Social Behavioral Problems and the Health-Related Quality of Life in Children and Adolescents with Epilepsy
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
ObjectiveaaThe purpose of this study was to investigate the impact of specific behavioral problems on the health-related quality of life (HRQOL) in children and adolescents with epilepsy. MethodsaaChildren and adolescents with epilepsy (n=92; age range=6–17 years) and their mothers completed questionnaires about behavioral problems, HRQOL, socio-demographics, and epilepsy-related variables. To determine significant predictor variables of the HRQOL, the stepwise regression analyses and partial correlations were performed to adjust for other behavioral problems and covariates. ResultsaaThe analyses revealed that an increase in social behavioral problems and delinquent behavior was associated with a decrease in the HRQOL. Lower levels of maternal education and the number of antiepileptic drugs were also associated with a decline in the HRQOL; the HRQOL and social behavioral problems remained significantly correlated after adjusting for maternal education level, number of antiepileptic drugs, and non-social behavioral problems. ConclusionaaParents and practitioners should provide intervention if behavioral problems, particularly social behavioral problems, are observed in children or adolescents with epilepsy.
Abstract
ObjectiveaaThe purpose of this study was to investigate the impact of specific behavioral problems on the health-related quality of life (HRQOL) in children and adolescents with epilepsy. MethodsaaChildren and adolescents with epilepsy (n=92; age range=6–17 years) and their mothers completed questionnaires about behavioral problems, HRQOL, socio-demographics, and epilepsy-related variables. To determine significant predictor variables of the HRQOL, the stepwise regression analyses and partial correlations were performed to adjust for other behavioral problems and covariates. ResultsaaThe analyses revealed that an increase in social behavioral problems and delinquent behavior was associated with a decrease in the HRQOL. Lower levels of maternal education and the number of antiepileptic drugs were also associated with a decline in the HRQOL; the HRQOL and social behavioral problems remained significantly correlated after adjusting for maternal education level, number of antiepileptic drugs, and non-social behavioral problems. ConclusionaaParents and practitioners should provide intervention if behavioral problems, particularly social behavioral problems, are observed in children or adolescents with epilepsy.
참고문헌 (48)
- Miller V, "Quality of life in pediatric epilepsy : demographic and disease-related predictors and comparison with healthy controls", Epilepsy Behav, 4, pp.36~42 (2003)
- Austin JK, "Childhood epilepsy and asthma : comparison of quality of life", Epilepsia, 35, pp.608~615 (1994)
- Austin JK, "Adolescents with active or inactive epilepsy or asthma : a comparison of quality of life", Epilepsia, 37, pp.1228~1238 (1996)
- Moreira H, "Psychological and quality of life outcomes in pediatric populations : a parent-child perspective", J Pediatr, 163, pp.1471~1478 (2013)
- Austin JK, "Behavioral issues involving children and adolescents with epilepsy and the impact of their families: recent research data", Epilepsy Behav, 5(Suppl 3), pp.S33~S41 (2004)
- Jacoby A, "Social stigma for adults and children with epilepsy", Epilepsia, 48(suppl 9), pp.6~9 (2007)
- MacLeod JS, "Stigma in the lives of adolescents with epilepsy : a review of the literature", Epilepsy Behav, 4, pp.112~117 (2003)
- Ronen GM, "Outcomes trajectories in children with epilepsy : hypotheses and methodology of a Canadian longitudinal observational study", Pediatr Neurol, 50, pp.38~48 (2014)
- Ferro MA, "Trajectories of health-related quality of life in children with epilepsy : a cohort study", Epilepsia, 54, pp.1889~1897 (2013)
- Baker GA, "Impact of epilepsy in adolescence : a UK controlled study", Epilepsy Behav, 6, pp.556~562 (2005)
- Rodenburg R, "Psychopathology in children with epilepsy : a meta-analysis", J Pediatr Psychol, 30, pp.453~468 (2005)
- Davies S, "A population survey of mental health problems in children with epilepsy", Dev Med Child Neurol, 45, pp.292~295 (2003)
- Stevanovic D, "The impact of depression and anxiety disorder symptoms on the health-related quality of life of children and adolescents with epilepsy", Epilepsia, 52, pp.e75~e78 (2011)
- Adewuya AO, "Impact of psychiatric morbidity on parent-rated quality of life in Nigerian adolescents with epilepsy", Epilepsy Behav, 7, pp.497~501 (2005)
- Malhi P, "Correlates of quality of life with epilepsy", Indian J Pediatr, 72, pp.131~135 (2005)
- Ronen GM, "Health-related quality of life in children with epilepsy : development and validation of self-report and parent proxy measures", Epilepsia, 44, pp.598~612 (2003)
