Williams Jane, Phillips Tonya, Griebel May L., Sharp Gregory B., Lange Bernadette, Edgar Terence, Simpson Pippa
Epilepsy Behav. 2001 Jun;2(3):217-223. doi: 10.1006/ebeh.2001.0166.
Children with epilepsy are at risk for academic underachievement. Multiple etiologies for this academic vulnerability have been suggested by past research including lower self-esteem, inattention, memory inefficiency, and lower socioeconomic status. The present study assessed 65 children (mean age = 10 years, 5 months) with well-controlled epilepsy on the four primary factors, as well as academic achievement and intelligence. A stepwise regression analysis was employed with academic achievement as the dependent variable and measures of self-esteem, attention, memory, and socioeconomic status as independent variables. When intelligence was controlled, attention was the only variable associated with achievement scores. Seizure variables including seizure type and duration of epilepsy were not associated with differences in academic performance. Findings support the importance of measuring attention skills in children with epilepsy and suggest that reduced auditory attention skills may be associated with decreased academic performance in these children.
患有癫痫的儿童有学业成绩不佳的风险。过去的研究提出了导致这种学业易损性的多种病因，包括自尊心较低、注意力不集中、记忆效率低下以及社会经济地位较低。本研究评估了65名癫痫得到良好控制的儿童（平均年龄 = 10岁5个月）的上述四个主要因素，以及学业成绩和智力。采用逐步回归分析，以学业成绩为因变量，自尊心、注意力、记忆力和社会经济地位的测量值为自变量。在控制智力因素后，注意力是与成绩得分相关的唯一变量。包括癫痫发作类型和癫痫持续时间在内的发作变量与学业表现的差异无关。研究结果支持了测量癫痫儿童注意力技能的重要性，并表明听觉注意力技能的下降可能与这些儿童学业成绩的降低有关。
