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KMID : 0367320020130010067
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2002 Volume.13 No. 1 p.67 ~ p.75
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CHILDREN WITH CHRONIC CONVULSIVE DISORDER AND THEIR FAMILIES
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Kim Bung-Nyun
Cho Soo-Churl
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Abstract
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Objectives : This study was conducted to investigate the degree of psychopathologies of the family members of children with chronic convulsive disorder and evaluate the structures and dynamics of those families.
Methods : The participant patients and family members were recruited from the population attending the outpatient clinic of department of pediatric neurology in Seoul National University Hospital in Korea. All the patients had idiopathic chronic convulsive disorder. Any patient with mental retardation, pervasive developmental disorder and gross brain pathology was excluded. As controls, normal students were chosen and their sex, age, achievement, socioeconomic status were matched to patients. The author interviewed the children and their family members twice and obtained informations about patient-parent relationship, patient-sibling relationship and others. For in-depth evaluation, we used family environment scales (FES) , symptom Checklist-90-revised (SCL-90-R) , self administered dependency questionnaire for r iother (SADQ) .
Results : After interviewing with the parents of epileptic children, overprotection of parents, hostile feeling of siblings toward index children were higher than controls. The parental conflict was also more expressed than control families. According to results from FES, the scores of the subscales of expression, achievement-orientation, intelligence-orientation and active recreation were significantly lower than control group. The epileptic children showed higher dependency to parents especially in affection, communication and traveling areas of SADQ than control group. Maternal psychopathologies evaluated by SCL-90-R were much higher than the mothers of controls. According to T scores of SCL-90-R, about 40% of mothers with epileptic children had the risk of clinically significant depressive or anxiety disorders.
Conclusion : These results suggested that the family members of epileptic children had more relation-ship problems and psychopathologies than control group and some mothers might have clinically significant depressive or anxiety disorders. so, effective psychiatric family interventions are needed for resolution of conflict and psychopathologies of family members.
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KEYWORD
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Epileptic children, Families, Psychopathologies, Dependency
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