Mental health of children and adolescents with epilepsy: analysis of clinical and neuropsichological aspects

Epilepsy compromises the development of cognitive and social skills and represents a risk of psychiatric comorbidity. Objective: To compare psychopathological symptoms in children with epilepsy and in a healthy group, and to correlate the results with neuropsychological and clinical variables. Method: Forty five children with idiopathic epilepsy and sixty five healthy controls underwent neuropsychological evaluation and their caregivers replied to a psychopathology questionnaire (Child Behavior Checklist – CBCL). Results: There were significant differences in CBCL, with poorer results showed mainly by patients with epilepsy. There was no significant association between any psychopathological symptom and disease duration or amount of antiepileptic drugs used. There was positive correlation between intelligence quocient and CBCL on items such as sluggish cognitive tempo, aggressive behavior, attention problems and activities and a negative relation between academic achievement, conduct and rule-breaking behavior. Conclusion: Children with epilepsy had the worse results in the psychopathology evaluation. Certain psychopathological variables are related to the cognitive profile, with no relation to clinical variables.

Download Full-text

A-059 Gender-Related Behavioral Differences in Children with Partial or Complete Agenesis of the Corpus Callosum: Exploring Attention, Rule Breaking, and Aggressive Behaviors

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acaa068.059 ◽

2020 ◽

Vol 35 (6) ◽

pp. 849-849

Author(s):

Rich-Wimmer N ◽

Tanios R ◽

Qu Y ◽

Andrews G

Keyword(s):

Corpus Callosum ◽

Social Interactions ◽

Child Behavior Checklist ◽

Attention Problems ◽

Cerebral Hemispheres ◽

Care Providers ◽

Aggressive Behaviors ◽

Behavioral Differences ◽

Rule Breaking ◽

Over Time

Abstract Objective Gender-related connectivity differences result from variability in structure of the corpus callosum in children 8 years and up (Ingalhalikar et al., 2014). However, children with complete or partial agenesis of the corpus callosum (ACC) exhibit structural differences that disrupt the connectivity of cerebral hemispheres, causing behavioral challenges (Young et al., 2019). We explored the relationship of behavioral differences across genders, partial and complete ACC diagnoses, and age. Method Initial data included the completed Child Behavior Checklist (CBCL) provided by care-providers (ages 2 to 17) diagnosed with ACC. Follow-up data was obtained four-years later from the original sample (n = 29), which included 20 males (12 complete, 8 partial) and 9 females (5 complete, 4 partial). Results A repeated measures MANOVA was conducted with attention problems, rule-breaking, and aggressive behavior for gender, age, and diagnosis (i.e., partial or complete ACC). A significant interaction diagnosis by gender interaction over time was found for each dependent variable. Conclusion Results indicate females with partial ACC exhibit worsening attention problems with age, while males with partial ACC decrease over time. Complex social interactions among females pose greater challenges due to difficulties integrating information between cerebral hemispheres. Additionally, females are at higher risk of developing internalizing problems (Eaton et al., 2012) when navigating social interactions. Nevertheless, females with partial ACC exhibited significant reductions in aggressive behaviors over time. This perhaps resulted from lower social tolerance of aggressiveness in females, as well as expectations of compliance and obedience. Consequently, mood-related difficulties decrease executive functioning skills, specifically attention and concentration (APA, 2013).

Download Full-text

Problem Behaviors of Children from Multicultural and Mono-cultural Families in Korea: Differences in Behavior Evaluations between Parents and Teachers

FWU Journal of Social Sciences ◽

10.51709/19951272/fall-2021/4 ◽

2021 ◽

pp. 60-81

Keyword(s):

Problem Behaviors ◽

Behavioral Problems ◽

Child Behavior Checklist ◽

Attention Problems ◽

School Students ◽

Interpersonal Difficulties ◽

Problematic Behaviors ◽

Korean Child ◽

Teacher’S Report Form ◽

Rule Breaking

In recent years, multicultural families are increasing in Korea. In such multicultural families, there may be language and interpersonal difficulties that affect the children. Given the possibility of real problems affecting academics and the potential for bias, the perceptions of parents and teachers is of vital importance. In this study, parents' and teachers’evaluations of problem behaviors of 405 elementary school students were collected on the Korean Child Behavior Checklist and the Korean Teacher's Report Form. Studies have shown that parents in multicultural families tend to rate their children's problems more seriously than in mono cultural families in the areas of Withdrawal/Depressed, Attention Problems, and Rule-Breaking Behaviors.Teachers rated boys from multicultural families as more problematic with Withdrawal/Depressed, Attention Problems, Rule-Breaking Behaviors, and overall scores than boys from monocultural families. Parents tended to take their child's problematic behaviors more seriously than teachers.In general, younger students were found to be more vulnerable to behavioral problems. This may indicate that an intervention is needed to help the children acculturate.

