Buelow Janice M, Austin Joan K, Perkins Susan M, Shen Jianzhao, Dunn David W, Fastenau Philip S
Indiana University School of Nursing, Indianapolis 46202-5107, USA.
Dev Med Child Neurol. 2003 Oct;45(10):683-92. doi: 10.1017/s0012162203001270.
The purpose of this cross-sectional descriptive study was to describe the particular types of behavioral problems, self-concept, and symptoms of depression experienced by children with both low IQ and epilepsy. Three groups of children (83 males, 81 females; mean age 11 years 10 months, SD 1 year 10 months; age range 9 to 14 years) with epilepsy were compared: (Group 1) Low IQ (<85), n=48, 25 males, 23 females; (Group 2) Middle IQ (85 to 100), n=58, 24 males, 34 females; and (Group 3) High IQ (>100), n=58, 34 males, 24 females. The Child Behavior Checklist, Piers-Harris Self-Concept Scale, and Children's Depression Inventory were used to measure behavior, self-concept, and depression respectively. Results indicated that children in the Low IQ group had the most behavioral and mental health problems. Additionally, there were IQ group-by-sex interactions, with females in the Low IQ group being at the highest risk for poor self-concept. Findings suggest that children with both epilepsy and low IQ should be carefully assessed for mental health problems in the clinical setting.
这项横断面描述性研究的目的是描述智商低且患有癫痫的儿童所经历的特定类型的行为问题、自我概念和抑郁症状。对三组患有癫痫的儿童（83名男性，81名女性；平均年龄11岁10个月，标准差1岁10个月；年龄范围9至14岁）进行了比较：（第1组）低智商（<85），n = 48，25名男性，23名女性；（第2组）中等智商（85至100），n = 58，24名男性，34名女性；以及（第3组）高智商（>100），n = 58，34名男性，24名女性。分别使用儿童行为检查表、皮尔斯-哈里斯自我概念量表和儿童抑郁量表来测量行为、自我概念和抑郁。结果表明，低智商组的儿童存在最多的行为和心理健康问题。此外，存在智商组与性别的交互作用，低智商组中的女性自我概念差的风险最高。研究结果表明，在临床环境中，应对患有癫痫和低智商的儿童进行心理健康问题的仔细评估。
