasevic ZD, Hajder DS, Zivanovic ZD, Bugarski Ignjatovic VV. Evaluation of Symptoms of Depression and Anxiety in Adolescents with Epilepsy in a Tertiary-Level Medical Center in Serbia. Ann Indian Acad Neurol 2019; 22:419-425. [PMID: 31736562 PMCID: PMC6839332 DOI: 10.4103/aian.aian_239_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 09/01/2018] [Accepted: 09/13/2018] [Indexed: 11/04/2022] Open
Abstract
Backgrounds Even though epilepsy is the most common neurological disorder in adolescence; studies of adolescents with epilepsy are scarce. Objective To evaluate whether adolescents with epilepsy are more likely to develop anxiety and depressive symptoms than their healthy peers and to determine the relationship of depression and anxiety scores to epilepsy-related variables. Settings and Design Cross-sectional observational study. Methods and Procedures Ninety adolescents with epilepsy aged 13-19 years were compared with healthy controls using the Beck Depression Inventory II (BDI II) and the Stait Trait Anxiety Inventory (STAI) for assessment of depressive and anxiety symptoms. Within the study group, epilepsy-related variables were also determined using the stated measures. Statistical Analysis Used The independent sample t-test, One-Way ANOVA, Pearson's correlation coefficient. Outcomes and Results 23.3% of the study group and 8.3% of the control group had mild to moderate depression. The mean BDI II score was significantly higher in the group of adolescents with epilepsy. Comparing the STAI scores, results on both STAI scales were higher in the study group. Regarding the epilepsy-related variables, a high frequency of seizures, symptomatic etiology and polytherapy showed strong associations with high depression and anxiety scores. Conclusion and Implications Symptoms of depression and anxiety are not uncommon among adolescents with epilepsy. BDI II and STAI may be used as screening tools to provide useful information to clinicians when assessing adolescents' mental status.
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Affiliation(s)
- Ksenija Ervin Gebauer-Bukurov
- Department of Neurology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.,Clinic for Neurology, Clinical Center Vojvodina, Novi Sad, Serbia
| | | | - Dragica Stevan Hajder
- Department of Neurology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.,Clinic for Neurology, Clinical Center Vojvodina, Novi Sad, Serbia
| | - Zeljko Dragan Zivanovic
- Department of Neurology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.,Clinic for Neurology, Clinical Center Vojvodina, Novi Sad, Serbia
| | - Vojislava Vojislav Bugarski Ignjatovic
- Clinic for Neurology, Clinical Center Vojvodina, Novi Sad, Serbia.,Department of Psychology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
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Wang HJ, Tan G, Deng Y, He J, He YJ, Zhou D, Liu L. Prevalence and risk factors of depression and anxiety among patients with convulsive epilepsy in rural West China. Acta Neurol Scand 2018; 138:541-547. [PMID: 30125939 DOI: 10.1111/ane.13016] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Revised: 07/25/2018] [Accepted: 08/06/2018] [Indexed: 02/05/2023]
Abstract
OBJECTIVES To explore the prevalence and risk factors of depression and anxiety in patients with convulsive epilepsy (PWE) in rural West China. METHODS PWE from rural West China were evaluated for depression and anxiety with the Neurological Disorders Depression Inventory for Epilepsy (C-NDDI-E; Chinese version) and the Generalized Anxiety Disorder-7 (GAD-7; Chinese version). We also assessed their quality of life using the Quality of Life in Epilepsy Inventory (QOLIE-31) and their level of social support using the Social Support Rating Scale (SSRS). We used logistic regression analysis to identify independent risk factors of depression and anxiety and analysis of variance (ANOVA) to investigate the association between quality of life and depression and anxiety. RESULTS Of the 458 PWE in our study, 33.4% have anxiety and 52.6% have depression. SSRS (P = 0.03) and seizure frequency (P = 0.007) are independent risk factors of anxiety, and annual income of the patients (P < 0.001) is an independent risk factor of depression. PWE with both depression and anxiety have significantly lower QOLIE-31 total and subtotal scores. CONCLUSIONS PWE have a high prevalence of depression and anxiety in rural West China, which may be impacting their quality of life. PWE with depression and anxiety got a worse quality of life, and depression had a greater impact on quality of life for PWE than anxiety. The risk factors of depression and anxiety include seizure frequency and social support, while annual income is an additional risk factor of depression. Identifying risk factors early may be helpful in the timely management of these symptoms.
