KMID : 0367320220330040106
|
|
Journal of the Korean Academy of Child and Adolescent Psychiatry 2022 Volume.33 No. 4 p.106 ~ p.112
|
|
Factors Affecting Depressive Symptoms in Children and Adolescents With Epilepsy
|
|
Park So-Hyun
Lee Hyang-Woon Kim Ga-Eun Kim Eui-Jung
|
|
Abstract
|
|
|
Objectives: We aimed to evaluate the clinical and psychological factors influencing depressive symptoms in children and adolescents with epilepsy.
Methods: We administered self-reported questionnaires assessing children¡¯s depressive symptoms (Children¡¯s Depression Inventory, CDI) and anxiety (Revised Children¡¯s Manifest Anxiety Scale, RCMAS) to children and adolescents with epilepsy (n=87, age range=6?17 years). We asked their parents to complete questionnaires on epilepsy-related variables, parental stress (Questionnaire on Resources and Stress, QRS), parental anxiety (State-Trait Anxiety Inventory, STAI), family functioning (Family Adaptability and Cohesion Evaluation Scale, FACES), children¡¯s attention problems (Abbreviated Conners Parent Rating Scale Revised, CPRS), and children¡¯s behavioral problems (Korean Child Behavior Checklist, K-CBCL). Stepwise multiple regression analysis was performed to identify predictive variables affecting depressive symptoms.
Results: Family adaptability (r=-0.240, p=0.026), family cohesion (r=-0.381, p<0.001), children¡¯s attention problems (r=0.290, p=0.006), children¡¯s anxiety (r=0.714, p<0.001), children¡¯s behavioral problems (r=0.371, p<0.001), parental anxiety (r=0.320, p=0.003), and parental stress (r=0.335, p=0.002) were significantly correlated with children¡¯s depressive symptoms. Children¡¯s anxiety (¥â=0.655, p<0.001) and parental stress (¥â=0.198, p=0.013) were significantly related to their depressive symptoms (adjusted R2=0.539).
Conclusion: Clinicians should detect and manage children¡¯s anxiety and parental stress, which may affect depressive symptoms in children and adolescents with epilepsy.
|
|
KEYWORD
|
|
Epilepsy, Child, Adolescent, Depression
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|