Ayaz Muhammed, Karakaya Işık, Ayaz Ayşe Burcu, Kara Bülent, Kutlu Mahire
Sakarya Education and Research Hospital, Division of Pediatric Psychiatry, Sakarya, Turkey.
Kocaeli University Medical Faculty, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
Noro Psikiyatr Ars. 2013 Sep;50(3):209-215. doi: 10.4274/npa.y6226. Epub 2013 Sep 1.
In this study, we aimed to assess the behavioral problems, psychiatric disorders and neurocognitive functions focusing on frontal lobe functions in children with rolandic epilepsy (RE) and compare them with a control group.
31 children with RE, aged between 8 and 13,5 years were compared with a control group matched for age, sex and socioeconomic status. Behavioral problems were assessed by the Child Behavior Checklist (CBCL) and psychiatric diagnoses were established by using the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version. The Wechsler Intelligence Scale for Children-Revised (WISC-R), Wisconsin Card Sorting Test (WCST) and the Stroop Color and Word Test (SCWT) were applied in both groups of children.
The RE group presented more psychiatric disorders than the control group. Verbal and total IQ scores in the RE group were lower than in the control group. Although the groups did not differ from each other in WCST scores, children with RE displayed lower performance in SCWT. The RE group had a higher externalizing score and higher total scores in CBCL.
It was concluded that RE did not affect basic frontal lobe functions significantly, had negative effects on attention and IQ performance and increased behavioral problems and psychiatric disorders.
在本研究中，我们旨在评估罗兰多癫痫（RE）患儿的行为问题、精神障碍和神经认知功能，重点关注额叶功能，并将其与对照组进行比较。
将31名年龄在8至13.5岁之间的RE患儿与一个在年龄、性别和社会经济地位方面相匹配的对照组进行比较。通过儿童行为清单（CBCL）评估行为问题，并使用儿童情感障碍和精神分裂症现症与终生版量表确定精神疾病诊断。两组儿童均接受韦氏儿童智力量表修订版（WISC-R）、威斯康星卡片分类测验（WCST）和斯特鲁普颜色与文字测验（SCWT）。
RE组出现的精神障碍比对照组更多。RE组的言语智商和总智商得分低于对照组。虽然两组在WCST得分上没有差异，但RE患儿在SCWT中的表现较低。RE组在CBCL中的外化得分和总分较高。
得出的结论是，RE对额叶基本功能没有显著影响，但对注意力和智商表现有负面影响，并增加了行为问题和精神障碍。
