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Journal of Pediatric Psychology Advance Access originally published online on March 3, 2005
Journal of Pediatric Psychology 2005 30(6):453-468; doi:10.1093/jpepsy/jsi071
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Journal of Pediatric Psychology vol. 30 no. 6 © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Psychopathology in Children with Epilepsy: A Meta-Analysis

Roos Rodenburg, MA1, Geert Jan Stams, PhD1, Anne Marie Meijer, PhD1, Albert P. Aldenkamp, PhD2,3 and Maja Dekovic, PhD4

1 University of Amsterdam, 2 University Hospital Maastricht, 3 Department of Behavioral Sciences, Epilepsy Center Kempenhaeghe, and 4 Utrecht University

All correspondence concerning this article should be addressed to H.R. Rodenburg, Faculty of Social and Behavioral Sciences, Department of Educational Studies, University of Amsterdam, Wibautstraat 4, 1090 GE Amsterdam, The Netherlands. E-mail: H.R.Rodenburg{at}uva.nl.

Received February 19, 2004; revisions received May 27, 2004, September 24, 2004, and November 30, 2004; accepted December 6, 2004

Objective To examine the types and severity of psychopathology in children with epilepsy. Methods A series of meta-analyses were conducted to review 46 studies, including 2,434 children with epilepsy. Results Effect sizes were medium to large for comparisons with children from the general population, which indicates that children with epilepsy are at increased risk for psychopathology, including internalizing and externalizing behavior problems. Comparisons with children with another chronic illness revealed small to medium effect sizes, indicating that psychopathology in children with epilepsy may partly be attributed to chronicity of the disease. Attention problems, thought problems, and social problems proved to be relatively specific to epilepsy. Comparisons with siblings suggested that psychopathology in children with epilepsy may be associated with family factors, especially where behavioral disorders appear to be more generic. Conclusions Clinicians should consider both neurological and psychosocial factors, including the family system, when treating psychopathology in children with epilepsy.

Key words: behavior problems; childhood epilepsy; family factors; meta-analysis; psychopathology.


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