Behavior problems in children at time of first recognized seizure and changes over the following 3 years.
Behavior problems in children at time of first recognized seizure and changes over the following 3 years.
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DOI：
10.1016/j.yebeh.2011.05.028
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发表时间：
2011-08
期刊：
影响因子：
--
通讯作者：
Dunn DW
中科院分区：
文献类型：
--
作者：
Austin JK;Perkins SM;Johnson CS;Fastenau PS;Byars AW;deGrauw TJ;Dunn DW
这项为期36个月的首次癫痫发作儿童研究的目的是：（a）描述有和无既往未被识别的癫痫发作儿童之间行为问题的基线差异;（B）确定癫痫发作儿童和他们的健康兄弟姐妹之间随着时间的推移在行为问题上的差异，（c）确定癫痫发作儿童和健康兄弟姐妹在36个月内一直处于行为问题风险中的比例;以及（d）在首次确认癫痫发作后36个月确定行为问题的风险因素。探讨的风险因素包括人口统计学（儿童年龄和性别，照顾者教育），神经心理学（智商，处理速度），癫痫发作（癫痫综合征，抗癫痫药物AED的使用，癫痫发作复发）和家庭（家庭掌握，家庭关系满意度，父母反应）变量。参与者是300名6至14岁的儿童，他们第一次被确认为癫痫发作，196名健康的兄弟姐妹。数据收集自医疗记录、结构化访谈、自我报告问卷和神经心理学测试。行为问题的测量使用儿童行为检查表和教师的报告表。数据分析包括描述性统计和线性混合模型。有未被发现的癫痫发作的儿童在基线时有更高的行为问题风险。作为一个群体，癫痫发作的儿童随着时间的推移表现出行为问题的稳定减少。随着时间的推移，癫痫发作的儿童比他们的兄弟姐妹有更多的行为问题，并且随着时间的推移，癫痫发作的儿童（11.3%）比兄弟姐妹（4.6%）有更多的行为问题。基于照顾者和教师的儿童行为问题的关键风险因素是：照顾者教育较少，初始处理速度较慢，前36个月处理速度减慢，以及一些家庭变量，包括家庭掌握或儿童对家庭关系的满意度较低，父母对儿童自主权的支持较低，父母对他们管教孩子的能力信心较低。新发癫痫发作的儿童在其他方面发育正常，其行为问题的发生率高于其健康的兄弟姐妹;然而，在癫痫发作后的前三年内，大多数儿童的行为问题并不总是处于危险范围内。当孩子表现出行为问题时，可能有针对性的家庭变量包括家庭控制，父母对孩子自主权的支持，以及父母对他们处理孩子行为能力的信心。
The purposes of this 36-month study of children with first recognized seizures were: (a) to describe baseline differences in behavior problems between children with and without prior unrecognized seizures; (b) to identify differences over time in behavior problems between children with seizures and their healthy siblings, (c) to identify the proportion of children with seizures and healthy siblings who were consistently at risk for behavior problems for 36 months; and (d) to identify risk factors for behavior problems 36 months following the first recognized seizure. Risk factors explored included demographic (child age and gender, caregiver education), neuropsychological (IQ, processing speed), seizure (epileptic syndrome, use of antiepileptic drug AED, seizure recurrence) and family (family mastery, satisfaction with family relationships, parent response) variables. Participants were 300 children ages 6 through 14 years with a first recognized seizure and 196 healthy siblings. Data were collected from medical records, structured interviews, self-report questionnaires, and neuropsychological testing. Behavior problems were measured using the Child Behavior Checklist and the Teacher’s Report Form. Data analyses included descriptive statistics and linear mixed models. Children with prior unrecognized seizures were at higher risk for behavior problems at baseline. As a group, children with seizures showed a steady reduction in behavior problems over time. Children with seizures were found to have significantly more behavior problems than their siblings over time and significantly more children with seizures (11.3%) than siblings (4.6%) had consistent behavior problems over time. Key risk factors for child behavior problems based on both caregivers and teachers were: less caregiver education, slower initial processing speed, slowing of processing speed over the first 36 months, and a number of family variables including lower levels of family mastery or child satisfaction with family relationships, lower parent support of the child’s autonomy, and lower parent confidence in their ability to discipline their child. Children with new-onset seizures who are otherwise developing normally have higher rates of behavior problems than their healthy siblings; however, behavior problems are not consistently in the at-risk range in most children during the first three years after seizure onset. When children show behavior problems, family variables that might be targeted include family mastery, parent support of child autonomy, and parent confidence in their ability to handle their children’s behavior.
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影响因子：
3.8
作者：
Dunn, DW;Austin, JK;Ambrosius, WT
通讯作者：
Ambrosius, WT
影响因子：
5.6
作者：
Bailet, LL;Turk, WR
通讯作者：
Turk, WR
影响因子：
2.6
作者：
Austin, JK;Dunn, DW;Perkins, SM
通讯作者：
Perkins, SM
影响因子：
2.6
作者：
Huberty, Thomas J.;Austin, Joan K.;Ambrosius, Walter T.
通讯作者：
Ambrosius, Walter T.
影响因子：
2.6
作者：
Keene, DL;Manion, I;Humphreys, P
通讯作者：
Humphreys, P