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Parent-reported symptoms of ADHD in young people with epilepsy before and two years after epilepsy surgery

Journal article
Authors Colin Reilly
Tove Hallböök
Gerd Viggedal
Bertil Rydenhag
Paul Uvebrant
Ingrid Olsson
Published in Epilepsy and Behavior
Volume 94
Pages 29-34
ISSN 1525-5050
Publication year 2019
Published at Institute of Clinical Sciences, Department of Pediatrics
Pages 29-34
Language en
Links doi.org/10.1016/j.yebeh.2019.02.003
Keywords ADHD, Behavior, Child, Epilepsy surgery
Subject categories Pediatrics

Abstract

© 2019 Elsevier Inc. The aim was to compare parent-reported symptoms of attention-deficit/hyperactivity disorder (ADHD) before (baseline) and two years after pediatric epilepsy surgery (follow-up). The parents of 107 children who underwent epilepsy surgery completed surveys including the Conners 10-item scale at baseline and follow-up. Changes in scores between baseline and follow-up were compared using paired sample t-test. Factors associated with changes in scores were analyzed using linear regression. Features of ADHD were significantly reduced at follow-up (p < 0.001). Items with the greatest reduction were items focusing on core aspects of the diagnostic criteria for ADHD. Fewer children were in the at-risk range for ADHD on the Conners 10-item scale at follow-up but this did not reach statistical significance (49% vs. 43%; p = 0.481). Factors independently significantly associated with improvement in ADHD symptoms on multivariable analysis were higher baseline scores (p < 0.001), seizure-free status (p = 0.029), and right-sided surgery (p = 0.031). Children who undergo epilepsy surgery have a high rate of ADHD symptoms. Parent-rated symptoms of ADHD improved at 2-year follow-up after epilepsy surgery. All children undergoing epilepsy surgery should undergo assessment for ADHD at baseline and follow-up.

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