Behavioral issues involving children and adolescents with epilepsy and the impact of their families: recent research data

Behavioral issues involving children and adolescents with epilepsy and the impact of their families: recent research data
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DOI:
10.1016/j.yebeh.2004.06.014
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发表时间:
2004-10-01
影响因子:
2.6
通讯作者:
Perkins, SM
Perkins, SM
中科院分区:
医学3区
文献类型:
--
作者:
Austin, JK;Dunn, DW;Perkins, SM

文献摘要

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目标。我们使用了一项关于新发癫痫发作的大型研究的数据,报告了家庭因素与儿童在基线和24个月时行为问题之间关系的初步发现。我们还探讨了哪些基线和家庭因素的变化与24个月期间儿童行为问题的变化有关。研究对象为224名儿童及其主要照顾者。数据采用结构化电话访谈法收集,并采用多元回归法进行分析。缺乏家庭掌握和父母对管理孩子纪律的信心与基线和24个月时的行为问题有关;他们还预测了随着时间的推移儿童的行为问题。家长管教孩子信心的下降与孩子行为问题的增加有关。父母对孩子情感支持的减少与孩子内化问题的增加有关。儿童行为问题、家庭环境和父母行为应在儿童出现新发癫痫时进行评估。(C) 2004爱思唯尔公司版权所有。
Objective. Using data from a larger study on new-onset seizures, we reported preliminary findings concerning relationships between family factors and child behavioral problems at baseline and 24 months. We also explored which baseline and changes in family factors were associated with changes in child behavioral problems over the 24-month period.Methods. Subjects were 224 children and their primary caregivers. Data were collected using structured telephone interviews and analyzed using multiple regression.Results. Deficient family mastery and parent confidence in managing their child's discipline were associated with behavior problems at baseline and at 24 months; they also predicted child behavior problems over time. Decreasing parent confidence in disciplining their child was associated with increasing child behavior problems. Decreases in parent emotional support of the child were associated with increases in child internalizing problems.Conclusion. Child behavior problems, family environment, and parenting behaviors should be assessed when children present to the clinical setting with new-onset seizures. (C) 2004 Elsevier Inc. All rights reserved.