Social communication in children with epilepsy
Social communication in children with epilepsy
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DOI：
10.1111/1469-7610.00017
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发表时间：
2002-02-01
影响因子：
7.6
通讯作者：
Shields, WD
中科院分区：
文献类型：
--
作者：
Caplan, R;Guthrie, D;Shields, WD
背景：本研究考察了92名复杂部分性癫痫(CPS)儿童、51名原发全面性癫痫(PGE)儿童和117名正常儿童(年龄1-16.9岁)的社会沟通测量，包括语言在形成和组织思想方面的使用及其与癫痫相关变量、发育、认知和行为变量的关系。方法：用儿童正式思维障碍评定量表(Caplan等，)和韩礼德和哈桑(1976)的凝聚力分析对儿童语音样本进行编码，发现两组癫痫患者都存在社会沟通障碍。结果：CPS患者同时存在正式思维障碍和凝聚力缺陷，PGE组存在轻度凝聚力障碍。智商、额颞部和双侧峰波活动与CPS组社会沟通障碍的严重程度相关。然而，PGE组的社交障碍与智商和癫痫控制有关。结论：反复发作的CPS和PGE以及癫痫活动的额颞部定位可能损害儿童沟通能力的发展。
Background: This study examined measures of social communication that involve the use of language in formulating and organizing thoughts and its relationship with seizure-related, developmental, cognitive, and behavioral variables in 92 children with complex partial seizure disorder (CPS), 51 with primary generalized epilepsy (PGE), and 117 normal children, aged S. 1-16.9 years. Methods: Coding the children's speech samples with the Kiddie Formal Thought Disorder Rating Scale (Caplan et al., 1989) and Halliday and Hasan's (1976) analysis of cohesion demonstrated social communication deficits in both seizure disorder groups. Results: The CPS patients had both formal thought disorder and cohesion deficits and the PGE group had mild cohesion deficits. IQ, as well as fronto-temporal and bilateral spike and wave activity were associated with the severity of the social communication deficits of the CPS group. The social communication deficits of the PGE group, however, were related to IQ and seizure control. Conclusions: Recurrent CPS and PGE and fronto-temporal localization of epileptic activity might impair the development of children's communication skills.