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- Title
The combined burden of cognitive, executive function, and psychosocial problems in children with epilepsy: a population-based study.
- Authors
Høie, B.; Sommerfelt, K.; Waaler, P. E.; Alsaker, F. D.; Skeidsvoll, H.; Mykletun, A.
- Abstract
The combined burden of psychosocial (Achenbach scales), cognitive (Raven matrices), and executive function (EF) problems was studied in a population-based sample of 6- to 12-year-old children with epilepsy ( n=162; 99 males, 63 females) and in an age- and sex-matched control group ( n=107; 62 males, 45 females). Approximately 35% of the children with epilepsy had severe non-verbal cognitive problems. In those that did not, mild cognitive problems (26% vs 11%, p=0.005), EF problems (31% vs 11%, p<0.001), and psychosocial problems (45% vs 10%, p<0.001) were each much more common than among controls. Having problems in two or all three of these areas simultaneously was more frequent among the children with epilepsy (14% vs. 3%, p<0.001 and 4% vs 0%, p<0.001 respectively). Excluding those having remote symptomatic epilepsy aetiology did not change the problem load significantly for the children with epilepsy with the important exception that having severe non-verbal problems was approximately halved from 35 to 18%. In 30 children with benign epilepsy of childhood with centrotemporal spikes, mild cognitive problems were somewhat more common, but psychosocial and EF problems were similar compared with control children.
- Subjects
EPILEPSY; CHILDREN with epilepsy; PSYCHOSOCIAL factors; CHILD psychology; CHILDHOOD epilepsy
- Publication
Developmental Medicine & Child Neurology, 2008, Vol 50, Issue 7, p530
- ISSN
0012-1622
- Publication type
Article
- DOI
10.1111/j.1469-8749.2008.03015.x