Family predictors of psychopathology in children with epilepsy.
OBJECTIVE
To examine the contribution of epilepsy-related factors, proximal (parent-child relationship quality), distal (parental characteristics), and contextual (quality of other family relationships) family factors to psychopathology (both broad-band and narrow-band syndromes) in children with epilepsy and normal intelligence.


METHODS
Parents of 91 children (mean, 8.5 years) participated by filling out questionnaires about family factors and child psychopathology. Regression analyses were used to analyze the unique and combined predictive power of family factors in relation to psychopathology.


RESULTS
In contrast to epilepsy-related factors, family factors, especially those related to the quality of the parent-child relationship, appeared to be strong predictors of psychopathology. The results supported the mediational model: Distal and contextual factors affect child psychopathology by affecting proximal factors.


CONCLUSIONS
In treating children with epilepsy, clinicians should be aware of the importance of the parent-child relationship quality. Strengthening the relationship quality may prevent or reduce psychopathology.
Rodenburg
Roos
R
Department of Educational Studies, University of Amsterdam, Amsterdam. H.R.Rodenburg@uva.nl/roos
Marie Meijer
Anne
A
Deković
Maja
M
Aldenkamp
Albert P
AP
D000328:Adult; D002648:Child; D015897:Comorbidity; D004827:Epilepsy / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D005192:Family Health; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D009426:Netherlands / Q000453:epidemiology; D010287:Parent-Child Relations; D011336:Probability; D011788:Quality of Life / Q000523:psychology; D012044:Regression Analysis; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires