Teacher assessment of behaviour in children with new-onset seizures

David W. Dunn, Jaroslaw Harezlak, Walter T. Ambrosius, Joan K. Austin, Bradford Hale

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Rationale: Recent data suggest that children with new-onset seizures may be at increased risk for behaviour problems. Teachers are an excellent source of data about such problems. They do not have the potential bias that a parent worried about a new onset of seizures might have and, furthermore, they are accustomed to comparing performance of children and work in an environment in which the behavioural problems associated with epilepsy may be quite evident. We obtained teachers' reports of behaviour problems in children in the 2 months prior to their first recognized seizure. We also obtained similar data on children with new-onset, moderate severity asthma. In addition to comparing behavioural scores between children with seizures and children with asthma, we compared teachers' assessments of behaviour in children with no prior seizures to those of children with previously unrecognized seizures. Methods: We evaluated 192 children with new-onset seizures, including 129 children with no prior episodes and 63 children with recognized prior seizure-like episodes. The comparison group consisted of 78 children with new-onset, moderate severity asthma. Behaviour was assessed by the teacher's report form (TRF) of the child behaviour checklist (CBCL) or the caregiver-teacher report form for ages 2-5 (C-TRF). Mean scores were compared by two-sample t-tests and analysis of variance (ANOVA). Results: The children with new-onset seizures had more thought problems than children with asthma. In comparison to children with no prior seizures, the children with prior unrecognized seizures had higher scores in total behaviour problems, internalizing problems, somatic complaints, anxious/depressed, thought problems, and attention problems. Conclusions: In this sample, children with prior unrecognized seizures were already at increased risk of teacher-rated behaviour problems before starting medication and before any possible stigma effects related to seizures. This sequence suggests underlying neurological problems causing both behavioural problems and seizures.

Original languageEnglish (US)
Pages (from-to)169-175
Number of pages7
JournalSeizure
Volume11
Issue number3
DOIs
StatePublished - Jan 1 2002

Fingerprint

Child Behavior
Seizures
Asthma
Information Storage and Retrieval
Risk-Taking
Checklist
Caregivers

Keywords

  • Behaviour
  • Childhood
  • Epilepsy
  • New-onset seizures
  • Teacher report from (TRF)

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Psychology(all)

Cite this

Teacher assessment of behaviour in children with new-onset seizures. / Dunn, David W.; Harezlak, Jaroslaw; Ambrosius, Walter T.; Austin, Joan K.; Hale, Bradford.

In: Seizure, Vol. 11, No. 3, 01.01.2002, p. 169-175.

Research output: Contribution to journalArticle

Dunn, David W. ; Harezlak, Jaroslaw ; Ambrosius, Walter T. ; Austin, Joan K. ; Hale, Bradford. / Teacher assessment of behaviour in children with new-onset seizures. In: Seizure. 2002 ; Vol. 11, No. 3. pp. 169-175.
@article{f86af263f59648b1ba11819fb0b43e50,
title = "Teacher assessment of behaviour in children with new-onset seizures",
abstract = "Rationale: Recent data suggest that children with new-onset seizures may be at increased risk for behaviour problems. Teachers are an excellent source of data about such problems. They do not have the potential bias that a parent worried about a new onset of seizures might have and, furthermore, they are accustomed to comparing performance of children and work in an environment in which the behavioural problems associated with epilepsy may be quite evident. We obtained teachers' reports of behaviour problems in children in the 2 months prior to their first recognized seizure. We also obtained similar data on children with new-onset, moderate severity asthma. In addition to comparing behavioural scores between children with seizures and children with asthma, we compared teachers' assessments of behaviour in children with no prior seizures to those of children with previously unrecognized seizures. Methods: We evaluated 192 children with new-onset seizures, including 129 children with no prior episodes and 63 children with recognized prior seizure-like episodes. The comparison group consisted of 78 children with new-onset, moderate severity asthma. Behaviour was assessed by the teacher's report form (TRF) of the child behaviour checklist (CBCL) or the caregiver-teacher report form for ages 2-5 (C-TRF). Mean scores were compared by two-sample t-tests and analysis of variance (ANOVA). Results: The children with new-onset seizures had more thought problems than children with asthma. In comparison to children with no prior seizures, the children with prior unrecognized seizures had higher scores in total behaviour problems, internalizing problems, somatic complaints, anxious/depressed, thought problems, and attention problems. Conclusions: In this sample, children with prior unrecognized seizures were already at increased risk of teacher-rated behaviour problems before starting medication and before any possible stigma effects related to seizures. This sequence suggests underlying neurological problems causing both behavioural problems and seizures.",
keywords = "Behaviour, Childhood, Epilepsy, New-onset seizures, Teacher report from (TRF)",
author = "Dunn, {David W.} and Jaroslaw Harezlak and Ambrosius, {Walter T.} and Austin, {Joan K.} and Bradford Hale",
year = "2002",
month = "1",
day = "1",
doi = "10.1053/seiz.2001.0612",
language = "English (US)",
volume = "11",
pages = "169--175",
journal = "Seizure : the journal of the British Epilepsy Association",
issn = "1059-1311",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Teacher assessment of behaviour in children with new-onset seizures

AU - Dunn, David W.