Download Full-text

An 8-year-old Boy With Three Failed Suicide Attempts by Hanging: A Case Report

Iranian Journal of Psychiatry and Clinical Psychology ◽

10.32598/ijpcp.27.1.3347.1 ◽

2021 ◽

Vol 27 (1) ◽

pp. 120-127

Author(s):

Ali‌ Ashraf Mozafari ◽

◽

Amir Adibi ◽

Elham Shafiei ◽

Ali Sahebi ◽

...

Keyword(s):

Case Report ◽

Emotional Disorders ◽

Child Behavior Checklist ◽

Suicide Attempts ◽

Risky Behaviors ◽

Attention Problems ◽

Major Depressive ◽

Important Indicator ◽

Supportive Environment ◽

Rule Breaking

Objectives: Suicidal behavior in children under 10 years of age is a warning and a matter of concern. It can be an important indicator for evaluating the mental health of individuals in the community. Case Report: This study reported an 8-year-old boy who had three failed suicide attempts by hanging. The psychiatric assessment revealed that he had major depressive disorder which had not been diagnosed. Conclusion: Evaluation of his behavior by using the Child Behavior Checklist completed by his parents showed that he had the highest scores in aggressive behavior, attention problems, rule-breaking behavior, and anxious/depressed subscales. Lack of parental attention to meeting the needs and creating a supportive environment may have led to behavioral-emotional disorders and risky behaviors such as suicide in the boy.

Download Full-text

Influence of fatigue, depression, and demographic, socioeconomic, and clinical variables on quality of life of patients with epilepsy

Epilepsy & Behavior ◽

10.1016/j.yebeh.2006.08.006 ◽

2007 ◽

Vol 10 (1) ◽

pp. 96-104 ◽

Cited By ~ 61

Author(s):

Vesile Şenol ◽

Ferhan Soyuer ◽

Fehim Arman ◽

Ahmet Öztürk

Keyword(s):

Quality Of Life ◽

Clinical Variables ◽

Patients With Epilepsy

Download Full-text

The Child Behavior Checklist Together with the ADHD Rating Scale Can Diagnose ADHD in Korean Community-Based Samples

The Canadian Journal of Psychiatry ◽

10.1177/070674370505001210 ◽

2005 ◽

Vol 50 (12) ◽

pp. 802-805 ◽

Cited By ~ 20

Author(s):

Jae-Won Kim ◽

Ki-Hong Park ◽

Keun-Ah Cheon ◽

Boong-Nyun Kim ◽

Soo-Churl Cho ◽

...

Keyword(s):

Positive Predictive Value ◽

Child Behavior ◽

Predictive Value ◽

Child Behavior Checklist ◽

Rating Scale ◽

Attention Problems ◽

School Students ◽

Case Definitions ◽

Community Based ◽

Clinical Method

Objective: The purpose of this study was to examine the clinical validities and efficiencies of the Child Behavior Checklist (CBCL) and the ADHD Rating Scale-IV (ARS) in identifying children with attention-deficit hyperactivity disorder (ADHD) in Korean community-based samples. Method: A large sample of elementary school students ( n = 1668) participated in this study. We used the CBCL and the ARS as the screening instruments. Diagnoses were determined by clinical psychiatric interviews and confirmed by DSM-IV–based structured interviews. Results: Of the 46 subjects who underwent clinical psychiatric interviews, 33 were diagnosed as having ADHD. A T score of 60 with regard to the Attention Problems profile of the CBCL resulted in a reasonable level of sensitivity or positive predictive value in the diagnosis of ADHD. In both the parent and teacher reports of the ARS, 90th percentile cut-off points resulted in a high level of predictive value. The highest levels of specificity and positive predictive value were obtained when we combined the CBCL ( T ≥ 60 in Attention Problems) and the ARS (parent–teacher total ≥ 90th percentile) reports. Conclusions: These findings suggest that the combined use of the CBCL and the ARS could serve as a rapid and useful clinical method of predicting or even diagnosing children with ADHD in epidemiologic case definitions.