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Affiliation(s)
- Hai-Jiao Wang
- Department of Neurology; West China Hospital; Sichuan University; Chengdu China
| | - Ge Tan
- Department of Neurology; West China Hospital; Sichuan University; Chengdu China
| | - Ying Deng
- Sichuan Center of Disease Control and Prevention; Chengdu Sichuan China
| | - Jun He
- Sichuan Center of Disease Control and Prevention; Chengdu Sichuan China
| | - Yu-Jin He
- Sichuan Center of Disease Control and Prevention; Chengdu Sichuan China
| | - Dong Zhou
- Department of Neurology; West China Hospital; Sichuan University; Chengdu China
| | - Ling Liu
- Department of Neurology; West China Hospital; Sichuan University; Chengdu China
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Scatolini FL, Zanni KP, Pfeifer LI. The influence of epilepsy on children's perception of self-concept. Epilepsy Behav 2017; 69:75-79. [PMID: 28236726 DOI: 10.1016/j.yebeh.2016.11.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Revised: 11/16/2016] [Accepted: 11/17/2016] [Indexed: 11/16/2022]
Abstract
The diagnosis of epilepsy can lead to changes in the patient's perception due to factors such as learning and behavioral problems, lack of academic motivation, and low self-esteem. This study aimed to evaluate and compare the knowledge of self-concept in children with epilepsy and those with typical development and verify whether gender and age influence this perception. Eighty children of both sexes, aged between 8 and 14years, participated in this study. The children were divided into two groups: the epilepsy group, which consisted of 40 children diagnosed with epilepsy, and the control group, which consisted of 40 children with typical development and comparable to group 1 according to sex and age. The Piers-Harris Children's Self-Concept Scale, translated and adapted for the Brazilian population, was used as the evaluation instrument. In total, there were 23 boys and 17 girls in each group, with a mean age of 10.7years. There were significant differences in the overall score (p=0.000) and the subareas "behavior" (p=0.006), "intellectual and academic status" (p=0.001), and "popularity" (p=0.004). The group of children with epilepsy had a lower average score in self-concept. Children with epilepsy were observed to perceive themselves as clumsy, without many friends, with low academic performance and problems at school, and to experiencing feelings of unhappiness. These findings suggest that, in addition to the treatment of the clinical manifestations of epilepsy, it is extremely important to provide treatment focused on improving the self-concept of school-aged children with this condition.
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Affiliation(s)
- Flora Lopes Scatolini
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Av. Bandeirantes, 3900, Monte Alegre, Ribeirão Preto CEP 14049-900, SP, Brazil.
| | - Karina Piccin Zanni
- Universidade Federal do Triangulo Mineiro, Avenida Getulio Guarita, 159, Nossa Senhora da Abadia, Uberaba CEP 38025-440, MG, Brazil.
| | - Luzia Iara Pfeifer
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Av. Bandeirantes, 3900, Monte Alegre, Ribeirão Preto CEP 14049-900, SP, Brazil.
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Mishra OP, Upadhyay A, Prasad R, Upadhyay SK, Piplani SK. Behavioral problems in Indian children with epilepsy. Indian Pediatr 2016; 54:116-120. [DOI: 10.1007/s13312-017-1012-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Family factors contributing to emotional and behavioral problems in Korean adolescents with epilepsy. Epilepsy Behav 2016; 56:66-72. [PMID: 26851643 DOI: 10.1016/j.yebeh.2016.01.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2015] [Revised: 01/08/2016] [Accepted: 01/09/2016] [Indexed: 11/23/2022]
Abstract
PURPOSE We aimed to determine whether different aspects of family functioning are associated with emotional and behavioral problems in adolescents with epilepsy and, if not, to document any indirect associations mediated by other family factors. METHODS This was a cross-sectional, multicenter study. A total of 297 adolescents with epilepsy and their parents participated. Adolescent psychopathology was measured using the Youth Self-Report. Family factors were classified into proximal (parent-child interaction), distal (parent characteristics), and contextual factors (family characteristics) in accordance to their level of proximity to the adolescent's everyday life. Regression analyses were used to analyze the unique and combined predictive power of family factors in relation to psychopathology. RESULTS In total, 44 (14.8%) and 51 (17.2%) adolescents with epilepsy scored above the borderline cutoff (T-score ≥ 60) of internalizing and externalizing problems, respectively. Proximal and distal factors were independently associated with both internalizing and externalizing problems. High levels of parental depressive mood and parental overcontrol were the strongest factors contributing to internalizing and externalizing problems, respectively. Contextual factors were indirectly associated with both internalizing and externalizing problems through more proximal factors. CONCLUSIONS Both proximal and distal family factors affect psychopathology in Korean adolescents with epilepsy. Parental feelings of depression and parental overcontrol are the strongest factors contributing to internalizing and externalizing problems, respectively.
