Psychiatric and neurodevelopmental disorders in childhood-onset epilepsy
Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may inf...
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| Published in | Epilepsy & behavior Vol. 20; no. 3; pp. 550 - 555 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.03.2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1525-5050 1525-5069 1525-5069 |
| DOI | 10.1016/j.yebeh.2010.12.038 |
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| Abstract | Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may influence long-term social outcomes. Five hundred one subjects, 159 with complicated (IQ <80 or brain lesion) and 342 with uncomplicated epilepsy, were included. Psychiatric disorders and neurodevelopmental disorders were more common in complicated epilepsy (P<0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with neurodevelopmental disorders. Internalizing disorders and neurodevelopmental disorders were associated with lack of 5-year remission. Type of epilepsy was not associated with neurodevelopmental disorders or psychiatric disorders. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control.
► Neurodevelopmental and psychiatric disorders are common in childhood-onset epilepsy. ► They are strongly correlated, especially in children of normal intelligence. ► There may be long-term effects of these beyond the impact of seizures themselves. |
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| AbstractList | Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may influence long-term social outcomes. Five hundred one subjects, 159 with complicated (IQ <80 or brain lesion) and 342 with uncomplicated epilepsy, were included. Psychiatric disorders and neurodevelopmental disorders were more common in complicated epilepsy (P<0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with neurodevelopmental disorders. Internalizing disorders and neurodevelopmental disorders were associated with lack of 5-year remission. Type of epilepsy was not associated with neurodevelopmental disorders or psychiatric disorders. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control.Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may influence long-term social outcomes. Five hundred one subjects, 159 with complicated (IQ <80 or brain lesion) and 342 with uncomplicated epilepsy, were included. Psychiatric disorders and neurodevelopmental disorders were more common in complicated epilepsy (P<0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with neurodevelopmental disorders. Internalizing disorders and neurodevelopmental disorders were associated with lack of 5-year remission. Type of epilepsy was not associated with neurodevelopmental disorders or psychiatric disorders. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control. Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders (PD and ND) and epilepsy-related characteristics, all factors which may influence long-term social outcomes. 501 subjects, 159 with complicated (IQ<80 or brain lesion) and 342 with uncomplicated epilepsy were included. PD and ND were more common in complicated epilepsy (p<0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with ND. Internalizing disorders and ND were associated with lack of 5-year remission. Type of epilepsy was not associated with NDs or PDs. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control. Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may influence long-term social outcomes. Five hundred one subjects, 159 with complicated (IQ <80 or brain lesion) and 342 with uncomplicated epilepsy, were included. Psychiatric disorders and neurodevelopmental disorders were more common in complicated epilepsy (P<0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with neurodevelopmental disorders. Internalizing disorders and neurodevelopmental disorders were associated with lack of 5-year remission. Type of epilepsy was not associated with neurodevelopmental disorders or psychiatric disorders. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control. ► Neurodevelopmental and psychiatric disorders are common in childhood-onset epilepsy. ► They are strongly correlated, especially in children of normal intelligence. ► There may be long-term effects of these beyond the impact of seizures themselves. Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may influence long-term social outcomes. Five hundred one subjects, 159 with complicated (IQ < 80 or brain lesion) and 342 with uncomplicated epilepsy, were included. Psychiatric disorders and neurodevelopmental disorders were more common in complicated epilepsy (P < 0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with neurodevelopmental disorders. Internalizing disorders and neurodevelopmental disorders were associated with lack of 5-year remission. Type of epilepsy was not associated with neurodevelopmental disorders or psychiatric disorders. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control. Abstract Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young people with epilepsy, we studied psychiatric and neurodevelopmental disorders and epilepsy-related characteristics, all factors that may influence long-term social outcomes. Five hundred one subjects, 159 with complicated (IQ < 80 or brain lesion) and 342 with uncomplicated epilepsy, were included. Psychiatric disorders and neurodevelopmental disorders were more common in complicated epilepsy ( P < 0.005). In uncomplicated epilepsy, externalizing but not internalizing disorders were strongly associated with neurodevelopmental disorders. Internalizing disorders and neurodevelopmental disorders were associated with lack of 5-year remission. Type of epilepsy was not associated with neurodevelopmental disorders or psychiatric disorders. Various comorbid conditions in epilepsy cluster together and are modestly associated with imperfect seizure control. These need to be considered together in evaluating and managing young people with epilepsy and may help explain long-term social outcomes above and beyond poor seizure control. |
| Author | Caplan, Rochelle Berg, Anne T. Hesdorffer, Dale C. |
| AuthorAffiliation | 1 Northern Illinois University, Department of Biology, DeKalb, IL, and Chicago-Northwestern Children’s Memorial Hospital, Epilepsy Center, Chicago IL 2 University of California at Los Angeles, David Geffen School of Medicine, Semel Institute of Neuroscience and Human Behavior 3 Columbia University, GH Sergievsky Center and Department of Epidemiology, New York, NY |
| AuthorAffiliation_xml | – name: 3 Columbia University, GH Sergievsky Center and Department of Epidemiology, New York, NY – name: 1 Northern Illinois University, Department of Biology, DeKalb, IL, and Chicago-Northwestern Children’s Memorial Hospital, Epilepsy Center, Chicago IL – name: 2 University of California at Los Angeles, David Geffen School of Medicine, Semel Institute of Neuroscience and Human Behavior |
| Author_xml | – sequence: 1 givenname: Anne T. surname: Berg fullname: Berg, Anne T. email: atberg@niu.edu organization: Department of Biology, Northern Illinois University, DeKalb, IL, USA – sequence: 2 givenname: Rochelle surname: Caplan fullname: Caplan, Rochelle organization: Semel Institute of Neuroscience and Human Behavior, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA – sequence: 3 givenname: Dale C. surname: Hesdorffer fullname: Hesdorffer, Dale C. organization: G.H. Sergievsky Center, Columbia University, New York, NY, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21315660$$D View this record in MEDLINE/PubMed |
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| Keywords | Neurodevelopmental disorders Comorbidity Psychiatric disorders Epilepsy Childhood |
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| Snippet | Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort of young... Abstract Childhood-onset epilepsy is associated with psychiatric and cognitive difficulties and with poor social outcomes in adulthood. In a prospective cohort... |
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| SubjectTerms | Adolescent Age of Onset Child Child Development Disorders, Pervasive - complications Child Development Disorders, Pervasive - epidemiology Childhood Cohort Studies Comorbidity Developmental Disabilities - complications Developmental Disabilities - epidemiology Epilepsy Epilepsy - complications Epilepsy - epidemiology Female Humans Logistic Models Male Mental Disorders - classification Mental Disorders - epidemiology Neurodevelopmental disorders Neurology Psychiatric disorders Retrospective Studies Young Adult |
| Title | Psychiatric and neurodevelopmental disorders in childhood-onset epilepsy |
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