- Verhey LH, "Quality of life in childhood epilepsy: what is the level of agreement between youth and their parents?", Epilepsy Behav, 14, pp.407~410 (2009)
- Hamiwka L, "Perceived health in children presenting with a"first seizure", Epilepsy Behav, 13, pp.485~488 (2008)
- Baca CB, "Differences in child versus parent reports of the child’s health-related quality of life in children with epilepsy and healthy siblings", Value Health, 13, pp.778~786 (2010)
- Ronen GM, "Health-related quality of life in childhood epilepsy : moving beyond ‘seizure control with minimal adverse effects’", Health Qual Life Outcomes, 1, pp.36~ (2003)
- Austin JK, "Correlates of behavior problems in children with epilepsy", Epilepsia, 33, pp.1115~1122 (1992)
- Kim JW, "The child behavior checklist together with the ADHD rating scale can diagnose ADHD in Korean community-based samples", Can J Psychiatry, 50, pp.802~805 (2005)
- Ahn CM, "A psychometric analysis and standardization of the Behavior Assessment System for Children-2, Self-Report of Personality, Child Version among a Korean sample", Sch Psychol Q, 29, pp.198~212 (2014)
- John K, "Measuring children’s social functioning", Child Psychol Psychiatr Rev, 6, pp.181~188 (2001)
- Freilinger M, "Behavioral and emotional problems in children with epilepsy", J Child Neurol, 21, pp.939~945 (2006)
- Keene DL, "A survey of behavior problems in children with epilepsy", Epilepsy Behav, 6, pp.581~586 (2005)
- Tse E, "Social skills problems in children with epilepsy: prevalence, nature and predictors", Epilepsy Behav, 11, pp.499~505 (2007)
- McEwan MJ, "Quality of life and psychosocial development in adolescents with epilepsy : a qualitative investigation using focus group methods", Seizure, 13, pp.15~31 (2004)
- Elliott IM, "I just want to be normal : a qualitative study exploring how children and adolescents view the impact of intractable epilepsy on their quality of life", Epilepsy Behav, 7, pp.664~678 (2005)
- Bishop M, "The impact of epilepsy on quality of life : a qualitative analysis", Epilepsy Behav, 4, pp.226~233 (2003)
- Sample PL, "Experiences of persons with epilepsy and their families as they look for medical and community care : a focus group study from South Carolina", Epilepsy Behav, 9, pp.649~662 (2006)
- Wilde M, "Living with epilepsy : a qualitative study investigating the experiences of young people attending outpatients clinics in Leicester", Seizure, 5, pp.63~72 (1996)
- Rhodes PJ, "‘What really annoys me is people take it like it’s a disability’, epilepsy, disability and identity among people of Pakistani origin living in the UK", Ethn Health, 13, pp.1~21 (2008)
- Raty LK, "Epilepsy patients’ conceptions of epilepsy as a phenomenon", J Neurosci Nurs, 41, pp.201~210 (2009)
- Kilinc S, "“It shouldn’t be something that’s evil, it should be talked about”: a phenomenological approach to epilepsy and stigma", Seizure, 18, pp.665~671 (2009)
- Westbrook LE, "Applying stigma theory to epilepsy : a test of a conceptual model", J Pediatr Psychol, 17, pp.633~649 (1992)
- Asato MR, "Adolescent and caregiver experiences with epilepsy", J Child Neurol, 24, pp.562~571 (2009)
- Devinsky O, "Risk factors for poor health-related quality of life in adolescents with epilepsy", Epilepsia, 40, pp.1715~1720 (1999)
- Baker GA, "Perceived impact of epilepsy in teenagers and young adults : an international survey", Epilepsy Behav, 12, pp.395~401 (2008)
- Lu L, "Culture and conceptions of happiness : individual oriented and social oriented swb", J Happiness Stud, 5, pp.269~291 (2004)
- Park N, "A cross-sectional study of the levels and correlates of life satisfaction among adolescents", J Cross Cult Psychol, 36, pp.444~456 (2005)
- Austin JK, "Recurrent seizures and behavior problems in children with first recognized seizures : a prospective study", Epilepsia, 43, pp.1564~1573 (2002)
- Kolahi AA, "First febrile convulsions: inquiry about the knowledge, attitudes and concerns of the patients’ mothers", Eur J Pediatr, 168, pp.167~171 (2009)
- Nwokocha EE, "Factors influencing mothers’ role in convulsion treatment among under-five children in Ibadan, Nigeria", World Health Popul, 11, pp.15~29 (2009)
- Yong L, "Factors affecting the quality of life in childhood epilepsy in China", Acta Neurol Scand, 113, pp.167~173 (2006)
- Eom S, "Epilepsy-related clinical factors and psychosocial functions in pediatric epilepsy", Epilepsy Behav, 37, pp.43~48 (2014)
- Ryu HU, "Perceived stigma in Korean adolescents with epilepsy : effects of knowledge about epilepsy and maternal perception of stigma", Seizure, 24, pp.38~43 (2015)
- Jensen PS, "Sherlock Holmes and child psychopathology assessment approaches : the case of the false-positive", J Am Acad Child Adolesc Psychiatry, 38, pp.138~146 (1999)