Download Full-text

Hair Magnesium content and its relation to Serum Magnesium level in children with Idiopathic Epilepsy

QJM ◽

10.1093/qjmed/hcab113.005 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Hamed Mahmoud Shatla ◽

Mariam Fathy Abdel Maksoud ◽

Raghda Mohamed Hesham Zaitoun ◽

Alaa Rabie Abdel Baset Mahmoud

Keyword(s):

Serum Magnesium ◽

Serum Levels ◽

Magnesium Content ◽

Magnesium Level ◽

Idiopathic Epilepsy ◽

Age And Gender ◽

Control Subjects ◽

Significant Difference ◽

And Gender ◽

Patients With Epilepsy

Abstract Objective To measure the level of hair Mg, as well as its level in serum, in patients with epilepsy and compare them to the levels found in non-epileptic age and gender matched children, and to explore any potential correlation between either serum or hair level of magnesium and seizure characteristics in children with idiopathic epilepsy. Methods An observational cross-sectional study including 50 children with idiopathic epilepsy and 100 non-epileptic age and gender matched control subjects. Cases were subjected to full history taking, examination and measurements of serum and hair levels of magnesium, control subjects only had their serum and hair level of magnesium measured as for the cases. Results The mean serum magnesium was 29.11 ± 13.42 ug/ml for cases and 27.67 ± 7.24 ug/ml for controls and the median hair level of magnesium was 42.22 ug/g with IQR of 25.9 - 56.82 for cases and 38.6 ug/g with IQR of 25.21 - 61.25 for controls. No statistically significant difference was observed between both groups as regards either serum or hair magnesium levels. No statistically significant correlation was observed between either hair or serum levels of magnesium and seizure characteristics though the correlations were nearing statistical significance for the hair magnesium content. Conclusion Hair magnesium level may be better correlated to seizure characteristics and control than serum levels in patients with epilepsy.

Download Full-text

Genetic and environmental influences on teacher ratings of the Child Behavior Checklist

International Journal of Behavioral Development ◽

10.1080/01650250050118367 ◽

2000 ◽

Vol 24 (3) ◽

pp. 373-381 ◽

Cited By ~ 22

Author(s):

Hilary Towers ◽

Erica Spotts ◽

Jenae M. Neiderhiser ◽

Robert Plomin ◽

E. Mavis Hetherington ◽

...

Keyword(s):

Child Behavior ◽

Child Behavior Checklist ◽

Social Problems ◽

Genetic Factors ◽

Environmental Influences ◽

Teacher Ratings ◽

Attention Problems ◽

Shared Environment ◽

Sibling Pairs ◽

Self Reports

The knowledge we have of childhood and adolescent behaviour is, to some extent, a function of the unique perspective of the rater. Although many behavioural genetics studies have used parent and child self-reports in their assessments of child and adolescent adjustment, few have included teacher ratings of behaviour. It is possible that genetic and environmental contributions to teacher reports are different from those using parent and self-reports. The present study examined genetic and environmental influences on six subscales of the Child Behavior Checklist Teacher Report Form (CBC-TRF) using a normative sample of adolescents. The sample consisted of 373 same-sex twin and sibling pairs of varying degrees of genetic relatedness participating in the Nonshared Environment in Adolescent project (NEAD). For all of the CBC subscales, except attention problems and social problems, nonshared environmental influence was the most important source of variance. Additive genetic factors were of moderate importance for externalising behaviours, whereas nonadditive genetic factors contributed to the anxious/depressed, attention problems, withdrawn, and social problems subscales. For none of the constructs was shared environment a significant influence. Three alternative models testing for contrast effects, differences in twin and nontwin siblings, and differences in nondivorced and stepfamilies were examined. In most cases, the best-fitting model was a model that did not include any of these effects, suggesting that these factors do not critically affect the basic model. However, some of the patterns of correlations and parameter estimates were unusual and may warrant future investigation.

