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Early screening and identification of psychological comorbidities in pediatric epilepsy is necessary
Affiliation:1. Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, United Kingdom;2. Department of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield S1 2LT, United Kingdom;1. Klinik und Poliklinik für Neurologie, Universitätsmedizin Rostock, Gehlsheimerstr. 20, 18147 Rostock, Germany;2. Klinik Lengg, Bleulerstr. 60, 8008 Zürich, Switzerland;1. Epilepsy Center, Ann & Robert H. Lurie Children''s Hospital of Chicago, Chicago, IL, USA;2. Dept. of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;3. Dept. of Psychiatry and Behavioral Science, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;4. Dept. of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children''s Hospital of Chicago, Chicago, IL, USA;5. Epilepsy Research Institute of Yonsei University, Seoul, South Korea;1. Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Room 1195, Foothills Hospital, 1403-29 Street NW, Calgary, Alberta T2N 2T9, Canada;2. Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Health Research Innovation Centre, Room 1A10, 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada;3. Department of Community Health Sciences & O''Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3rd Floor TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada;4. The Mathison Centre for Mental Health Research & Education, Cumming School of Medicine, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada;5. Department of Medicine, Cumming School of Medicine, University of Calgary, 1403-29 Street NW, Calgary, Alberta T2N 2T9, Canada;6. Department of Psychiatry, Cumming School of Medicine, University of Calgary, 1403-29 Street NW, Calgary, Alberta T2N 2T9, Canada;1. Department of Clinical and Health Psychology, St James'' Hospital, Leeds, United Kingdom;2. Sheffield Children''s Hospital, Sheffield, United Kingdom;3. Royal Hallamshire Hospital, Sheffield, United Kingdom;4. Salford Royal Hospital, Manchester, United Kingdom;5. The Walton Centre, Liverpool, United Kingdom
Abstract:Youth with epilepsy often have co-occurring psychological symptoms that are due to underlying brain pathology, seizures, and/or antiepileptic drug side effects. The primary study aim was to compare the psychological comorbidities of youth with new-onset epilepsy versus chronic epilepsy. Primary caregivers of youth with either new-onset (n = 82; Mage = 9.9 ± 2.9) or chronic epilepsy (n = 76; Mage = 12.8 ± 3.3) completed the Behavioral Assessment Scale for Children—2nd Edition. Compared to those with new-onset epilepsy, the chronic group had significantly higher depressive and withdrawal symptoms, as well as lower activities of daily living. A higher proportion of youth with chronic epilepsy exhibited at-risk/clinically elevated depressive symptoms and difficulties with activities of daily living compared to the new-onset group. Proactive screening in youth with epilepsy to ensure timely identification of psychological symptoms and to guide early psychological intervention is warranted.
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