Social functioning in pediatric epilepsy reported by parents and teachers: Contributions of medically related variables,verbal skills,and parental anxiety |
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| Institution: | 1. Division of Mental Health, Akershus University Hospital, Lørenskog, Norway;2. National Centre for Epilepsy, Department of Children and Youth, Division for Clinical Neuroscience, Oslo University Hospital, Norway;3. Pediatric Division, Akershus University Hospital, Lørenskog, Norway;4. National Centre for Epilepsy, Department of Clinical Neurophysiology, Division for Clinical Neuroscience, Oslo University Hospital, Norway;1. School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland;2. Neurology Department, Temple Street Children''s University Hospital, Temple Street, Dublin 1, Ireland;3. Indiana University School of Nursing, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA;1. Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, 222 Richmond St., Providence, RI 02903, USA;2. Rhode Island Hospital, 593 Eddy St., Providence, RI 02903, USA;3. Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Ave., Bronx, NY 10461, USA;4. State University of New York (SUNY) Downstate Medical Center, 450 Clarkson Ave., Brooklyn, NY 11203, USA;5. Northwell Health, Cushing Neuroscience Institute, 611 Northern Blvd., Great Neck, NY 11021, USA;6. Albert Einstein College of Medicine, Yeshiva University, 1300 Morris Park Ave., Bronx, NY 10461, USA |
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| Abstract: | Children with epilepsy are at increased risk for deficits in social functioning, though the underlying causes are not well-understood. We examined multiple seizure-related, demographic, and cognitive variables in a group of 93 pediatric patients with intractable seizures who were at risk for social skills deficits and social problems at home and in the classroom. Verbal intelligence and parental anxiety about epilepsy were found to be the two primary predictors of social functioning in children with epilepsy as reported by parents and teachers. Though other social variables and secondarily generalized seizures were significantly correlated with certain aspects of parent-reported social functioning, the impact of these variables appeared to be mediated through verbal intelligence and/or parental anxiety about epilepsy. These findings emphasize the importance of family characteristics on social functioning in children with epilepsy and also suggest that parental anxiety about their child's epilepsy may be a specific risk factor for this population. The findings from this study suggest that the factors associated with social functioning in children with epilepsy are similar regardless of whether social functioning is assessed by the parent or the classroom teacher. |
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