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ULTIMO FASCICOLOMINERVA PEDIATRICA

Rivista di Pediatria, Neonatologia, Medicina dell’Adolescenza
e Neuropsichiatria Infantile


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Minerva Pediatrica 2014 Nov 19

lingua: Inglese

Psychopathology, quality of life and risk factors in italian children and adolescents with recent onset epilepsy

Gatta M. 1, Balottin L. 2, Salmaso A. 1, Stucchi M. 1, De Carlo D.1, Guarneri E. 1, Mannarini S. 2, Vecchi M. 3, Boniver C. 3, Battistella P. A. 1

1 Unità Operativa Complessa di Neuropsichiatria dell’Infanzia e dell’Adolescenza, ULSS16 e Dipartimento di Salute della Donna e del Bambino, Università di Padova, Italia;
2 Sezione di Psicologia Applicata, Dipartimento di Filosofia, Sociologia, Pedagogia e Psicologia Applicata (FISPPA), Padova, Italia;
3 Unità Operativa Semplice di Neurofisiologia Pediatrica, Dipartimento di Salute della Donna e del Bambino, Università di Padova, Italia


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AIM: The aim of this study was to describe the distribution, timing, and risk factors for psychopathology and to further examine the quality of life in an Italian sample of children with recent onset epilepsy. Sociodemographic and psychosocial variables, family factors, as well as illness-­related factors themselves were examined in order to clarify the relationship among these variables, psychopathology and quality of life.
METHODS: For this purpose, 49 children and adolescents (4-­18 years), consecutively referred to a Neurophysiology Service, were evaluated by a multidisciplinary team using dimensional as well as categorical instruments both self-­administered (self-­report and proxy-­report) and interviewer administered.
RESULTS: 45% of the patients exhibited one or more Axis I disorders (DSM-­IV) when evaluated with K-­SADS-­PL interview. It’s worth noting that preadolescent and adolescent patients tend to underestimate their problems compared to their parents’opinion, when answering self-­administer questionnaires. Self-­reported quality of life appeared to be generally satisfactory. Social and family factor, as well as epilepsy related factors appeared to be linked both to the presence of psychopathology and to the quality of life. Patients affected by psychiatric disorders exhibited the poorest quality of life.
CONCLUSION: Also after many years from the onset, childhood epilepsy frequently fosters negative consequences in terms of social life, work, psychopathology and life expectancy. The ability of health services and public health measures to prevent and treat psychiatric comorbidity may have a pivotal role in enhancing patients’ quality of life.

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