AU - Harezlak, Jaroslaw

AU - Ambrosius, Walter T.

AU - Austin, Joan K.

AU - Hale, Bradford

PY - 2002/1/1

Y1 - 2002/1/1

N2 - Rationale: Recent data suggest that children with new-onset seizures may be at increased risk for behaviour problems. Teachers are an excellent source of data about such problems. They do not have the potential bias that a parent worried about a new onset of seizures might have and, furthermore, they are accustomed to comparing performance of children and work in an environment in which the behavioural problems associated with epilepsy may be quite evident. We obtained teachers' reports of behaviour problems in children in the 2 months prior to their first recognized seizure. We also obtained similar data on children with new-onset, moderate severity asthma. In addition to comparing behavioural scores between children with seizures and children with asthma, we compared teachers' assessments of behaviour in children with no prior seizures to those of children with previously unrecognized seizures. Methods: We evaluated 192 children with new-onset seizures, including 129 children with no prior episodes and 63 children with recognized prior seizure-like episodes. The comparison group consisted of 78 children with new-onset, moderate severity asthma. Behaviour was assessed by the teacher's report form (TRF) of the child behaviour checklist (CBCL) or the caregiver-teacher report form for ages 2-5 (C-TRF). Mean scores were compared by two-sample t-tests and analysis of variance (ANOVA). Results: The children with new-onset seizures had more thought problems than children with asthma. In comparison to children with no prior seizures, the children with prior unrecognized seizures had higher scores in total behaviour problems, internalizing problems, somatic complaints, anxious/depressed, thought problems, and attention problems. Conclusions: In this sample, children with prior unrecognized seizures were already at increased risk of teacher-rated behaviour problems before starting medication and before any possible stigma effects related to seizures. This sequence suggests underlying neurological problems causing both behavioural problems and seizures.

AB - Rationale: Recent data suggest that children with new-onset seizures may be at increased risk for behaviour problems. Teachers are an excellent source of data about such problems. They do not have the potential bias that a parent worried about a new onset of seizures might have and, furthermore, they are accustomed to comparing performance of children and work in an environment in which the behavioural problems associated with epilepsy may be quite evident. We obtained teachers' reports of behaviour problems in children in the 2 months prior to their first recognized seizure. We also obtained similar data on children with new-onset, moderate severity asthma. In addition to comparing behavioural scores between children with seizures and children with asthma, we compared teachers' assessments of behaviour in children with no prior seizures to those of children with previously unrecognized seizures. Methods: We evaluated 192 children with new-onset seizures, including 129 children with no prior episodes and 63 children with recognized prior seizure-like episodes. The comparison group consisted of 78 children with new-onset, moderate severity asthma. Behaviour was assessed by the teacher's report form (TRF) of the child behaviour checklist (CBCL) or the caregiver-teacher report form for ages 2-5 (C-TRF). Mean scores were compared by two-sample t-tests and analysis of variance (ANOVA). Results: The children with new-onset seizures had more thought problems than children with asthma. In comparison to children with no prior seizures, the children with prior unrecognized seizures had higher scores in total behaviour problems, internalizing problems, somatic complaints, anxious/depressed, thought problems, and attention problems. Conclusions: In this sample, children with prior unrecognized seizures were already at increased risk of teacher-rated behaviour problems before starting medication and before any possible stigma effects related to seizures. This sequence suggests underlying neurological problems causing both behavioural problems and seizures.

KW - Behaviour

KW - Childhood

KW - Epilepsy

KW - New-onset seizures

KW - Teacher report from (TRF)

UR - http://www.scopus.com/inward/record.url?scp=0036297124&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036297124&partnerID=8YFLogxK

U2 - 10.1053/seiz.2001.0612

DO - 10.1053/seiz.2001.0612

M3 - Article

C2 - 12018960

AN - SCOPUS:0036297124

VL - 11

SP - 169

EP - 175

JO - Seizure : the journal of the British Epilepsy Association

JF - Seizure : the journal of the British Epilepsy Association

SN - 1059-1311

IS - 3

ER -