Behavioral problems in Indian children with epilepsy

Mishra, Om P.; Upadhyay, Aishvarya; Prasad, Rajniti; Upadhyay, S. K.; Piplani, Satya K.

doi:10.1007/s13312-017-1012-7

Cited by 16 publications

(14 citation statements)

References 21 publications

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“…The presence of emotional and behavioral problems in this study was not related to other sociodemographic variables. This finding disagreed with several literature studies, which report a significant association with age, duration of epilepsy, seizure frequency, number of ASMs, socioeconomic status, and family history of psychiatric disorders (41,44,45,(48)(49)(50). Possibly, our result could be attributed to the sample size that did not allow us to reach statistical significance.…”

Section: Discussioncontrasting

confidence: 99%

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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: Discussioncontrasting

confidence: 99%

“…In this study, higher presence of total problems and internalizing problems was related to an early age of epilepsy onset, in keeping with previous studies ( 43 , 47 , 48 ).…”

Section: Discussionsupporting

confidence: 93%

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

et al. 2021

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“…In addition, duration of disease in different age groups and anti-epileptic drugs in older children also affected the internalizing problems. However, no difference in behavioural problems was observed between mono and polytherapy [10] . In contrast, effect of polytherapy over behavioural problems was found by Datta et al in their patients with epilepsy [13] .…”

Section: Discussionmentioning

confidence: 77%

“…In both the age groups, more children received monotherapy compared to polytherapy. In another study there were no significant differences as regard to total behavioural problems between children on monotherapy as compared to polytherapy in both younger as well as older age groups [10] . A relatively higher percentage of children with below average IQ had total behavioural problems in comparison to those who had average IQ in both younger as well as older age group but the differences were found to be insignificant [10] , [11] .…”

Section: Discussionmentioning

confidence: 85%

Assessment of behavioural problems in preschool and school going children with epilepsy

Shanmuganathan

Kumar

Lal

et al. 2022

AIMSN

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<abstract><sec> <title>Introduction</title> Children with epilepsy are at greater risk of developing psychiatric and behavioural disorders such as attention deficit/hyperactivity disorder (ADHD), conduct disorder, autism spectrum disorder (ASD), as well as affective and aggressive disorders than normal children which may affect the well- being and quality of life of the child. </sec><sec> <title>Aim and Objectives</title> This study aims at identifying behavioural problems in children with epilepsy enabling early diagnosis and intervention. The objectives were to assess the presence and type of behavioural problems in children with epilepsy. </sec><sec> <title>Methods</title> A prospective cross-sectional study was conducted on children who were diagnosed as epilepsy in two age groups of 1.5–5 years and 6–18 years recruited by non-probability convenience sampling. Data regarding seizure semiology, clinical features and treatment were obtained. Children underwent IQ assessment, electroencephalogram and brain neuroimaging. Child Behaviour Check List (CBCL) was administered to parents or primary caregivers after obtaining informed consent. Results were analyzed for presence of behavioural problems using SPSS-23. </sec><sec> <title>Results</title> In the study, out of 50 study subjects, 72% were between 6–18 years. 60% children had generalised seizures, 58% children had epilepsy for <2 years and abnormal EEG was present in 80% children. 6% children had behavioural problems and 4% had borderline presentations. Co-relation of behavioural problems with age was statistically significant with p value 0.027. Behavioural problems identified were aggressiveness and anxiety. </sec><sec> <title>Conclusion</title> Childhood epilepsy is associated with behavioural problems along with other co-morbidities warranting a search during follow-up visits. </sec><sec> <title>Take-home message</title> Early identification and treatment of behavioural problems in children with epilepsy by periodic assessment during follow up visits, careful selection of combination of drugs and appropriate dose can improve the overall outcome in children taking antiepileptic drugs (AEDs) for epilepsy. </sec></abstract>

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“…A lower prevalence of behavioural problems (19.1%) was reported in Indonesia by Novriska et al in 2014 [15]. In India, Mishra et al detected behavioural problems more in externalizing domains (45%) than in internalizing domains (21.2%) in CWE aged 6-14 years [32]. A possible explanation for these differences in frequency of behavioural syndromes may be due to the underlying causes, the context and coping styles of CWE.…”

Section: Prevalence Of Behavioural Problemsmentioning

confidence: 87%

Prevalence and factors associated with behavioural problems in children with epilepsy attending Mulago hospital, Uganda: A cross-sectional study

Josias

Bangirana

Rujumba

et al. 2021

Seizure

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Behavioral problems in Indian children with epilepsy

Abstract: Age at onset, frequency of seizures and duration of disease were found to be significantly associated with occurrence of behavioral problems.

Cited by 16 publications

References 21 publications

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy

Assessment of behavioural problems in preschool and school going children with epilepsy

Prevalence and factors associated with behavioural problems in children with epilepsy attending Mulago hospital, Uganda: A cross-sectional study

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