A STUDY TO DETERMINE PSYCHOPATHOLOGY, PSYCHIATRIC MORBIDITY AND TEMPERAMENT IN EPILEPTIC CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 57
Abstract
BACKGROUND Children with epilepsy are at increased risk for behavioural problems compared to the general population or control groups. A study of psychopathology, psychiatric morbidity and temperament in children suffering from epilepsy in comparison to normal healthy children in a tertiary care teaching hospital forms the basis of this study. The aim was to study the prevalence, common psychological problems, the factors contributing to these problems and the effect of the illness on the outcome of the biological, psychological and social growth of the children. MATERIALS AND METHODS A proforma along with standardised scales were used. Fifty children in the age range of 4-14 years attending the Paediatric Epilepsy Clinic, along with 50 normal children from the General Paediatric OPD constituted the study and the control group respectively. After obtaining the informed consent from the parents, the children and their parents were interviewed on the basis of the proforma. The data thus collected was tabulated and statistically analysed. RESULTS Nearly half of the children from the study group had at least some psychiatric disturbance. In comparison only one fourth of the children from the control group displayed any psychiatric disturbance. The most common psychiatric problem in the epileptic child was conduct disorder followed by a lowered intelligence, whereas in the non-epileptic child anxiety and conduct disorder was common. Various factors were found to be significantly associated with psychopathology, these were either contributory to the epilepsy or were consequent to the epileptic state along with its biological, psychological and social ramifications. CONCLUSION Psychiatric morbidity is a common problem in children suffering from epilepsy. Clinicians should be sensitive in identifying psychopathology since this may lead to effective interventions for this group of children.
Authors and Affiliations
Nikhil P. Chougule, Kaveri Nikhil Chougule, Sanjiv S. Kale, Prakash B Behere
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