Study of Cognitive and Psychiatric Dysfunction in Children with Epilepsy

S. Gopu, Usha Rani.H, MuraliRao.G
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Abstract

Back ground: Epilepsy is one of the most physically and psychosocially debilitating chronic illnesses in children. A considerable proportion of children with epilepsy have various other disorders such as ADHD, learning problems, psychosocial difficulties, mental retardation, cerebral palsy or other disabilities. Objective: To assess the prevalence of cognitive and psychosocial dysfunction in children with epilepsy aged 6 14 yrs. Methodology: This is a cross sectional hospital based the study, included 100 children with age group ranging from 6 12 yrs., attending the neurology outpatient services for epilepsy. Cognitive assessment of the children was done by adopting the MISIC (Malins Intelligence Scale for Indian Children) scale. Psychosocial assessment was done by adopting the Developmental Psychopathology Checklist for children (DPCL) Results:Psychosocial dysfunction is observed in 36% of children with epilepsy. The prevalence of various disorders found in epilepsy patients are Learning disorders 30%, Emotional disorders 21%, Conduct disorders 5%, ADHD was 12% and Psychoses was 1%. Conclusion: Cognitive and psychosocial dysfunction are the major comorbid disorders in children with epilepsy.
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癫痫患儿认知和精神功能障碍的研究
背景:癫痫是儿童身体和心理社会最衰弱的慢性疾病之一。相当大比例的癫痫患儿患有各种其他疾病,如多动症、学习问题、社会心理困难、智力迟钝、脑瘫或其他残疾。目的:了解6 ~ 14岁癫痫患儿认知和心理社会功能障碍的患病率。方法:这是一项以医院为基础的横断面研究,包括100名儿童,年龄从6岁到12岁不等。参加癫痫的神经病学门诊服务。采用MISIC (Malins Intelligence Scale for Indian children)量表对儿童进行认知能力评估。采用儿童发展精神病理检查表(DPCL)进行心理社会评估。结果:36%的癫痫患儿存在心理社会功能障碍。癫痫患者中各种障碍的患病率为学习障碍30%,情绪障碍21%,行为障碍5%,多动症12%,精神病1%。结论:认知和社会心理功能障碍是癫痫患儿的主要合并症。
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