关键词: 癫痫, 情绪与行为问题, 长处与困难问卷, 儿童

Abstract: Objective To understand the status quo and influencing factors of emotional and behavioral problems in epileptic children and normal children, in order to provide clinical guidance for disease intervention. Methods A total of 192 cases of epileptic children admitted to the Department of Neurology of Anhui Children′s Hospital were selected from May 1st, to November 1st, 2021. Meanwhile, Students from four primary and middle schools in Hefei were selected matched by age and gender with the ratio of 1∶1. The parents of 384 children were surveyed by general information questionnaire and Strengths and Difficulties Questionnaire (SDQ) (parent version). Results The abnormal detection rate of total difficulty in epileptic children and normal children was 25.00% and 0.52%, respectively. Children with epilepsy had significantly higher scores of emotional symptoms (t=33.343), conduct problems (t=23.123), hyperactivity problems (t=19.499), peer communication problems (t=15.700), total difficulty scores (t=22.420) and lower score of prosocial behavior (t=14.402) than normal children (P<0.001). Multivariate analysis showed that the type of medication, medication compliance, the frequency of attacks, the medical insurance, the monthly family income, and the gender of the main caregiver were the factors influencing the emotional behavior in children with epilepsy (P＜0.05). Conclusions Children with epilepsy are more likely to have emotional and behavioral problems than normal children. Family members and medical staff should pay attention to it and urgently take intervention measures.

Key words: epilepsy, emotional and behavioral problems, Strengths and Difficulties Questionnaire, children