Austin Joan K, Haber Linda C, Dunn David W, Shore Cheryl P, Johnson Cynthia S, Perkins Susan M
Indiana University School of Nursing, Indianapolis, IN, USA.
Fort Wayne, Indiana, USA.
Epilepsy Behav. 2015 Dec;53:73-7. doi: 10.1016/j.yebeh.2015.09.019. Epub 2015 Oct 30.
Parent variables (stigma, mood, unmet needs for information and support, and worry) are associated with behavioral difficulties in children with seizures; however, it is not known how this relationship is influenced by additional seizures. This study followed children (ages 4-14 years) and their parents over a 24-month period (with data collected at baseline and 6, 12, and 24 months) and investigated the effect of an additional seizure on the relationship between parenting variables and child behavior difficulties.
The sample was parents of 196 children (104 girls and 92 boys) with a first seizure within the past 6 weeks. Child mean age at baseline was 8 years, 3 months (SD 3 years). Data were analyzed using t-tests, chi-square tests, and repeated measures analyses of covariance.
Relationships between parent variables, additional seizures, and child behavior problems were consistent across time. Several associations between parent variables and child behavior problems were stronger in the additional seizure group than in the no additional seizure group.
Findings suggest that interventions that assist families to respond constructively to the reactions of others regarding their child's seizure condition and to address their needs for information and support could help families of children with continuing seizures to have an improved quality of life.
父母相关变量（耻辱感、情绪、未满足的信息及支持需求和担忧）与癫痫患儿的行为困难相关；然而，尚不清楚这种关系如何受到额外癫痫发作的影响。本研究对儿童（4至14岁）及其父母进行了为期24个月的跟踪（在基线以及6、12和24个月时收集数据），并调查了额外癫痫发作对父母相关变量与儿童行为困难之间关系的影响。
样本为196名在过去6周内首次发作癫痫的儿童的父母（104名女孩和92名男孩）。基线时儿童的平均年龄为8岁3个月（标准差3岁）。数据采用t检验、卡方检验和重复测量协方差分析进行分析。
父母相关变量、额外癫痫发作与儿童行为问题之间的关系在不同时间是一致的。在额外癫痫发作组中，父母相关变量与儿童行为问题之间的几种关联比无额外癫痫发作组更强。
研究结果表明，帮助家庭建设性地应对他人对其孩子癫痫状况的反应并满足他们对信息及支持的需求的干预措施，可能有助于患有持续性癫痫的儿童家庭提高生活质量。
