BEHAVIORAL PROBLEMS IN EPILEPTIC CHILDREN A TERTIARY CARE EXPERIENCE.
- Assistant Professor, Department of Paediatrics, GMC Srinagar.
- Medical Officer, Health & Medical Education, J&K Govt.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Background: Psychiatric conditions such as attention-deficit/hyperactivity disorder (ADHD), autistic spectrum disorders (ASD), and affective, aggressive, and social disorders occur in children with epilepsy (CWE) and have a major influence on the quality of life of these children Objective: To assess prevalence of behavioral problems inchildren with epilepsy. Methods: This was a cross-sectional study of children with epilepsy, and normal controls enrolled. Child Behavior Checklist (CBCL) was used as a tool to assess the behavior based on parents reported observation. Results: We had 93 children with epilepsy 2-5 years of age and 105 in 6-14 years of age, with 74 and 83 unaffected controls, respectively. Mean CBCL scores for most of the domains in children of both age groups were significantly higher than controls. We detected externalizing domain (23.3%) in 2-5 years, and in both internalizing (21.2%) and externalizing (45%) domains in children of 6-14 years. Younger age of onset, frequency of seizures and duration of disease had significant correlation with behavioral problems in both the age groups. Antiepileptic drug polytherapy was significantly associated with internalizing problems in older children. Conclusion: Age at onset, frequency of seizures and duration of disease were found to be significantly associated with occurrence of behavioral problems.
- Attarian H, Vahle V, Carter J, Hykes E, Gilliam F. Relationship between depression and intractability of seizures.?Epilepsy Behav.?2003; 4: 298?301.
- Jacoby A. Epilepsy and the quality of everyday life. Findings from a study of people with well-controlled epilepsy.?Soc Sci Med.?1992; 34: 657?666.
- Rantanen K, Timonen S, Hagstrom K, Hamalainen P, Eriksson K, Nieminen P. Social competence of preschool children with epilepsy.?Epilepsy Behav.?2009; 14: 338?343.
- Tuchman R, Rapin I. Epilepsy in autism.?Lancet Neurol.?2002; 1: 352?358.
- Rodenburg R, Stams GJ, Meijer AM, Aldenkamp AP, Dekovic M. Psychopathology in children with epilepsy: a meta-analysis.?J Pediatr Psychol.?2005; 30: 453?468.
- Van Mil SG, Reijs RP, van Hall MH, Snoeijen SM, de la Parra NM, Aldenkamp AP. Behavior in children with cryptogenic localization related epilepsy: a follow-up study.?Pediatr Neurol.?2010; 42: 107?110.
- Malhotra S, Malhotra A. Psychological adjustment of physically sick children: Relationship with temperament. Indian Pediatr. 1990; 27:577-84.
- Jones R, Rickards H, Cavanna AE. The prevalence of psychiatric disorders in epilepsy: a critical review of the evidence. Funct Neurol. 2010;25: 191-4.
- Gaitatzis A, Trimble MR, Sander JW. The psychiatric co-morbidity of epilepsy. Acta Neurol Scand. 2004; 110: 207-20.
- Marsh L, Rao V. Psychiatric complications in patients with epilepsy: A review. Epilepsy Res. 2002; 49: 11-33.
- Choudhary A, Gulati S, Sagar R, Kabra M, Sapra S. Behavioral comorbidity in children and adolescents with epilepsy. J Clin Neurosci. 2014; 21:1337-40.
- Gulati S, Yoganathan S, Chakrabarty B. Epilepsy, cognition and behavior. Indian J Pediatr. 2014;81: 1056-62.
- Otero S. Psychopathology and psychological adjustment in children and adolescents with epilepsy. World J Pediatr. 2009; 5:12-7.
- Hoare P, Mann H. Self-esteem and behavioral adjustment in children with epilepsy and children with diabetes. J Psychosom Res. 1994; 38:859-69.
- Rodenburg R, Stams GJ, Meijer AM, Aldenkamp AP, Dekovi? M. Psychopathology in children with epilepsy: A meta-analysis. J Pediatric Psychol. 2005; 30: 453-68.
