Behaviour problems in children and adolescents with seizure disorder: associations and risk factors

Datta, Soumitra Shankar; Premkumar, Titus Samson; Chandy, Sujith J; Kumar, Sudhir; Kirubakaran, Chellam; Gnanamuthu, C. P.; Cherian, Anne George

doi:10.1016/j.seizure.2005.01.007

Cited by 59 publications

(56 citation statements)

References 24 publications

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“…17 A clinic-based study in India of children from an urban setting attending outpatient clinics with a diagnosis of epilepsy found that 54% had significant psychopathology on the CBCL. 16 In our study, the prevalence of behavioural disorders was higher. This difference is likely to be multifactorial and may be due to different study populations, rural versus urban settings, or more symptomatic epilepsy.…”

Section: Discussion Prevalence Of Behaviour Disorders In Children Witcontrasting

confidence: 38%

“…Two studies from India found similar rates of behavioural (54%) and psychiatric disorders (23%) to those reported from high-income countries. 16,17 There are only a few studies on behavioural disorders in children with epilepsy from Africa. A study of 102 Nigerian adolescents with epilepsy who were attending a neuropsychiatry outpatient clinic found that 31% had anxiety and 28% had depression.…”

mentioning

confidence: 99%

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Behavioural comorbidity in Tanzanian children with epilepsy: a community-based case-control study

Burton

Rogathe

Hunter

et al. 2011

Developmental Medicine &Amp; Child Neurology

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AIM The aim of this study was to define the prevalence of and risk factors for behavioural disorders in children with epilepsy from a rural district of Tanzania by conducting a communitybased case-control study.METHOD One hundred and twelve children aged 6 to 14 years (55 males, 57 females; median age 12y) with active epilepsy (at least two unprovoked seizures in the last 5y) were identified in a cross-sectional survey and included in this study. Children who were younger than 6 years were excluded in order to eliminate febrile seizures. Behaviour was assessed using the Rutter scale; children who scored 13 or more were considered to have disordered behaviour. A comparison group was made up of age-and sex-matched children without epilepsy (n=113; 57 males, 56 females; median age 12y).RESULTS Behavioural disorders were diagnosed in 68 of 103 (66%) children with epilepsy and in 19 of 99 (19%) controls. Disordered behaviour was significantly more common in children with epilepsy than in the comparison group (univariate odds ratio 8.2; 95% confidence interval [CI] 4.3-15.6; p<0.001) and frequent seizures and poor scholastic attainment were associated in children with epilepsy. Behavioural disorders were not associated with antiepileptic drug usage. Attention problems were present in 48 of 91 (53%) children with epilepsy and 16 of 97 (17%) controls (univariate odds ratio 5.7; 95% CI 2.9-11.1; p<0.001). In children with epilepsy, attention problems were significantly more common in males and were associated with frequent seizures.INTERPRETATION Children with epilepsy in a rural area of sub-Saharan Africa have a high prevalence of behavioural disorders and attention problems, both of which are associated with frequent seizures. Providing behaviour assessment and appropriate intervention programmes for children with epilepsy may reduce the burden of behaviour disorders in this setting.Epilepsy is the most common neurological disorder worldwide; it is estimated that 80% of affected children live in resource-poor countries. 1 The prevalence of behavioural disorders in children in urban settings in high-income countries is greater in those with epilepsy than in those without epilepsy 2,3 and is greater than in those with other chronic conditions such as diabetes and asthma. 2,4,5 In high-income countries, the prevalence of behavioural disorders in children with epilepsy ranges from 20 to 60%. [6][7][8][9][10] Behavioural disorders are associated with early onset of seizures, 11 certain seizure types, 11 increased seizure frequency, 7,11 polytherapy, 12 cognitive impairment, 3 family factors, parenting practices, and infant temperament. [13][14][15] There are limited data on the prevalence and nature of behavioural problems in children with epilepsy in low-income countries. Two studies from India found similar rates of behavioural (54%) and psychiatric disorders (23%) to those reported from high-income countries. 16,17 There are only a few studies on behavioural disorders in children with epilepsy from Africa. A study...

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Section: Discussion Prevalence Of Behaviour Disorders In Children Witcontrasting

confidence: 38%

mentioning

confidence: 99%

Behavioural comorbidity in Tanzanian children with epilepsy: a community-based case-control study

Burton

Rogathe

Hunter

et al. 2011

Developmental Medicine &Amp; Child Neurology

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“…[22] Bu çalışma-nın aksine, Hindistan'dan bir çalışmada ise yüksek sosyoekonomik düzeydeki hastalarda daha fazla davranışsal sorunlar gözlendiği bildirilmiştir. [23] Nörobiyolojik risk faktörleri arasında epilepsi ile ilişkili faktörler üzerine odaklanılmıştır. Çocuk ve ergenlerde yapılan araştırmaların çoğunluğu nöbet tipi ile depresyon riski arasında belirgin bir ilişki olmadığını göstermiştir.…”

Section: Risk Faktörleriunclassified

Psychiatric Disorders in Children and Adolescents with Epilepsy

Ekinci¹,

Toros²

2013

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychia

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ÖZETEpilepsi yüksek morbiditeye sahip kronik bir hastalıktır. Son yıllarda yapılmış çok sayıda araştırma epilepsi tanılı çocuk ve ergenlerde ruhsal bozuklukların sık olarak görüldüğünü göstermiştir. En sık görülen ruhsal bozukluklar arasında depresyon, anksiyete bozuklukları ve dikkat eksikliği hiperaktivite bozukluğu yer almaktadır. Aralarında demografik değişkenler, epilepsi ile ilişkili nedenler ve psikososyal faktörler olmak üzere çok sayıda faktörün epilepside ruhsal bozuklukların gelişiminde rol oynadığı düşünülmektedir. Ruhsal bozukluk eş tanılarına yaklaşımda disiplinler arası işbirliği, hasta ve ailenin eği-timi ve psikososyal destek büyük önem taşımaktadır. Araştırmalar bazı psikotrop ilaçların epilepsi tanılı çocuk ve ergenlerde genel olarak yüksek bir güvenilirlik ve etkinlikle kullanılabileceğini göstermiştir. Anahtar Sözcükler: Epilepsi, çocuk, ergen, ruhsal bozukluk ABSTRACTEpilepsy is a chronic disease with a high morbidity. Many recent studies have shown that psychiatric disorders are commonly encountered in children and adolescents with epilepsy. Depression, anxiety disorders and attention deficit hyperactivity disorder are among the most common psychiatric disorders. Many factors, including demographic variables, epilepsy related factors and psychosocial factors, have been suggested to have a role on the development of psychiatric disorders in epilepsy. In the management of psychiatric comorbidities, cooperation between disciplines, education of the patient and family and psychosocial support are of vital importance. Recent studies have shown that some psychotropic agents can be used with a generally high safety and efficacy in children and adolescents with epilepsy.

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“…Children who have experienced early trauma, such as neglect and physical and emotional abuse, present with characteristics meeting the criteria for autism (Nader, 2008). Children with early learning disabilities or medical complications such as seizures, ear infections, and birth defects, present with similar features of social withdrawal, repetitive behaviors, and limited speech (Ceci, 1986;Datta et al, 2005;Ellis, Schnoes, & Roberts, 2010).…”

Section: Differentiating the Diagnosismentioning

confidence: 99%

Autism Spectrum Disorder: A Case of Misdiagnosis

Baudino¹

2010

Am J Dance Ther

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Children who exhibit autistic features, or who are diagnosed with Autism Spectrum Disorder, are not necessarily autistic. Some of these misdiagnosed children employ autistic defenses to protect themselves against abuse or neglect, keeping outsiders, even those close to them, at a safe distance. This article reviews current research to better understand how etiology and individual factors have an impact on a child's integration and understanding of relationships. The use of dance/ movement therapy identified Lisa's interactive patterns and focused on providing her with a safe environment to experience relationships and to reach her maximum potential.

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Behaviour problems in children and adolescents with seizure disorder: associations and risk factors

Cited by 59 publications

References 24 publications

Behavioural comorbidity in Tanzanian children with epilepsy: a community-based case-control study

Behavioural comorbidity in Tanzanian children with epilepsy: a community-based case-control study

Psychiatric Disorders in Children and Adolescents with Epilepsy

Autism Spectrum Disorder: A Case of Misdiagnosis

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