Abstract
BackgroundEpilepsy is one of the most common neurological conditions. Attention deficit hyperactivity disorder (ADHD) in children with epilepsy proves to be very common. Both epilepsy and ADHD impair quality of life. We aimed to evaluate cognitive function, socioeconomic level, and quality of life (QOL) among children with ADHD and epilepsy. A total of 100 children were divided into 5 groups (20 children/group) as (I) epilepsy, (II) ADHD with epilepsy, (III) ADHD with EEG changes, (IV) ADHD without EEG changes, and (V) control. Children aged between 6 and 11 years were recruited for this study. Early Childhood Epilepsy Severity Scale (E-Chess), Conners’ Parent Rating Scale (CPRS), Wechsler Intelligence Scale for Children-3rd edition (WISC-III), socioeconomic scale for assessment of social burden and socioeconomic classes, and PedsQL (quality of life measure) assessed.ResultsChildren with ADHD and epilepsy had the lowest PedsQL total scores and lower scores than other groups especially in performance IQ score. The highest percentage of low socioeconomic class (25%) was observed in the group of ADHD with epilepsy and the group of epilepsy.ConclusionADHD with epilepsy is associated with low performance IQ, poor socioeconomic level, and quality of life. Pediatric Quality of Life Inventory scores show significant correlation with total IQ score in the group of ADHD with epilepsy.
Highlights
Epilepsy is one of the most common neurological conditions
This study examined cognitive functions, socio-economic levels, and the quality of life (QOL) of Attention deficit hyperactivity disorder (ADHD) and epilepsy patients
The proportion of males was higher in all groups, except for the group of ADHD with epilepsy, they were almost equal when compared with the controls
Summary
Attention deficit hyperactivity disorder (ADHD) in children with epilepsy proves to be very common. Both epilepsy and ADHD impair quality of life. We aimed to evaluate cognitive function, socioeconomic level, and quality of life (QOL) among children with ADHD and epilepsy. Epilepsy is the most common neurological condition affecting approximately 65 million people worldwide [1], and it affects nearly 3.2–5.5/1000 children in the developed world [2]. Epilepsy in children is associated with marked impairment of cognitive functioning [3], increasing the risk of attention deficits and impairing executive functioning [4]. Deficits in executive functioning are associated with poor health-related quality of life (HRQOL) in these children [11, 12]
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