Objective To investigate the psychological behavior and related family factors in children with idiopathic epilepsy,and to explore the association between psychological behavior and related family factors. Methods A total of 35 epilepsy children and 35 health control children were included and evaluated with the Achenbach Child Behavior Checklist (CBCL),Self-Rating Anxiety Scale (SAS),Self-rating depression scale(SDS),Family Environment Scale-Chinese Version (FES-CV) and Egma Minnen av Bardndosnauppforstran(EMBU).Moreover,the associations between psychological behavior and family factors were analyzed. Results A significant higher ratio of abnormal behavior was found in children with epilepsy than health control (P<0.01).A significant increasing of parental anxiety and depression (P<0.05),decreased degree of intimacy,expressed emotion and entertainment,and increased family conflict and control were found in children with epilepsy.Moreover,parental rearing pattern showed that emotional warmth score was significantly lower in epilepsy children than health children (P<0.05).The correlation analysis showed that a positive association was found between parental depression score and total psychological behavior scores in children with epilepsy (r=0.36,P<0.05). Conclusion A significant higher risk of abnormal psychological behavior could be found in children with epilepsy,and the family factor could be one of the incentives.
Key words
idiopathic epilepsy /
children /
psychological behavior /
family factor /
correlation analysis
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References
[1] 张小芳,姚宝珍,马洁慧,等.癫痫患儿心理行为学改变及其相关影响因素的研究[J].医学研究杂志,2012,41(3):144-147.
[2] Filho GM,Rosa VP,Lin K,et al.Psychiatric comorbidity in epilepsy:A study comparing patients with mesial temporal sclerosis and juvenile myoclonic epilepsy[J].Epilepsy Behav,2008,13(1):196-201.
[3] Dabbs K,Jones JE,Jackson DC,et al.Patterns of cortical thickness and the child behavior checklist in childhood epilepsy[J].Epilepsy Behav,2013,29(1):198-204.
[4] Kanemura H,Sano F,Sugita K,et al.Effects of levetiracetam on seizure frequency and neuropsychological impairments in children with refractory epilepsy with secondary bilateral synchrony[J].Seizure,2013,22(1):43-47.
[5] Law EF,Fisher E,Fales J,et al.Systematic review and meta-analysis of parent and family-based interventions for children an d adolescents with chronic medical conditions[J].J Pediatr Psychol,2014 39(8):866-86.
[6] 戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2010.
[7] 张赛,路孝琴,杜蕾,等.家庭功能评价工具家庭亲密度和适应性量表的发展及其应用研究[J].中国全科医学,2010,13(7):725-728.
[8] 杨春,侯东辉.子女特质焦虑与父母教养方式关系[J].心理科学,2009,32(5):1274-1275.
[9] Baum KT,Byars AW,deGrauw TJ,et al.The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures[J].Epilepsy Behav,2010,17(4):467-473.
[10] Raha S,Shah U,Udani V.Neurocognitive and neurobehavioral disabilities in epilepsy with electrical status epilepticus in slow sleep (eses) and related syndromes[J].Epilepsy Behav,2012,25(3):381-385.
[11] Engel-Yeger B,Zlotnik S,Ravid S,et al.Childhood-onset primary generalized epilepsy-impacts on children's preferences for participation in out-of-school activities[J].Epilepsy Behav,2014,34:1-5.
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