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Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy
Introduction: The aim of this study was to identify the presence of emotional and behavioral symptoms in children and adolescents with epilepsy, to measure the stress levels in their parents, and to determine if and how parental stress was linked to emotional and behavioral symptoms of their childre...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694379/ https://www.ncbi.nlm.nih.gov/pubmed/34956058 http://dx.doi.org/10.3389/fneur.2021.778410 |
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author | Operto, Francesca Felicia Pastorino, Grazia Maria Giovanna Pippa, Federica Padovano, Chiara Vivenzio, Valentina Scuoppo, Chiara Pistola, Ilaria Coppola, Giangennaro |
author_facet | Operto, Francesca Felicia Pastorino, Grazia Maria Giovanna Pippa, Federica Padovano, Chiara Vivenzio, Valentina Scuoppo, Chiara Pistola, Ilaria Coppola, Giangennaro |
author_sort | Operto, Francesca Felicia |
collection | PubMed |
description | Introduction: The aim of this study was to identify the presence of emotional and behavioral symptoms in children and adolescents with epilepsy, to measure the stress levels in their parents, and to determine if and how parental stress was linked to emotional and behavioral symptoms of their children. Methods: We conducted a cross-sectional observational study including 103 children and adolescents with different form of epilepsy and 93 sex-/age-matched controls. Parental stress and emotional and behavioral symptoms were assessed through two standardized questionnaires: the Parenting Stress Index (PSI) and the Child Behavior Checklist (CBCL), respectively. We also considered the following variables: age, sex, maternal education level, family history of psychiatric disorders, duration of epilepsy, seizure frequency, seizure type, and number of antiseizure medications. Results: The statistical comparison showed that the epilepsy group obtained significantly higher scores than controls in almost all the CBCL and the PSI scales (p < 0.05). The correlation analysis revealed a significant relationship between the PSI Total Stress scale and the following CBCL scales: total problems, internalizing problems, and externalizing problems (p < 0.05). An earlier age of seizure onset was related to a greater presence of externalizing problems, total problems, and total stress (p < 0.05). Conclusion: In the epilepsy group, we found higher levels of parental stress and higher presence of emotional and behavioral symptoms compared to controls, mainly represented by internalizing problems (anxiety and depression symptoms). Therefore, it is important to precociously detect these symptoms and monitor them over time, in order to prevent psychiatric problems. In addition, parents of children with epilepsy should be offered psychological support to cope with parental stress and to improve the relationship with their children. |
format | Online Article Text |
id | pubmed-8694379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86943792021-12-23 Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy Operto, Francesca Felicia Pastorino, Grazia Maria Giovanna Pippa, Federica Padovano, Chiara Vivenzio, Valentina Scuoppo, Chiara Pistola, Ilaria Coppola, Giangennaro Front Neurol Neurology Introduction: The aim of this study was to identify the presence of emotional and behavioral symptoms in children and adolescents with epilepsy, to measure the stress levels in their parents, and to determine if and how parental stress was linked to emotional and behavioral symptoms of their children. Methods: We conducted a cross-sectional observational study including 103 children and adolescents with different form of epilepsy and 93 sex-/age-matched controls. Parental stress and emotional and behavioral symptoms were assessed through two standardized questionnaires: the Parenting Stress Index (PSI) and the Child Behavior Checklist (CBCL), respectively. We also considered the following variables: age, sex, maternal education level, family history of psychiatric disorders, duration of epilepsy, seizure frequency, seizure type, and number of antiseizure medications. Results: The statistical comparison showed that the epilepsy group obtained significantly higher scores than controls in almost all the CBCL and the PSI scales (p < 0.05). The correlation analysis revealed a significant relationship between the PSI Total Stress scale and the following CBCL scales: total problems, internalizing problems, and externalizing problems (p < 0.05). An earlier age of seizure onset was related to a greater presence of externalizing problems, total problems, and total stress (p < 0.05). Conclusion: In the epilepsy group, we found higher levels of parental stress and higher presence of emotional and behavioral symptoms compared to controls, mainly represented by internalizing problems (anxiety and depression symptoms). Therefore, it is important to precociously detect these symptoms and monitor them over time, in order to prevent psychiatric problems. In addition, parents of children with epilepsy should be offered psychological support to cope with parental stress and to improve the relationship with their children. Frontiers Media S.A. 2021-12-08 /pmc/articles/PMC8694379/ /pubmed/34956058 http://dx.doi.org/10.3389/fneur.2021.778410 Text en Copyright © 2021 Operto, Pastorino, Pippa, Padovano, Vivenzio, Scuoppo, Pistola and Coppola. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Operto, Francesca Felicia Pastorino, Grazia Maria Giovanna Pippa, Federica Padovano, Chiara Vivenzio, Valentina Scuoppo, Chiara Pistola, Ilaria Coppola, Giangennaro Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy |
title | Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy |
title_full | Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy |
title_fullStr | Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy |
title_full_unstemmed | Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy |
title_short | Psychiatric Symptoms and Parental Stress in Children and Adolescents With Epilepsy |
title_sort | psychiatric symptoms and parental stress in children and adolescents with epilepsy |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694379/ https://www.ncbi.nlm.nih.gov/pubmed/34956058 http://dx.doi.org/10.3389/fneur.2021.778410 |
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