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MacKinnon C, Roberts J, Wylie J. Creating Inclusive School Environments. CANADIAN JOURNAL OF SCHOOL PSYCHOLOGY 2015. [DOI: 10.1177/0829573515616211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The neurobehavioural comorbidities associated with childhood epilepsy present significant physical challenges (i.e., excessive fatigue, memory impairment, headaches, visual impairments), emotional challenges (i.e., depression, anxiety), behavioural challenges (i.e., inattentiveness, distractibility, aggression), and social challenges (i.e., peer rejection, bullying, stigma) to children. Poor functioning within these domains can negatively affect academic success and school adjustment. As schools play a significant role in a child’s development, understanding how to support the social, psychological, and physical needs of these children is important. This article reviews literature examining the neurobehavioural comorbidities associated with childhood epilepsy and the barriers these conditions create to academic success and school adjustment. The article also provides recommendations based on the authors’ qualitative research about how best to support these children. Findings suggest that educating school communities about epilepsy and the challenges associated with it might promote inclusive school environments and mitigate negative school experiences. Findings also emphasize the need for an allied approach to the provision of support to ensure the needs of both students and faculty are met.
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Ryu HU, Lee SA, Eom S, Kim HD. Perceived stigma in Korean adolescents with epilepsy: Effects of knowledge about epilepsy and maternal perception of stigma. Seizure 2015; 24:38-43. [DOI: 10.1016/j.seizure.2014.11.010] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Revised: 10/26/2014] [Accepted: 11/25/2014] [Indexed: 11/24/2022] Open
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Ait Khelifa-Gallois N, Laroussinie F, Puget S, Sainte- Rose C, Dellatolas G. Long-term functional outcome of patients with cerebellar pilocytic astrocytoma surgically treated in childhood. Brain Inj 2014; 29:366-73. [DOI: 10.3109/02699052.2014.975281] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ali DB, Tomek M, Lisk DR. The effects of epilepsy on child education in Sierra Leone. Epilepsy Behav 2014; 37:236-40. [PMID: 25108115 DOI: 10.1016/j.yebeh.2014.07.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Revised: 06/27/2014] [Accepted: 07/09/2014] [Indexed: 11/19/2022]
Abstract
Epilepsy is associated with a significant burden of false beliefs and social stigma in the setting of Sub-Saharan Africa. To assess the impacts of epilepsy on child education in Sierra Leone (SL), we carried out a cross-sectional descriptive study examining its effects on school attendance, participation in physical activities, and social acceptance among classmates. We also assessed the knowledge, beliefs, and attitudes regarding epilepsy of both the children's caregivers and teachers. The data were collected at various epilepsy clinics and schools in Freetown, SL. A total of 50 patients were interviewed and questionnaires administered to their caregivers and teachers, making a total of 150 respondents. Fifty-one percent of the children were absent from school for >5 days per month. Ninety percent did not participate in games and sports, with the commonest reason being fear of occurrence of seizures. Thirty-six percent claimed having experienced negative attitude from their classmates. Regarding the caregivers, 48% believed that epilepsy was a medical illness, while 34% considered it a demonic manifestation. Forty-eight percent were apprehensive about sending their children to school, with 83% of these caregivers stating fear of seizures and potential injuries. Only 8% of the caregivers did not prevent their children from taking part in any physical activity at school. Regarding the teachers, 16% believed that epilepsy was a demonic manifestation, and 10% thought that it was contagious. Fourteen percent did not think that children with epilepsy should go to school, and 80% would prevent children with epilepsy from participating in games and sports. When faced with a child having a seizure, 48% would hold the child down, 12% would place a hard object in the child's mouth, and 12% would avoid any physical contact. In total, 20% of the children ceased attending school permanently; daily occurrence of seizures (p<0.05), negative attitude of classmates (p<0.001), and having an illiterate caregiver (p<0.02) all showed a significant association with permanent cessation of schooling. The study demonstrates significant negative impacts of epilepsy on child education. Notably, the reasons for permanent exclusion from school appear to be as much related to attitudes as to the medical aspects of the disease itself. The data thus highlight the need for educational programs to address the widely prevalent misconceptions among both caregivers and teachers.
