Behavior Problems Of Children With Epilepsy And Clinical Study On The Influence Factors Of

Objective: To evaluate the behavior problems of children with epilepsy; toanalyze the behavior of children with epilepsy in different clinical conditions; to exploreclinically relevant factors which influence behavior problems of children with epilepsy.Method: General information and clinical information (including types of attack,seizure frequency, age of onset, course of disease and number of medication) werecollected, while84cases of children with epilepsy and61cases of normal ones wereevaluated by the Achenbach child behavior checklist (CBCL) which was used by bothparents. Chi square test and t test were used to analyze two sets of children generalconditions, the total CBCL scores and every factor scores, incidence of abnormalbehavior problems and behavior of children with epilepsy of different gender. F-testwas used to analyze case group different types of attack, different seizure frequency,and the CBCL scores and the factor scores at different dose. Univariate analysis wasused to analyze clinical features of epilepsy in children correlated with the total CBCLscores and every factor scores. Multiple linear regression analysis was used to filterclinically relevant factors which influence behavior problems of children with epilepsy.Results:①The incidence rate of abnormal behavior problems in the epilepsychildren was35.71%, and was significantly different from the control group(p<0.01).②Results of CBCL comparison between the two groups: the case group was higherthan those in the control group in the social withdrawal, body complained,depression/anxiety, social problems, thinking, attention problems, disciplinary problems,aggressive behavior, introverted and externalizing behavior problems score, behavioralproblems total score. The difference was statistically significant (P<0.05).③In the casegroup, the boys got highter score than the girls in the disciplinary problems. Thedifference was statistically significant (P<0.05).④Results of CBCL comparisonbetween the different clinical features of case groups: the attention problems, disciplinary problems, and behavioral problems total score of the three different seizuretypes were statistically significant (P<0.05); the attention problems of the threedifferent seizure frequency was statistically significant (P<0.05); the body complained,depression/anxiety, social problems, and behavioral problems total score of the threedifferent drug count groups were statistically significant (P<0.05);⑤Correlationanalysis: the seizure frequency is positively correlated with the attention problems,externalizing behavior problems, the onset age is negatively correlated with thedepression/anxiety, social problems, externalizing behavior problems; and behavioralproblems total score; the course of diseases is positively correlated with the bodycomplained, disciplinary problems, aggressive behavior, introverted and externalizingbehavior problems, behavioral problems total score.⑥Multiple linear stepwiseregression analysis suggested that the major factors influence on behavior problems inthe epilepsy children were the course of diseases and onset age, the behavioralproblems total score is positively correlated with the course of diseases, and negativelycorrelated with the onset age.Conclusion:①Epilepsy children were extensive and obvious behavior problems,which in addition to the boys in disciplinary problems highter than the girls, otheraspects of all did not see obvious gender differences.②The behavioral problems havedifferent degree of correlation with the epilepsy seizures type, seizures frequency, thecourse of diseases, onset age and drug count.③The major factors influence on behaviorproblems in the epilepsy children were the course of diseases and onset age.