title: Psychosocial and behavioral functioning and their relationship to seizure timing in children with benign epilepsy with centrotemporal spikes.
abstract: BACKGROUND
  Psychosocial and behavioral problems have been reported in children with benign epilepsy with centrotemporal spikes (BECTS). Distinctive features of typical BECTS associated with cognitive and behavioral problems have not clearly been defined.
  
  
  OBJECTIVE
  We aimed to identify psychosocial and behavioral functioning and their relationship to seizure timing in BECTS.
  
  
  METHODS
  Consecutive patients with BECTS were recruited from the pediatric neurology outpatient clinic between May 2015 and May 2016. The patients were divided into two subgroups in according to seizure timing; group 1 consisted of patients with seizures only in the morning short before awakening, and group 2 consisted of patients with seizure shortly after falling asleep or in both time periods. Neuropsychological and behavioral evaluation in patients and healthy controls were examined using the Wechsler Intelligence Scale for Children-Revised test and the Turkish version of Strengths and Difficulties Questionnaire (SDQ).
  
  
  RESULTS
  The participants comprised 46 children with BECTS and 49 healthy controls aged 7-16years. There was no significant difference between group 1, group 2, and control group regarding intelligence quantity in full-scale or verbal and performance subscales. Behavioral scores for overall stress significantly differed between group 2 and controls on the SDQ test, while group 1 and control group had no difference on the SDQ scores.
  
  
  CONCLUSIONS
  Patients with BECTS who have seizure shortly after falling asleep may have a tendency towards behavior difficulties.
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. Electronic address: goncabektas@gmail.com.
authors.forename: Gonca
authors.initials: G
authors.lastname: Bektaş
authors.affiliation: Department of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Tekin
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Edibe Pembegül
authors.initials: EP
authors.lastname: Yıldız
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Tuğçe Aksu
authors.initials: TA
authors.lastname: Uzunhan
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Tatlı
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Nur
authors.initials: N
authors.lastname: Aydınlı
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Mine
authors.initials: M
authors.lastname: Çalışkan
authors.affiliation: Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Meral
authors.initials: M
authors.lastname: Özmen
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D003072:Cognition Disorders / Q000209:etiology*; D004569:Electroencephalography; D019305:Epilepsy, Rolandic / Q000188:drug therapy / Q000503:physiopathology* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D000066553:Problem Behavior / Q000523:psychology*; D012640:Seizures; D011795:Surveys and Questionnaires; D014888:Wechsler Scales
chemical_list: D000927:Anticonvulsants
keywords: Behavior; Benign epilepsy with centrotemporal spikes; Neuropsychology; Seizure