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Affiliation(s)
- Desta B Ali
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone
| | - Michal Tomek
- Department of Medicine, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, UK.
| | - Durodami R Lisk
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone
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Adaptive skills and somatization in children with epilepsy. EPILEPSY RESEARCH AND TREATMENT 2014; 2014:856735. [PMID: 24592331 PMCID: PMC3922016 DOI: 10.1155/2014/856735] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Accepted: 11/20/2013] [Indexed: 11/17/2022]
Abstract
Objective. Children with epilepsy are at risk for less than optimum long-term outcomes. The type and severity of their epilepsy may contribute to educational, psychological, and social outcomes. The objective of this study was to determine the relation between somatization and adaptive skills based on seizure type that could impact on those outcomes. Methods. This study examined adaptive functioning and somatization in 87 children with epilepsy using archival data from a tertiary care facility. Results. No significant differences in adaptive skills emerged between groups of children diagnosed with complex partial (CP) as compared to CP-secondary generalized (SG) seizures; however, deficits in adaptive behavior were found for both groups. The number of medications, possibly reflecting the severity of the epilepsy, was highly correlated to adaptive function. Conclusions. Identification of deficits in adaptive behavior may represent an opportunity for tailored prevention and intervention programming for children with epilepsy. Addressing functional deficits may lead to improved outcomes for these children.
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Villeneuve N, Laguitton V, Viellard M, Lépine A, Chabrol B, Dravet C, Milh M. Cognitive and adaptive evaluation of 21 consecutive patients with Dravet syndrome. Epilepsy Behav 2014; 31:143-8. [PMID: 24412860 DOI: 10.1016/j.yebeh.2013.11.021] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2013] [Revised: 11/15/2013] [Accepted: 11/21/2013] [Indexed: 11/27/2022]
Abstract
In order to assess the cognitive and adaptive profiles of school-aged patients with Dravet syndrome (DS), we proposed to evaluate the intelligence and adaptive scores in twenty-one 6- to 10-year-old patients with DS followed in our institution between 1997 and 2013. Fourteen patients were tested using the Wechsler Intelligence Scale for Children (WISC) and the Vineland Adaptive Behavioral Scales (VABS); 6 patients could not be tested with the WISC and were tested with the VABS only, and one was tested with the WISC only. Data regarding the epilepsy were retrospectively collected. Statistical analysis (Spearman rank order and Pearson correlation coefficient) was used to correlate early epilepsy characteristics with the cognitive and adaptive scores. Sodium channel, neuronal alpha-subunit type 1 (SCN1A) was mutated in 19 out of 21 patients. After the age of 6years, none of the DS patients had a normal intelligence quotient (IQ) using WISC (age at the testing period: mean=100±5; median=105months; mean total IQ=47±3; n=15). Only five patients had a verbal and/or a non verbal IQ of more than 60 (points). Their cognitive profile was characterized by an attention deficit, an inability to inhibit impulsive responses, perseverative responses and deficit in planning function. Administering the Vineland Adaptive Behavioral Scales in the same period, we showed that socialization skills were significantly higher than communication and autonomy skills (age at the testing period: mean=100±4; median=100months; n=20). We did not find any significant correlation between the IQ or developmental quotient assessed between 6 and 10years of age and the quantitative and qualitative parameters of epilepsy during the first two years of life in this small group of patients. Despite an overall moderate cognitive deficit in this group of patients, the Vineland Adaptive Behavioral Scales described an adaptive/behavioral profile with low communication and autonomy capacities, whereas the socialization skills were more preserved. This profile was different from the one usually found in young patients with autism and may require specific interventions.