Download Full-text

Screening for Attention-Deficit/Hyperactivity Disorder and Comorbidities in a Diverse, Urban Primary Care Setting

Clinical Pediatrics ◽

10.1177/0009922818787329 ◽

2018 ◽

Vol 57 (12) ◽

pp. 1442-1452 ◽

Cited By ~ 2

Author(s):

Andrea E. Spencer ◽

Natalie Plasencia ◽

Ying Sun ◽

Cara Lucke ◽

Haregnesh Haile ◽

...

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Attention Deficit ◽

Child Behavior Checklist ◽

Roc Curves ◽

Parent Report ◽

Attention Problems ◽

Hyperactivity Disorder ◽

Pediatric Symptom Checklist ◽

Diagnostic Interviews ◽

English Speaking

We tested the accuracy of 2 parent-report tools, the Pediatric Symptom Checklist (PSC-35) and Child Behavior Checklist (CBCL), to identify attention-deficit/hyperactivity disorder (ADHD) and distinguish complex (highly comorbid) cases in an urban, largely Latino pediatric practice. Spanish- and English-speaking parents of children aged 6 to 10 years completed a PSC-35 and CBCL at well visits. Those with CBCL Attention Problems Subscale (CBCL-APS) T scores ≥60 plus controls completed the diagnostic MINI-KID (Miniature International Neuropsychiatric Interview) for Children. Receiver operating characteristic (ROC) curves quantified accuracy of both scales to distinguish ADHD from non-ADHD, and complex from simple ADHD. Two hundred and nine children were screened, and 41 completed diagnostic interviews. Both the CBCL-APS and PSC Attention Scale (PSC-AS) accurately identified ADHD; the CBCL-APS performed best (AUROCCBCL_APS = 0.837; AUROCPSC_AS = 0.728). The PSC Total and Internalizing Scores and the number of CBCL subscale elevations accurately distinguished complex from simple ADHD; the PSC Internalizing Score performed best (AUROCPSC_TOTAL = 0.700; AUROCPSC_INT = 0.817; AUROCCBCL_SUBS = 0.762).

Download Full-text

Effect of maternal tolerance on behavioral problems in children with enuresis

Journal of the Pakistan Medical Association ◽

10.47391/jpma.988 ◽

2021 ◽

pp. 1-14

Author(s):

Mahshameen Munawar ◽

Aasma Yousaf

Keyword(s):

Behavioral Problems ◽

Linear Regression Analysis ◽

Tertiary Care ◽

Attention Problems ◽

Behavioural Problems ◽

Aggressive Behaviors ◽

Outpatient Hospital ◽

Study Results ◽

Rule Breaking ◽

Maternal Tolerance

Objective: To determine the effect of maternal tolerance on behavioral problems in children with enuresis. Method: A cross sectional descriptive study was conducted from January 2018 to November 2018 at three outpatient hospital settings in Pakistan. The sample comprised of 80 mothers (aged 23-50 years) having children with enuresis, who were recruited from one public (tertiary care) and two private (secondary care) outpatient hospital settings in Punjab. Participants were recruited after a formal diagnosis of enuresis made by the consultant pediatrician or psychiatrist. The Tolerance Scale and The Children Behavioural Questionnaire were used to assess maternal tolerance and behavioural problems in children, respectively. A demographics questionnaire with demographic details regarding the mother and the child, was also designed for the study. Results: The mean age of mothers (N=80) and their children was 34.53 ±4.89 years and 8.16 ± 2.36, respectively. Results of correlation analysis revealed that maternal intolerance was positively and significantly correlated with rule-breaking (r=.25, p=.02) and aggressive behaviors (r=.31, p=.01) in children with enuresis. In addition, linear regression analysis was carried out to observe if maternal tolerance significantly contributed to behavioural problems in children with enuresis. Maternal intolerance emerged as significant and positive predictor of rule-breaking behaviors (?=.25, p=.02), aggressive behaviors (?=.31, p=.00) and attention problems (?=.29, p=.01) in the affected children. Conclusion: The study demonstrates that maternal intolerance and hostile attitudes towards children with enuresis leads to secondary behavioural and emotional difficulties. Key Words: Enuresis, Maternal tolerance, Child health care, Continuous...

Download Full-text