癫痫患儿的生活质量、学术自我概念和心理健康：癫痫合并症的可能作用

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-05-17 DOI:10.1016/j.yebeh.2025.110471

Dana Buršíková Brabcová , Adéla Otáhalová , Jiří Kohout , Michala Suleková , Ivana Mašková , Anežka Bělohlávková , Pavel Kršek

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引用次数: 0

摘要

目的：儿童癫痫通常与生活质量受损、学业成绩下降、学业自我概念下降以及抑郁和焦虑风险增加有关。本研究旨在评估合并症，如学习障碍（LD）和注意缺陷多动障碍（ADHD）对这些变量的可能影响。方法选取104例8 ~ 15岁的主流学校癫痫患儿（CWE）作为研究对象。其中，45人被诊断为多动症和/或多动症。参与者完成了CHEQOL-25生活质量评估问卷、SPAS学术自我概念评估问卷以及抑郁和焦虑症状量表。使用双样本t检验对数据进行分析，以确定有和没有LD/ADHD的亚组之间的差异。此外，我们还进行了相关分析，以确定影响生活质量、学业自我概念、抑郁和焦虑症状的其他相关变量。结果伴有LD/ADHD的CWE的生活质量和学业自我概念明显低于无合并症的CWE。生活质量与抑郁、焦虑症状和学业自我概念有统计学显著相关。虽然没有合并症的CWE的抑郁症状水平与一般人群一致，但患有LD/ADHD的CWE与抑郁症状的相关性增加。尽管焦虑症状与抑郁症状的相关性相对较强，但无论是否存在LD/ADHD，其患病率仍与未患癫痫的儿童大致相当。结论儿童多动症患者及其家庭可以从集中关注中受益，包括有针对性的咨询和治疗干预。然而，建议根据儿童的具体发现进行具体的介入研究。

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Quality of life, academic self-concept, and mental health in children with epilepsy: The possible role of epilepsy comorbidities

Purpose

Epilepsy in children is often associated with impaired quality of life, lower academic achievement, and reduced academic self-concept, as well as an increased risk of depression and anxiety. This study aims to evaluate the possible impact of comorbidities, such as learning disabilities (LD) and attention deficit hyperactivity disorder (ADHD), on these variables.

Methods

A total of 104 children with epilepsy (CWE) aged 8–15 years, attending mainstream schools, participated in the study. Of these, 45 were diagnosed with LD and/or ADHD. Participants completed the CHEQOL-25 questionnaire to assess quality of life (QoL), the SPAS questionnaire to evaluate academic self-concept, as well as inventories measuring depressive and anxiety symptoms. The data were analyzed to identify differences between subgroups with and without LD/ADHD using a two-sample t-test. Additionally, correlation analysis was conducted to identify other relevant variables influencing QoL, academic self-concept, and depressive and anxiety symptoms.

Results

QoL and academic self-concept were significantly poorer in CWE with LD/ADHD compared to those without comorbidities. QoL showed statistically significant associations with depressive and anxiety symptoms, and academic self-concept. While depressive symptoms levels in CWE without comorbidities align with those in the general population, CWE with LD/ADHD showed an increased association with depressive symptoms. Although anxiety symptoms were relatively strongly associated with depressive symptoms, their prevalence remains broadly comparable to that of children without epilepsy, regardless of the presence of LD/ADHD.

Conclusion

CWE with LD/ADHD and their families may benefit from focused attention, including targeted counseling and therapeutic interventions. However, specific interventional studies are recommended, based on child-specific findings.

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来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.