Behavioral Disorders in Pediatric Epilepsy: Unmet Psychiatric Need
ABSTRACT This study examined the relation between psychiatric diagnosis and mental health services in children with epilepsy and the associated demographic, cognitive, linguistic, behavioral, and seizure-related variables.
The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), the Child Behavior Checklist, the Test of Language Development, and the Wechsler Intelligence Scale for Children-Revised (WISC-R) were administered to 114 children, aged 5 to 16 years, with either complex partial seizures (CPS) or primary generalized with absence (PGE, petit mal). A Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) diagnosis and information regarding mental health services were derived from the K-SADS.
Although approximately 60% of the subjects had a DSM-IV psychiatric diagnosis, >60% received no mental health treatment. Absence of mental health care was associated with younger age, less parental education, limited number of antiepileptic drugs (AEDs; i.e., one or none), and higher verbal IQ. In addition, children with PGE and a single psychiatric diagnosis were less likely to have a history of mental health treatment.
This is the first study to demonstrate unmet mental health need in a large sample of children with CPS and PGE. The study's findings suggest that parents and clinicians should be aware of the mental health needs of children with epilepsy, particularly if they have one or more of the identified risk factors.
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ABSTRACT: Background and Aim: The association between attention deficit hyperactivity disorder (ADHD) and epilepsy has been the focus of numerous studies published recently. Population studies suggest that 12–17% of children with epilepsy meet the criteria for ADHD compared to 3% to 7% of the general pediatric population. The purpose of this study was to evaluate ADHD symptoms in Iranian epileptic children. Materials and Methods: One hundred Epileptic Children who were referred to a governmental or private neurological clinic in Tehran and 100 healthy children matched for age and sex participated in this study. Clinical evaluation of children were done by a psychiatrist. We excluded children with mental retardation, cerebral pulsy, other medical and neurological disorders, pervasive developmental disorder and children who were using antiepileptic and other drugs that associated with ADHD like side effect. After signing the informed consent, parents of epileptic children completed Persian version of CSI 4 Test for evaluation of ADHD symptoms in children. The data were transferred to the designed sheets and analyzed by SPSS 19 software. Results: Mean age of participants was 7. 47 (SD=0.94) in epileptic patients and 6.39 (SD=2.41) in normal children. There was a significant difference between the two groups in inattention (p = 0.0001) and hyperactivity-impulsivity (p = 0.024 (scales. Conclusion: The present study showed that inattention, hyperactivity and impulsivity symptoms were common in Iranian epileptic children. Cite this article as: Parvin Dibajnia, Maryam Moghadasin, Alireza Zahirrodin. Comparison of ADHD Symptoms in Epileptic and Normal Children. J Rehab Med. 2015; 3(4): 17-23.
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ABSTRACT: In a defined geographical area in the south of the UK, 115 children with active epilepsy (i.e., children who had seizures in the last year and/or children who are currently taking antiepileptic drugs (AEDs)) were identified via a computerized database and liaison with local pediatricians. Eighty-five (74%) of the children (5-15years of age) underwent a comprehensive psychological assessment. Twenty-one percent of the children met the DSM-IV-TR criteria for ASD, and 61% of them had another DSM-IV-TR behavioral or motor disorder. The Autism Spectrum Screening Questionnaire (ASSQ) was completed by parents (n=69) and by teachers (n=67) of children with an IQ>34. Only 9% of children on parent ratings and 15% of children on teacher ratings had no features of ASD. Parents reported significantly (p<.05) more features of ASD on the ASSQ compared with teachers. Factors significantly associated with responses on the ASSQ included respondent (parents reported more features), school placement (more features in specialized settings), and respondent by school placement interaction. Effective screening for ASD in children with epilepsy will need a consideration of the impact of informant and school placement on ratings. In conclusion, features of ASD were common in children with epilepsy regardless of cognitive ability. The ASSQ was a useful screening instrument in this population, and combining parent and teacher forms was optimal in terms of screening properties. Copyright © 2014. Published by Elsevier Inc.Epilepsy & Behavior 12/2014; 42C:86-92. DOI:10.1016/j.yebeh.2014.11.014 · 2.06 Impact Factor
01/2013; 5(1):60. DOI:10.5455/cap.20130505