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Affiliation(s)
- Nathalie Villeneuve
- CINAPSE, Hôpital Henri Gastaut Centre Saint Paul, 13009 Marseille, France; Centre Ressource Autisme, Hopital Sainte Marguerite, 13009 Marseille, France; APHM, Service de neurologie pédiatrique, Hôpital de la Timone, 13005 Marseille, France
| | - Virginie Laguitton
- CINAPSE, Hôpital Henri Gastaut Centre Saint Paul, 13009 Marseille, France
| | - Marine Viellard
- Centre Ressource Autisme, Hopital Sainte Marguerite, 13009 Marseille, France
| | - Anne Lépine
- CINAPSE, Hôpital Henri Gastaut Centre Saint Paul, 13009 Marseille, France; APHM, Service de neurologie pédiatrique, Hôpital de la Timone, 13005 Marseille, France
| | - Brigitte Chabrol
- APHM, Service de neurologie pédiatrique, Hôpital de la Timone, 13005 Marseille, France
| | - Charlotte Dravet
- Child Neurology and Psychiatry, Catholic University, Rome, Italy
| | - Mathieu Milh
- APHM, Service de neurologie pédiatrique, Hôpital de la Timone, 13005 Marseille, France; INSERM, UMR 910, Aix-Marseille Université, 13005 Marseille, France
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Rantanen K, Eriksson K, Nieminen P. Social competence in children with epilepsy--a review. Epilepsy Behav 2012; 24:295-303. [PMID: 22595143 DOI: 10.1016/j.yebeh.2012.04.117] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2012] [Revised: 04/05/2012] [Accepted: 04/07/2012] [Indexed: 11/30/2022]
Abstract
This systematic review focuses on definitions of social competence and assessment methods and provides an overview of the main findings in childhood epilepsy. A total of 45 studies drawn from MEDLINE and PsycINFO (1998-2010) and their reference lists met the selection criteria. Social competence was not defined in the studies reviewed. The study samples varied and consisted mostly of school-aged children. The majority of the studies focused on social adjustment and addressed problems in this area. Little is known about other aspects of social competence, namely social skills or social performance. A broader perspective on and definition of the assessment of social competence in children with epilepsy are proposed. More studies of the abilities underlying social competence, such as social and socio-cognitive skills, are needed in order to gain insight into the developmental pathways of social competence and protective factors for later development.
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Affiliation(s)
- K Rantanen
- University of Tampere, School of Social Sciences and Humanities, Psychology Clinic, Finland.
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Brabcova D, Lovasova V, Kohout J, Zarubova J. Familiarity with and attitudes towards epilepsy among teachers at Czech elementary schools—The effect of personal experience and subspecialization. Seizure 2012; 21:461-5. [DOI: 10.1016/j.seizure.2012.04.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2012] [Revised: 04/27/2012] [Accepted: 04/29/2012] [Indexed: 11/16/2022] Open
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Desnous B, Bourel-Ponchel E, Raffo E, Milh M, Auvin S. [Assessment of education needs of adolescents and parents of children with epilepsy]. Rev Neurol (Paris) 2012; 169:67-75. [PMID: 22703612 DOI: 10.1016/j.neurol.2012.03.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2011] [Revised: 01/12/2012] [Accepted: 03/21/2012] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Education program for patients (EPP) is now a part of the management of patients with chronic disease. According to WHO, the EPP is designed to help patients to maintain or gain self-care skills and adaptive skills necessary to improve their health and their quality of life. Patient education programs have been developed in recent years in several chronic diseases such as diabetes and asthma. In the field of epilepsy, however, adult and child programs have been developed only recently in France. We evaluate the interests for the establishment of an EPP and the topics that the parents and the adolescents would like to be discussed in such courses. METHODS We conducted a qualitative survey, based on interviews of parents of epileptic children and adolescents. The survey was conducted between April and November 2010 in pediatric neurology services of four French university hospitals: Amiens, Nancy, Marseille, and in Robert Debré (Paris) hospital. We investigated the following issues: treatment and self-management, and seizure management, psychosocial difficulties related to epilepsy, anatomical and physiological knowledge of epilepsy and lifestyle. RESULTS Two topics seem to have the greatest interest for parents of children with epilepsy and adolescents: knowledge about seizures and knowledge of anatomy and physiology of the brain. Adolescents involved in this study gave consistently lower scores in all items compare to parents of children. CONCLUSION The medical management of children and adolescents with epilepsy, and their caregivers, is a comprehensive care including the EPP in order to provide a full management of all issues raised by epilepsy. The survey identified key-points that parents and their children would like to learn in an EPP. These data would be helpful to design an EPP.
