| Title | Psychological factors in children and adolescents with epilepsy and their families | |
| Authors | Eugenia Soumaki1, Gerasimos Kolaitis2, Stelios Christogiorgos3, Charisios Assimopoulos4, Panayiota Mama Agapiou5 and John Tsiantis6
1. MD, Child Psychiatrist 2. MD, Assist. Professor of Child Psychiatry, Department of Child Psychiatry, Athens University Medical School, Athens, Hellas 3. MD, Lecturer of Child Psychiatry, Department of Child Psychiatry, Athens University Medical School, Aghia Sophia Children’s Hospital, Athens, Hellas, 4. Social worker PhD, Athens, Hellas 5. Training Child Psychiatrist, Department of Child Psychiatry, Athens University Medical School, Athens, Hellas 6. MD, DPM, FRC PSYCH, Prof. of Child Psychiatry, Athens University Medical School, Athens, Hellas |
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| Citation | Soumaki, E., Kolaitis, G., Ghristogiorgos, S., Assimopoulos, C., Mama Agapiou, P., et. al.: Psychological factors in children and adolescents with epilepsy and their families, Epitheorese Klin. Farmakol. Farmakokinet. 23(2): 59-66 (2009) | |
| Publication Date | Accepted for publication (Final Version): July 1, 2009 | |
| Full Text Language | English | |
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| Keywords | Epilepsy, psychological factors, parental expressed emotion, coping mechanisms. | |
| Other Terms | review article | |
| Summary | Children with epilepsy encounter significant adaptive challenges in relation to their illness and the development of their health. However, little is known of the processes by which the psychological factors of their families, such as the family atmosphere and the family expressed emotion affect the development of the individual illness in children. The present study examined systematically the role of psychological factors in the development of epilepsy in a period of nine to twelve months. Specifically, factors related to psychopathology, coping/adaptation mechanisms, family functioning and family expressed emotion (EE) among epilepsy and healthy control children and adolescents were investigated. The parental expressed emotion instrument (FMSS-Five Minute Speech Sample), the McMaster Family Assessment Device (FAD), the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present Episode (K-SADS-P) and the KIDCOPE interview were administered to 34 children with epilepsy and their parents. The same instruments were utilized with 43 healthy controls and their parents. Findings revealed that parental EE is only indicative of the family atmosphere and is not directly related to the development of epilepsy. There were no significant differences between children with epilepsy and their healthy controls in the levels of psychopathology. However, a trend was observed for epilepsy sufferers: they tend to exhibit more symptoms for separation anxiety, dysthymic disorder and learning difficulties more than their healthy controls did. Furthermore, children with epilepsy reported to utilize social support and social withdrawal as an adaptation mechanism significantly better than their healthy peers. The study concluded that interventions with parents of children/adolescents with epilepsy aiming to modify attitudes and emotions could be important in the adaptation of children to their illness. | |
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Online ISSN 1011-6575
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