A population survey of mental health problems in children with epilepsy
Open accessAbstract
The 1999 British Child and Adolescent Mental Health Survey, a nationwide epidemiological study of rates of psychiatric disorder in children aged 5 to 15 years, provided the opportunity to investigate the mental health of children with epilepsy. These children and their families experience disability specifically because of additional emotional, behavioural, and relationship problems, and this is the first epidemiological study that directly measures these impairments. Information was obtained by interviewing a main carer and teacher for 10316 children; 67 children with epilepsy were identified (35 males, 32 females; mean age 10 years 2 months, SD 2 years 11 months, range 5 to 15 years), and compared with the 47 children with diabetes (27 females, 20 males; mean age 10 years 4 months, SD 3 years 4 months, range 5 to 15 years) and 10202 controls (50% male; mean age 9 years 11 months, SD 3 years 1 month, range 5 to 15 years). DSM‐IV psychiatric diagnoses were derived from the Development and Well‐Being Assessment in combination with the interview and a specialist clinician rating. Parental reports of emotional and behavioural problems, their impact, and associated peer problems were also obtained. Rates of psychiatric disorder were 37% (95% confidence interval [CI] 22 to 49) in epilepsy, 11% (95% CI 2 to 19%) in diabetes, and 9% (95% CI 9 to 10%) in control children. Parents of children with epilepsy consistently reported more problems, with greater impact and associated peer problems. Epilepsy, but not diabetes, was independently (adjusted for age, sex, and severe learning difficulties) associated with all behavioural variables in regression analyses. Emotional, behavioural, and relationship difficulties are common in children with epilepsy, and constitute a significant burden to the children and their families, indicating the need for effective mental health services for these children.
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People with epilepsy are at increased risk of psychiatric comorbidities compared to the general population and non-neurological medical conditions, as well as to people with other neurological diseases.
“People with epilepsy (PWE) are at increased risk of psychiatric comorbidities compared to the general population and nonneurological medical conditions, 3,4 as well as to people with other neurological diseases, 5”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [3]
The Results report significantly higher psychiatric-disorder rates in children with epilepsy than in children with diabetes or the remaining children (37% versus 11% and 9%). This supports the comparisons attached to this source, but the study concerns children, not people with epilepsy of all ages. The comparison with other neurological diseases is attached to citation 5, not this source. (LLM, conf=0.87)
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Behaviour in children with cerebral palsy with and without epilepsy
Carlsson, M., Olssøn, I., Hagberg, G., & Beckung, E. (2008) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2008.03090.x · Cited by 70 · see citing works
Psychosocial problems and seizure-related factors in children with epilepsy
Høie, B., Sommerfelt, K., Waaler, P. E., Alsaker, F. D., Skeidsvoll, H., & Mykletun, A. (2006) · Developmental Medicine & Child Neurology · doi:10.1017/s0012162206000454 · Cited by 69 · see citing works
Social competence in children with epilepsy — A review
Rantanen, K., Eriksson, K. J., & Nieminen, P. (2012) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2012.04.117 · Cited by 68 · see citing works
LaGrant, B., Marquis, B. O., Berg, A. T., & Grinspan, Z. M. (2019) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.106828 · Cited by 70 · see citing works
Starting at the beginning: the neuropsychological status of children with new‐onset epilepsies *
Hermann, B. P., Jones, J. E., Jackson, D. C., & Seidenberg, M. (2012) · Epileptic Disorders · doi:10.1684/epd.2012.0483 · Cited by 66 · see citing works
Familial clustering of epilepsy and behavioral disorders: Evidence for a shared genetic basis
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Sočanski, D., Aurlien, D., Herigstad, A., Thomsen, P. H., & Larsen, T. K. (2013) · Seizure · doi:10.1016/j.seizure.2013.04.021 · Cited by 65 · see citing works
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Santos, K., Palmini, A., Radziuk, A. L. G. D. S., Rotert, R., Bastos, F., Booij, L., & Fernandes, B. S. (2013) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12121 · Cited by 65 · see citing works
Academic achievement in children with epilepsy: A review
Reilly, C. J., & Neville, B. G. R. (2011) · Epilepsy Research · doi:10.1016/j.eplepsyres.2011.07.017 · Cited by 64 · see citing works
Children with epilepsy in school: Special service usage and assessment practices
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Development of mental health dysfunction in childhood epilepsy
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Clary, L., Wal, J. S. V., & Titus, J. B. (2010) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2010.08.002 · Cited by 58 · see citing works
The psychosocial impact of epilepsy in childhood
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Kittel‐Schneider, S., Arteaga-Henríquez, G., Vásquez, A. A., Asherson, P. J., Banaschewski, T., Brikell, I., Buitelaar, J. K., Cormand, B., Faraone, S. V., Freitag, C. M., et al. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.10.035 · Cited by 55 · see citing works
Mental health problems in children and adolescents referred to a national epilepsy center
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Psychiatric symptoms in Norwegian children with epilepsy aged 8-13 years: Effects of age and gender?
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Psychiatric Disorders in Iranian Children and Adolescents.
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Psychiatric Comorbidities in Pediatric Epilepsy
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Outcome of childhood-onset epilepsy from adolescence to adulthood: Transition issues
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Psychosocial intervention in pediatric epilepsy: A critique of the literature
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Koneski, J. A. S., & Casella, E. B. (2010) · Arquivos de Neuro-Psiquiatria · doi:10.1590/s0004-282x2010000100023 · Cited by 52 · see citing works
Behavior and social competency in idiopathic and cryptogenic childhood epilepsy
Berg, A. T., Vickrey, B. G., Testa, F. M., Levy, S. R., Shinnar, S., & DiMario, F. J. (2007) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2007.00487.x · Cited by 51 · see citing works
- Authors
- Davies, S., Heyman, I., & Goodman, R.
- Affiliations
- Great Ormond Street Hospital (GB)
- King's College London (GB)
- Corresponding author
- Heyman, Isobel
- Venue
- Developmental Medicine & Child Neurology
- Publisher
- Wiley
- Published
- 2003-05
- Volume
- 45
- Issue
- 5
- Pages
- 292-295
- ISSN
- 0012-1622 (ISSN-L)
- 1469-8749
- OpenAlex
- W4247972233
- Cited by
- 524
- References
- 18
- Citations by year
- 2026: 10 · 2025: 17 · 2024: 15 · 2023: 13 · 2022: 16 · 2021: 31 · 2020: 31 · 2019: 22 · 2018: 31 · 2017: 25 · 2016: 35 · 2015: 42 · 2014: 31 · 2013: 21 · 2012: 26
- FWCI
- 5.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Developmental Medicine & Child Neurology (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- pediatric epilepsy, mental illness, emotional problems, behavioral problems, relationship problems, peer problems, diabetes mellitus, family burden, child mental health services
- MeSH terms
- Adolescent, Mental Disorders, Child, Child Health Services, Psychology, Child, Child Welfare, Child, Preschool, Cross-Sectional Studies, Epilepsy, Female, United Kingdom, Persons with Disabilities, Humans, Male, Mental Health, Mental Health Services, Parents, Population Surveillance, Surveys and Questionnaires, Regression Analysis, Risk Factors, Case-Control Studies, Age Distribution, Needs Assessment
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