Department of Child Neurology, University of Turku, Turku, Finland.
Seizure. 2011 May;20(4):326-30. doi: 10.1016/j.seizure.2010.12.019. Epub 2011 Jan 26.
To study academic achievement and social success in adolescents with febrile seizures (FS) before their 5th birthday.
A random birth cohort (n=900) was prospectively followed from early pregnancy and examined at ages 12 and 18 years to study the relationships between FS and school achievement (three most important school marks), behavior and social competence (Achenbach Childhood Behavior Checklist, Youth Self-Report), life management (Antonovsky Sense of Coherence Scale) and social participation.
No significant differences could be detected between children with vs. without FS or between boys vs. girls in academic achievement, behavior, social competence, life management, or social participation, either at age 12 or 18 years, except for more somatic complaints of girls at age 18. Of adolescents with previous FS, 29% had not participated in the maturity examination, 20% had participated but failed and 51% had passed, comparing 35%, 18% and 47%, respectively, of those without FS (p=0.6676).
Our study confirms the findings of the previous population studies reporting similar academic and social success between children with and without febrile seizures before the 5th birthday. Reassurance of the parents about a favorable future may ameliorate their worries at this frightening event in their child's life.
研究 5 岁前患有热性惊厥（FS）的青少年的学业成绩和社会成功。
一项随机出生队列（n=900）从早期妊娠开始前瞻性随访，并在 12 岁和 18 岁时进行检查，以研究 FS 与学校成绩（三个最重要的学校成绩）、行为和社会能力（Achenbach 儿童行为检查表、青少年自我报告）、生活管理（Antonovsky 意义感量表）和社会参与之间的关系。
在学术成就、行为、社会能力、生活管理或社会参与方面，无论是在 12 岁还是 18 岁，患有 FS 的儿童与无 FS 的儿童之间，或男孩与女孩之间，均未发现显著差异，除了 18 岁女孩的躯体抱怨更多。在以前有 FS 的青少年中，29%的人没有参加成熟度检查，20%的人参加但失败了，51%的人通过了，而没有 FS 的人分别为 35%、18%和 47%（p=0.6676）。
我们的研究证实了之前的人群研究结果，即 5 岁前患有热性惊厥的儿童和无热性惊厥的儿童在学业和社会成就方面相似。向父母保证美好的未来，可以减轻他们在孩子生命中这一可怕事件中的担忧。