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Affiliation(s)
- B Desnous
- Service de neurologie pédiatrique et des maladies métaboliques, CHU hôpital Robert Debré, AP-HP, 48, boulevard Sérurier, 75935 Paris cedex 19, France
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Soria C, Escolano S, El Sabbagh S, Chmura S, Bulteau C, Chiron C, Dellatolas G. Behavioral problems, cognitive difficulties and quality of life in children with epilepsy: An analysis of parental concerns. Child Neuropsychol 2012; 18:209-27. [DOI: 10.1080/09297049.2011.602012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Chiappedi M, Beghi E, Ferrari-Ginevra O, Ghezzo A, Maggioni E, Mattana F, Spelta P, Stefanini MC, Biserni P, Tonali P. Response to rehabilitation of children and adolescents with epilepsy. Epilepsy Behav 2011; 20:79-82. [PMID: 21130694 DOI: 10.1016/j.yebeh.2010.10.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2010] [Revised: 10/27/2010] [Accepted: 10/27/2010] [Indexed: 10/18/2022]
Abstract
One hundred fifty-six children and adolescents with epilepsy from six Italian rehabilitation units were retrospectively enrolled to define the proportion of patients with epileptogenic developmental disorders who benefit from comprehensive rehabilitation programs and to identify factors predicting treatment response. The rehabilitation programs were classified as neuromotor, psychomotor, and speech and language. For each program, the response was coded as present or absent according to the caring physician's judgment. Selected demographic and clinical variables were correlated to treatment response. Neuromotor rehabilitation was performed in 86 cases (55%), psychomotor rehabilitation in 54 cases (34%), and speech and language rehabilitation in 40 cases (26%). Response rates were 58, 74, and 90%, respectively. Independent negative predictors of treatment response included severity of functional impairment (odds ratio=0.02, 95% confidence interval=0.01-0.14) and daily seizures (odds ratio=0.22, 95% confidence interval=0.08-0.58).
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Affiliation(s)
- Matteo Chiappedi
- Fondazione Don Carlo Gnocchi ONLUS, Centro Medico Santa Maria alle Fonti, Salice Terme (PV), Italy
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School performance in a cohort of children with CNS inflammatory demyelination. Eur J Paediatr Neurol 2010; 14:418-24. [PMID: 20207560 DOI: 10.1016/j.ejpn.2010.02.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2009] [Revised: 02/03/2010] [Accepted: 02/10/2010] [Indexed: 10/19/2022]
Abstract
BACKGROUND Acute CNS inflammatory demyelination in childhood may induce permanent cognitive impairment. However, there has been no epidemiological assessment of prognostic factors for school performance in a cohort of children with such a disease. METHODS The cohort consisted of 344 children from the French "KIDSEP" neuropediatric cohort with at least one clinically defined attack of CNS inflammatory demyelination occurring before the age of 16 years, and with at least two years of follow-up (inclusion from 1990 to 2003, follow-up until June 2007). We used multivariate survival analysis (Cox model) to evaluate the prognostic value for grade retention between the start of elementary school ( approximately 6 years of age) and the end of high school ( approximately 17-18 years of age), of variables related to both the socioeconomic status of the parents and the characteristics of the disease at onset. RESULTS The cohort was monitored for a mean of 8.0+/-3.4 years. Grade retention after disease onset was recorded for 151 patients (43.9%). The risk of grade retention was significantly higher for boys, children from families with lower social status and poorer housing conditions, children over the age of 11 years at disease onset and children suffering optic neuritis or brainstem dysfunction at the first attack or irreversible disability, even if only moderate, following the first attack. CONCLUSIONS The risk factors for poor school performance are related to low socioeconomic status and to factors predictive of a relapsing severe course of the disease, leading to the diagnosis of multiple sclerosis.
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Ekinci O, Titus JB, Rodopman AA, Berkem M, Trevathan E. Depression and anxiety in children and adolescents with epilepsy: prevalence, risk factors, and treatment. Epilepsy Behav 2009; 14:8-18. [PMID: 18804186 DOI: 10.1016/j.yebeh.2008.08.015] [Citation(s) in RCA: 106] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2008] [Revised: 08/21/2008] [Accepted: 08/26/2008] [Indexed: 11/19/2022]
Abstract
Among the psychiatric comorbid conditions in children and adolescents with epilepsy, depression and anxiety disorders require further attention because they carry the risk of reduced quality of life and life-threatening complications (e.g., suicide). Research in recent years has shed light on both the prevalence of emotional problems in youth with epilepsy and the safety and efficacy of treatment options. A number of challenges exist in treating patients with epilepsy. This is particularly true when seizures are difficult to control and medication regimens are more complex. Some pharmaceutical options may provide assistance with both seizures and emotional distress, but care is needed when considering such treatment approaches. In addition, integration of mental health professionals into the care of patients is necessary when cases are complicated and risk factors are high. Thorough methods to accurately diagnose emotional conditions and regular monitoring of symptoms can help prevent serious problems that can negatively affect the success of children and adolescents in everyday life. Collaboration between disciplines offers the best hope for early identification and treatment of these conditions.
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Affiliation(s)
- Ozalp Ekinci
- Department of Child Psychiatry, School of Medicine, Marmara University, Istanbul, Turkey.
