Social cognition in children with epilepsy in mainstream education.

Social cognition in children with epilepsy in mainstream education.
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DOI:
10.1111/dmcn.12613
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发表时间:
2015-01
影响因子:
3.8
通讯作者:
Martland T
Martland T
中科院分区:
医学2区
文献类型:
--
作者:
Lew AR;Lewis C;Lunn J;Tomlin P;Basu H;Roach J;Rakshi K;Martland T

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确定在主流教育中,是否存在全身性或局灶性癫痫儿童的社会认知缺陷,以及社会认知、沟通和行为措施之间是否存在任何关系。在一项横断面研究中,在主流教育中仅诊断为癫痫的儿童(n=20例全身性癫痫; 8例男性,12例女性;平均年龄11岁6个月,SD 2岁6个月; n=27例局灶性癫痫; 12例男性,15例女性;平均年龄11岁8个月,SD 2岁2个月)和对照参与者(n=57; 28名男性,29名女性;平均年龄11岁2个月,标准差2岁4个月)接受了奇异故事任务和眼中的心灵任务,以及智商评估。父母完成了儿童沟通检查表-2和儿童行为检查表(CBCL)。两组癫痫儿童在奇怪故事任务的心理故事部分的表现都比对照组儿童差,F(2,101)=3.2,p<0.001。心理故事的表现与语用沟通有关,但仅在全身性癫痫组(r=0.51,p=0.03,95%CI =0.2-0.8)。癫痫组和对照组在“眼睛中的心灵”任务中没有差异,F(2,101)=0.4,p=0.4。患有“癫痫症”的儿童有社会认知缺陷的风险,可能需要适当的支持。患有局灶性和全身性癫痫的儿童在社会认知方面存在缺陷。广泛性癫痫患者的社会认知与语用沟通有关。
To establish whether deficits in social cognition are present in children with generalized or focal epilepsy in mainstream education, and whether any relation exists between social cognition, communication, and behaviour measures. In a cross-sectional study, children with an epilepsy-only diagnoses in mainstream education (n=20 with generalized epilepsy; eight males, 12 females; mean age 11y 6mo, SD 2y 6mo; and n=27 with focal epilepsy; 12 males, 15 females; mean age 11y 8mo, SD 2y 2mo) and comparison participants (n=57; 28 males, 29 females; mean age 11y 2mo, SD 2y 4mo) were administered the Strange Stories task and the Mind in the Eyes task, as well as an IQ assessment. Parents completed the Children's Communication Checklist-2 and the Child Behavior Checklist (CBCL). Both groups of children with epilepsy performed more poorly than control children on the Mental Stories component of the Strange Stories task, F(2,101)=3.2, p<0.001. Performance on Mental Stories was related to pragmatic communication, but only in the generalized epilepsy group (r=0.51, p=0.03, 95% CI=0.2–0.8). There were no differences between epilepsy groups or control participants in the Mind in the Eyes task, F(2,101)=0.4, p=0.4. Children with ‘epilepsy only’ are at risk of deficits in social cognition and may require appropriate support. Children with focal and generalized epilepsy have deficits in social cognition. Social cognition was associated with pragmatic communication in generalized epilepsy.
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