Comparison of psychosocial screeners in an epilepsy clinic.

Epilepsy Behav

Center for Neuroscience, Children's National Research Institute, Washington, DC, United States; Center for Neuroscience and Behavioral Health CNH, George Washington University, Washington, DC, United States. Electronic address:

Published: November 2023

AI Article Synopsis

  • - Screenings for ADHD and emotional issues are important for children with epilepsy, but there’s not enough research on which screening tools to use in clinics.
  • - In a study involving 50 parents of children aged 5-17 with epilepsy, various screening tools were compared, including the Strengths and Difficulties Questionnaire and the Pediatric Quality of Life Inventory.
  • - The study found positive screening rates for ADHD (40%-72%) and emotional concerns (38%-46%), with varying levels of agreement between the measures, suggesting that while all are effective, they may differ in specificity and usability.

Article Abstract

Screenings are recommended for co-occurring conditions in pediatric epilepsy. However, there is limited research regarding which screener to implement in the clinic. This study aimed to compare different screening measures for attention-deficit/hyperactivity disorder (ADHD) and emotional concerns in a pediatric epilepsy population during a routine neurology clinic visit. Fifty (22%) of 226 contacted parents of children with epilepsy ages 5-17 years old agreed to participate. Screening measures included the Strengths and Difficulties Questionnaire (SDQ; Hyperactivity/Inattention (ADHD), Emotional Problems (E) subscales), the Pediatric Quality of Life Inventory Epilepsy Module (PedsQL-EM; Executive Functioning (EF), Mood/Behavior (M/B) subscales), and the ADHD Rating Scale (ADHD-RS). Analyses comparing measures included Chi Square, Pearson's correlation, and agreement statistics (Cohen's kappa, overall agreement). Consistent with prior literature, positive screening rates ranged from 40% to 72% for ADHD concerns and 38% to 46% for emotional concerns. Agreement between measures ranged from fair to substantial, with the highest agreement (85%; κ = 0.70) between the SDQ-E and PedsQL-EM-M/B. Although all measures rendered positive screens within expected rates, there are differences among the measures that inform screening measure selection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10842982PMC
http://dx.doi.org/10.1016/j.yebeh.2023.109452DOI Listing

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