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Shehata GA, Bateh AEAM. Cognitive function, mood, behavioral aspects, and personality traits of adult males with idiopathic epilepsy. Epilepsy Behav 2009; 14:121-4. [PMID: 18801461 DOI: 10.1016/j.yebeh.2008.08.014] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2008] [Revised: 08/23/2008] [Accepted: 08/25/2008] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study was designed to assess cognitive function, mood, aggression, and personality traits among adult men with idiopathic epilepsy. METHODS Seventy-one male patients with idiopathic epilepsy were recruited from the outpatient epilepsy clinic of Assuit University hospitals. Another 58 subjects matched with respect to age, sex, and socioeconomic status formed the control group. For each participant, a complete medical history was obtained, and clinical examination, EEG, and psychometric evaluation were performed. For the psychometric evaluation, we used the Stanford-Binet test (fourth edition) to assess cognitive function, the Beck Depression Inventory to assess symptoms of depression, the Aggressive Behavior Scale, and the Eysenck Personality Questionnaire. RESULTS Patients with epilepsy reported highly significant impairment in all cognitive measures and higher scores on depressive symptoms, aggressive behavior, and most personality traits compared with controls. Early age at onset, prolonged duration of illness, increased frequency of seizures, and history of status epilepticus were significantly negatively correlated with some of the cognitive function subscales. CONCLUSION Epilepsy itself and epilepsy-related factors are associated with cognitive function deterioration, depression, aggression, and some abnormal personality traits.
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Affiliation(s)
- Ghaydaa A Shehata
- Department of Neurology, Faculty of Medicine, Assuit University, Assuit, Egypt.
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Soria C, Callu D, Viguier D, El Sabbagh S, Bulteau C, Laroussinie F, Dellatolas G. Parental report of cognitive difficulties, quality of life and rehabilitation in children with epilepsy or treated for brain tumour. Dev Neurorehabil 2008; 11:268-75. [PMID: 19031199 DOI: 10.1080/17518420802551498] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE Paediatric neurological chronic conditions are often associated with physical, cognitive, psychological and behavioural difficulties that may affect quality of life (QOL) of children and their families. In this study, we compare parental report of difficulties and rehabilitation in children with various epileptic syndromes or treated for a benign or malignant brain tumour. METHOD One hundred fifty-three children aged between 6 and 12 years were included, 119 with epilepsy (non-idiopathic generalized 31, non-idiopathic partial 62, idiopathic 26) and 34 treated for a brain tumour. Parents answered a multidimensional questionnaire on child's autonomy and cognitive or behavioural difficulties, impact of the illness on their own everyday life, and rehabilitation. RESULTS Learning difficulties were reported by a majority of parents in all groups. Behavioural and autonomy problems were more often reported in the non-idiopathic generalized epilepsy group. Report of tiredness was more frequent and of disrupting behaviour less frequent in the tumour group than in epilepsy. Impact of the child's illness on parents' QOL was strong in all groups, and stronger in case of severe forms of epilepsy. CONCLUSIONS Parental concerns are important to consider for rehabilitation programmes adapted to each child with these neurological conditions.
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Affiliation(s)
- Carmen Soria
- Institut de Psychologie, Laboratoire de Psychologie et de Neurosciences cognitives-CNRS UMR 8189, Universite Paris Descartes, Boulogne Billancourt, France
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Soria C, Bulteau C, El Sabbagh S, Jambaqué I, Bobet R, Dellatolas G. La qualité de vie chez l’enfant avec épilepsie : revue de la littérature. Arch Pediatr 2008; 15:1474-85. [DOI: 10.1016/j.arcped.2008.06.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2007] [Revised: 04/14/2008] [Accepted: 06/27/2008] [Indexed: 10/21/2022]
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Bulteau C, Dorfmüller G, Fohlen M, Jalin C, Oliver MV, Delalande O. [Epilepsy surgery during infancy and early childhood in France]. Neurochirurgie 2008; 54:342-6. [PMID: 18436266 DOI: 10.1016/j.neuchi.2008.02.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2008] [Accepted: 02/23/2008] [Indexed: 11/18/2022]
Abstract
BACKGROUND AND PURPOSE We present the epilepsy surgery activity in infants and children at the Fondation Rothschild Hospital, the main center dedicated to this activity in France. METHOD A prospective study was conducted from 2003 to 2007 based on three populations: (1) children selected as candidates for surgery, (2) children undergoing presurgical evaluation and (3) children undergoing surgical procedures for epilepsy. RESULTS Children selected as candidates for surgery: 304 children were referred and discussed by our multidisciplinary staff. They came from Paris and its suburbs (40%), the provinces (43%) or from other countries (14%). Sixty-one percent of them were included in our surgery program and 24% were excluded. Sixty-one percent of them were under 10 years of age. Children undergoing presurgical evaluation: 296 children were recorded: 140 EEG (47%), 46 with foramen ovale electrodes (16%) and 110 with invasive recording techniques (37%). Seventy percent of these children were under 10 years of age. Children undergoing surgical procedures: 316 children underwent surgery; 68% of them were under 10 years of age. The surgical procedures were focal resection (136 children), vertical parasagittal hemispherotomy (77 children), resection and or disconnection for hypothalamic hamartoma (69 children) and 34 had palliative surgery (callosotomy or vagal nerve stimulation). CONCLUSION Eighty to 100 children undergo surgery each year in our department for drug-resistant partial epilepsy; 70% of them are less than 10 years of age. This activity is part of a network of pediatric neurologists who are deeply involved in treatment of severe epilepsy in children.
