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Psychopathology, psychosocial functioning, and IQ before and after epilepsy surgery in children with drug-resistant epilepsy.

Journal article
Authors Susanna Danielsson
Gerd Viggedal
Suzanne Steffenburg
Bertil Rydenhag
Christopher Gillberg
Ingrid Olsson
Published in Epilepsy & Behavior
Volume 14
Issue 2
Pages 330-337
ISSN 1525-5050
Publication year 2009
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
Institute of Clinical Sciences, Department of Pediatrics
Pages 330-337
Language en
Links dx.doi.org/10.1016/j.yebeh.2008.10....
Keywords Adolescent, Child, Child, Preschool, Epilepsy, Physiopathology, Psychology, Surgery, Female, Humans, Intelligence, Longitudinal Studies, Male, Mental Disorders, Etiology, Neuropsychological Tests, Postoperative Complications, Physiopathology, Psychology, Psychiatric Status Rating Scales, Psychopathology, Questionnaires, Retrospective Studies, Social Behavior
Subject categories Child and adolescent psychiatry

Abstract

This is a prospective study of a consecutive series of children undergoing epilepsy surgery. The main aims were to evaluate the heterogeneity with respect to psychopathology and IQ, and to use a global assessment scale (Children's Global Assessment Scale [CGAS]) to evaluate psychosocial functioning. Clinical neuropsychiatric and neuropsychological assessments were made at baseline and at the 2-year follow-up in 24 patients, and changes were analyzed at an individual level. Psychiatric disorders (mainly attention deficit hyperactivity disorder and/or autism spectrum disorders) were found in 17 of 24 at some point. All except one child with psychiatric diagnoses before surgery still had at least one diagnosis at follow-up. Intellectual ability remained stable in the majority of cases, both in individuals with and in individuals without mental retardation. The CGAS illustrated the consequences of the extensive comorbidity in this cohort. The behavioral problems had been undiagnosed despite parental concern in many cases, indicating an unrecognized need for services for children with drug-resistant epilepsy.

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