- Austin JK, Risinger MW, Beckett LA. Correlates of behavior problems in children with epilepsy. Epilepsia. 1992; 33: 1115-22.
- Aldenkamp AP, Bodde N. Behavior, cognition and epilepsy. Acta Neurol Scand. 2005; 182: S19-25.
- Austin J.K., Risinger M.W., Beckett L.A. Correlates of behavior problems in children with epilepsy.?Epilepsia.?1992; 33: 1115?1122.
- Keene D.L., Manion I., Whiting S. A survey of behavior problems in children with epilepsy.?Epilepsy Behav.?2005; 6: 581?586.
- Pianta R.C., Lothman D.J. Predicting behavior problems in children with epilepsy: child factors, disease factors, family stress, and child?mother interaction.?Child Dev.?1994; 65: 1415?1428.
- Aldenkamp A.P., Bodde N. Behavior, cognition and epilepsy.?Acta Neurol Scand Suppl.?2005; 182: 19?25.
- Baum K.T., Byars A.W., deGrauw T.J. Temperament, family environment, and behavior problems in children with new-onset seizures.?Epilepsy Behav.?2007; 10: 319?327.
- Kobayashi K, Endoh F, Ogino T, Oka M, Morooka T, Yoshinaga H, et al. Questionnaire based assessment of behavioral problems in Japanese children with epilepsy. Epilepsy Behav. 2013; 7: 238-42.
- Eom S, Eun SH, Kang HC, Eun BL, Nam SO, Kim SJ, et al. Epilepsy-related clinical factors and psychosocial functions in pediatric epilepsy. Epilepsy Behav. 2014; 37: 43-8.
- Allison Bender H, Auciello D, Morrison CE, MacAllister WS, Zaroff CM. Comparing the convergent validity and clinical utility of the Behavior Assessment System for Children-Parent Rating Scales and Child Behavior Checklist in children with epilepsy. Epilepsy Behav. 2008; 13: 237-42.
- Gleissner U, Fritz NE, Von Lehe M, Sassen R, Elger CE, Helmstaedter C. The validity of the Child Behavior Checklist for children with epilepsy. Epilepsy Behav. 2008; 12: 276-80.
- Fisher RS, van Emde Boas W, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005; 46: 470-2.
- Sabbagh SE, Soria C, Escolano S, Bulteau C, Dellatolas G.Impact of epilepsy characteristics and behavioral problemson school placement in children. Epilepsy Behav.2006; 9: 573-8.
- Kumar N, Gupta N, Kishore J. Kuppuswamy?s socioeconomic scale: updating income ranges for the year 2012. Indian J Public Health. 2012; 56: 103-4.
- Prasad R, Shambhavi, Mishra OP, Upadhyay SK, SinghTB, Singh UK. Cognitive and behavior dysfunction of children with neurocysticercosis: a cross sectional study. J Trop Pediatr. 2014; 60:358-62.
- Brooks-Kayal A. Molecular mechanisms of cognitive and behavioral co-morbidities of epilepsy in children. Epilepsia. 2011; 52: S13?20.
- Buelow JM, Austin JK, Perkins SM, Shen J, Dunn DW, Fastenau PS. Behavior and mental health problems in children with epilepsy and low IQ. Dev Med Child Neurol.2003; 45: 683-92.
- Powell K, Walker RW, Rogathe J, Gray WK, Hunter E,Newton CR, et al. Cognition and behavior in a prevalent cohort of children with epilepsy in rural northern Tanzania:A three-year follow-up study. Epilepsy Behavi.2015; 51: 117?23.
- Datta SS, Premkumar TS, Chandy S, Kumar S,Kirubakaran C, Gnanamuthu C, et al. Behaviour problemsin children and adolescents with seizure disorder: associations and risk factors. Seizure. 2005; 14: 190-7.
[Virender Kumar, Uruj Qureshi and Geeta Kumari. (2018); BEHAVIORAL PROBLEMS IN EPILEPTIC CHILDREN A TERTIARY CARE EXPERIENCE. Int. J. of Adv. Res. 6 (Mar). 328-333] (ISSN 2320-5407). www.journalijar.com
Assistant Professor, Department of Paediatrics, GMC Srinagar