Behavioral and psychiatric comorbidities in pediatric epilepsy: toward an integrative model.
It is well recognized that children with epilepsy are at heightened risk for developing behavior problems and psychiatric disorders. Studies identifying factors associated with child behavior were reviewed and findings were placed into two broad categories for review and critique: illness-related variables and psychosocial variables. Illness-related variables were seizure frequency and seizure control, type of epilepsy, age of onset, duration of illness, and antiepileptic drugs. Psychosocial variables were reviewed using a family stress framework: stressors, perceptions, adaptive resources, coping, and family adjustment. After the literature on each category is reviewed, an integrated heuristic model that includes key illness-related and psychosocial variables is presented.
Austin
Joan K
JK
Indiana University School of Nursing, Indianapolis, IndianaSemel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, California, U.S.A.
Caplan
Rochelle
R
Indiana University School of Nursing, Indianapolis, IndianaSemel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, California, U.S.A.
D000223:Adaptation, Psychological; D000367:Age Factors; D017668:Age of Onset; D000927:Anticonvulsants / Q000627:therapeutic use; D001294:Attitude to Health; D002648:Child; D002653:Child Behavior Disorders / Q000453:epidemiology* / Q000523:psychology; D015897:Comorbidity; D004827:Epilepsy / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology; D005192:Family Health; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D015233:Models, Statistical; D010290:Parents / Q000523:psychology; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology
D000927:Anticonvulsants