Temperament, family environment, and behavior problems in children with new-onset seizures

Baum, Katherine T.; Byars, Anna W.; deGrauw, Ton J.; Johnson, Cynthia S.; Perkins, Susan M.; Dunn, David W.; Bates, John E.; Austin, Joan K.

doi:10.1016/j.yebeh.2006.12.007

Cited by 21 publications

(19 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Specific temperamental factors have been shown to be risk factors for internalizing and externalizing problems both in healthy children and in children with seizures [13-16]. In an earlier study of the present sample of children with new-onset seizures, 72.6% of whom have epilepsy, we showed that retrospectively-assessed infant temperamental characteristics, such as difficultness (negative emotionality), unadaptability (negative reaction to novelty), and resistance to control (unmanageability) were related to both total and internalizing behavior problems, whereas only difficultness and resistance to control were associated with externalizing behaviors [14]. Although temperament was shown to be predictive of behavior at the time of seizure onset, it is unclear whether it remains predictive years after seizures have developed.…”

mentioning

confidence: 84%

“…To reduce the number of predictors in each model, only two temperament subscale variables were used in each model. These variables were identified based upon theoretical considerations and previous research describing their association with specific behavioral outcomes [14]. For internalizing problems, difficultness and unadaptability were the temperament variables entered, whereas for externalizing problems, difficultness and resistance to control were included.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures

Baum

Byars

deGrauw

et al. 2010

Epilepsy & Behavior

Self Cite

View full text Add to dashboard Cite

The present study is part of a larger project that seeks to identify factors that predict children’s behavioral, social, and cognitive adaptation to epilepsy. Children with seizures are more likely to have internalizing and externalizing behavior problems than either healthy children or children with other chronic illnesses. The present research examines risk factors for behavior problems. Early temperament and neuropsychological functioning, specifically executive function and language abilities, are evaluated as unique and moderating predictors of adverse behavioral outcomes in 229 children with a first recognized seizure. Parents assessed temperament, children were administered neuropsychological tests, and teachers evaluated behavior 36 months after seizure onset. Results revealed that early temperament and neuropsychological functioning, specifically executive function, predicted behavioral outcomes three years after seizure onset.

show abstract

mentioning

confidence: 84%

Section: Methodsmentioning

confidence: 99%

The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures

Baum

Byars

deGrauw

et al. 2010

Epilepsy & Behavior

Self Cite

View full text Add to dashboard Cite

show abstract

“…This sample has been the subject of other reports. [23][24][25][26][27][28] There is no overlap in analyses or results.…”

mentioning

confidence: 99%

Neuropsychological status at seizure onset in children

Fastenau

Johnson

Perkins³

et al. 2009

Neurology

205

156

View full text Add to dashboard Cite

Objective: This large, prospective, community-based study characterized neuropsychological functioning and academic achievement at the time of the first recognized seizure and identified risk factors for cognitive deficits. Methods:We compared 282 children (ages 6 -14 years, IQ Ն70) with a first recognized seizure to 147 healthy siblings on a battery of well-standardized and widely used neuropsychological and academic achievement tests and examined relationships with demographic and clinical variables.

show abstract

“…[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.…”

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

View full text Add to dashboard Cite

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...

show abstract

Temperament, family environment, and behavior problems in children with new-onset seizures

Cited by 21 publications

References 45 publications

The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures

The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures

Neuropsychological status at seizure onset in children

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

Contact Info

Product

Resources

About