Behavioral issues involving children and adolescents with epilepsy and the impact of their families: recent research data

Objective. Using data from a larger study on new-onset seizures, we reported preliminary findings concerning relationships between family factors and child behavioral problems at baseline and 24 months. We also explored which baseline and changes in family factors were associated with changes in child behavioral problems over the 24-month period. Methods. Subjects were 224 children and their primary caregivers. Data were collected using structured telephone interviews and analyzed using multiple regression. Results. Deficient family mastery and parent confidence in managing their child's discipline were associated with behavior problems at baseline and at 24 months; they also predicted child behavior problems over time. Decreasing parent confidence in disciplining their child was associated with increasing child behavior problems. Decreases in parent emotional support of the child were associated with increases in child internalizing problems. Conclusion. Child behavior problems, family environment, and parenting behaviors should be assessed when children present to the clinical setting with new-onset seizures. (C) 2004 Elsevier Inc. All rights reserved.