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Affiliation(s)
- C Bulteau
- Service de neurochirurgie pédiatrique, fondation ophtalmologique Adolphe-de-Rothschild, 25-29, rue Manin, 75940 Paris cedex 19, France.
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Raspall-Chaure M, Neville BG, Scott RC. The medical management of the epilepsies in children: conceptual and practical considerations. Lancet Neurol 2008; 7:57-69. [DOI: 10.1016/s1474-4422(07)70324-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abstract
OBJECTIVE To critically review literature published from 1996 to 2007 on psychopathology in children with epilepsy (CWE). METHOD Using Ovid, we searched Medline and PsychInfo databases for original studies on epidemiology, risk factors, clinical characteristics, treatment, and outcome of psychopathology in CWE, ages 0 to 18 years, using the terms "psychopathology," "emotional and behavioral problems," and "mental health problems." We selectively present the findings of studies that are clinically relevant to mental health professionals. RESULTS Psychopathology occurs in 37% to 77% of CWE, and attention, internalizing, and thought problems may be specific to epilepsy. Cognitive and linguistic deficits, as well as family factors, have moderating effects on psychopathology in CWE. The association of epilepsy-related variables, including antiepileptic drugs, with psychopathology is inconsistent in cognitively normal CWE. Children with symptomatic epilepsy and devastating epilepsy syndromes have high rates of global developmental delay, hyperactivity, and autistic symptoms. The treatment of psychopathology in CWE integrates standard psychiatric practices. CONCLUSIONS Epilepsy is a neuropsychiatric disorder characterized by seizures, psychopathology, cognitive, and linguistic problems. Improved early identification of CWE at risk for psychopathology, evidence-based psychiatric treatment, and multidisciplinary management strategies would advance clinical practice in this highly complex field of pediatric neuropsychiatry.
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Aguiar BVK, Guerreiro MM, McBrian D, Montenegro MA. Seizure impact on the school attendance in children with epilepsy. Seizure 2007; 16:698-702. [PMID: 17590358 DOI: 10.1016/j.seizure.2007.05.013] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2007] [Revised: 04/18/2007] [Accepted: 05/23/2007] [Indexed: 11/17/2022] Open
Abstract
RATIONALE Epilepsy has a significant influence on the patient's quality of life. The objective of this study was to evaluate the impact of ongoing seizures on school attendance amongst children with epilepsy. METHODS This was a prospective study, conducted at the University of Campinas, in the pediatric epilepsy clinic, from January 2005 to August 2006. We enrolled 50 consecutive children who had a diagnosis of epilepsy. Parents were interviewed by one of the authors using a semi-structured questionnaire that included questions specifically addressing the impact of epilepsy on the child's academic life. RESULTS Fifty patients were evaluated, 34 boys and 16 girls; ages ranged from 6 to 18 years old (mean=11). Eighty-eight percent of patients in the study missed at least 1 day of school due to seizures. The reason given by parents for a school absence was seizure in 75%, medical appointment in 79.5%, epilepsy related tests (EEG, MRI, etc.) in 68.2%, and other in 0.03%. Almost half of the parents (46%) believed that if the child had a seizure at school he/she should leave school immediately. Sixty percent of families allowed the child to skip a school day even if there was no illness and the child had no seizures on that day. Among those patients with siblings, 12.5% had a brother or sister who was absent from school for at least 1 day due to his/her sibling's epilepsy. CONCLUSION Seizures have a significant impact on school attendance, and as a result may increase the academic difficulties faced by children with epilepsy. This effect may be especially pronounced in children with symptomatic epilepsy and medically intractable seizures.
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