title: Epilepsy-related clinical factors and psychosocial functions in pediatric epilepsy.
abstract: OBJECTIVE
  The aim of this study was to identify the different influencing patterns of demographic and epilepsy-related variables on various aspects of psychosocial function in pediatric epilepsy.
  
  
  METHODS
  Five hundred ninety-eight patients with pediatric epilepsy between the ages of 4 and 18 years (boys=360, 60% and girls=238, 40%) and their parents participated in the study. Parents completed the Social Maturity Scale (SMS), the Korean version of the Child Behavior Checklist (K-CBCL), and the Korean version of the Quality of Life in Childhood Epilepsy Questionnaire (K-QOLCE) to assess daily living function, behavior, and quality of life. The Children's Global Assessment Scale (CGAS) was completed by clinicians to assess general adaptive function. Demographic variables, such as age and sex of child, and epilepsy-related clinical variables, including seizure type, seizure frequency, duration of epilepsy, and number of medications, were obtained from medical records.
  
  
  RESULTS
  Demographic and epilepsy-related clinical variables had a strong influence (22-32%) on the cognition-related domain such as general adaptive function, school/total competence, and quality of life for cognitive function while a comparatively smaller effect (2-16%) on the more psychological domain including behavioral, emotional, and social variables. Younger age, shorter duration of illness, and smaller number of medications showed a strong positive impact on psychosocial function in pediatric epilepsy, particularly for adaptive function, competence, and quality-of-life aspects.
  
  
  CONCLUSIONS
  Given the wide range of impact of demographic and clinical variables on various facets of psychosocial functions, more specific understanding of the various aspects of factors and their particular pattern of influence may enable more effective therapeutic approaches that address both the medical and psychological needs in pediatric epilepsy.
authors: Epilepsy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors: Soyong
authors: S
authors: Eom
authors: Department of Pediatrics, Korea University College of Medicine, Seoul, Republic of Korea.
authors: So-Hee
authors: SH
authors: Eun
authors: Division of Pediatric Neurology, Pediatric Epilepsy Clinic, Severance Children's Hospital, Epilepsy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors: Hoon-Chul
authors: HC
authors: Kang
authors: Department of Pediatrics, Korea University College of Medicine, Seoul, Republic of Korea.
authors: Baik-Lin
authors: BL
authors: Eun
authors: Department of Pediatrics, Pusan National University Children's Hospital School of Medicine, Yangsan, Republic of Korea.
authors: Sang Ook
authors: SO
authors: Nam
authors: Department of Pediatrics, Chonbuk National University, Medical School, Jeonju, Republic of Korea.
authors: Sun Jun
authors: SJ
authors: Kim
authors: Department of Pediatrics, National Health Insurance Corporation, Ilsan Hospital, Goyang, Republic of Korea.
authors: Hee Jung
authors: HJ
authors: Chung
authors: Department of Pediatrics, Kyungpook National University College of Medicine, Daegu, Republic of Korea.
authors: Soon Hak
authors: SH
authors: Kwon
authors: Department of Pediatrics, Gangnam Severance Hospital, Younsei University College of Medicine, Seoul, Republic of Korea.
authors: Young-Mock
authors: YM
authors: Lee
authors: Division of Pediatric Neurology, Pediatric Epilepsy Clinic, Severance Children's Hospital, Epilepsy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors: Joon Soo
authors: JS
authors: Lee
authors: Department of Pediatrics, Inje University College of Medicine, Goyang, Republic of Korea.
authors: Dong Wook
authors: DW
authors: Kim
authors: Department of Psychology, Yonsei University, Seoul, Republic of Korea.
authors: Kyung Ja
authors: KJ
authors: Oh
authors: Division of Pediatric Neurology, Pediatric Epilepsy Clinic, Severance Children's Hospital, Epilepsy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address: hdkimmd@yuhs.ac.
authors: Heung Dong
authors: HD
authors: Kim
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D010372:Pediatrics; D011788:Quality of Life / Q000523:psychology*; D056910:Republic of Korea; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: Behavioral problems; General adaptive function; Psychosocial function; Quality of life; School competence; Social competence