Abstract：
OBJECTIVE: To describe the prevalence and associated factors of mental health problems in secondary school-aged (11-16 years) children with epilepsy and their primary caregivers compared to a control group without epilepsy.
METHODS: Children with epilepsy (n = 60), controls (n = 49), and caregivers (n = 60 epilepsy and n = 49 control group) completed a measure of the child\'s mental health (Strengths and Difficulties Questionnaire; SDQ). Primary caregivers in both groups completed a measure of their own mental health (Depression, Anxiety, and Stress Scale-21; DASS-21). Factors associated with child and caregiver mental health in the epilepsy group were explored using linear regression.
RESULTS: There were no significant differences between the epilepsy and control group regarding age, gender, ethnicity and socioeconomic status. A higher proportion of children with epilepsy scored in the at-risk range on the SDQ indicating more mental health problems than the control group, as reported by the children (45% vs. 24 %) (p = 0.026) and caregivers (52% vs. 14 %) (p < 0.001). Primary caregivers of children with epilepsy had more symptoms of depression (p = 0.001), anxiety (p = 0.028) and stress (p = 0.019) than caregivers in the control group. Children with epilepsy with greater motor coordination problems had greater mental health difficulties. Children with epilepsy with more mental health difficulties had caregivers with more difficulties and caregivers of children with earlier onset of seizures had more mental health difficulties.
CONCLUSIONS: Epilepsy confers a high risk for mental health problems in adolescents and their primary caregivers. There is a need to better understand the relationship between caregiver and child mental health difficulties in epilepsy.
METHODS: Children with epilepsy (n = 60), controls (n = 49), and caregivers (n = 60 epilepsy and n = 49 control group) completed a measure of the child\'s mental health (Strengths and Difficulties Questionnaire; SDQ). Primary caregivers in both groups completed a measure of their own mental health (Depression, Anxiety, and Stress Scale-21; DASS-21). Factors associated with child and caregiver mental health in the epilepsy group were explored using linear regression.
RESULTS: There were no significant differences between the epilepsy and control group regarding age, gender, ethnicity and socioeconomic status. A higher proportion of children with epilepsy scored in the at-risk range on the SDQ indicating more mental health problems than the control group, as reported by the children (45% vs. 24 %) (p = 0.026) and caregivers (52% vs. 14 %) (p < 0.001). Primary caregivers of children with epilepsy had more symptoms of depression (p = 0.001), anxiety (p = 0.028) and stress (p = 0.019) than caregivers in the control group. Children with epilepsy with greater motor coordination problems had greater mental health difficulties. Children with epilepsy with more mental health difficulties had caregivers with more difficulties and caregivers of children with earlier onset of seizures had more mental health difficulties.
CONCLUSIONS: Epilepsy confers a high risk for mental health problems in adolescents and their primary caregivers. There is a need to better understand the relationship between caregiver and child mental health difficulties in epilepsy.
摘要：
目的：描述与没有癫痫的对照组相比，中学（11-16岁）癫痫儿童及其主要照顾者的心理健康问题的患病率和相关因素。
方法：儿童癫痫（n=60），控件（n=49），和照顾者（n=60癫痫和n=49对照组）完成了儿童心理健康状况的测量（力量和困难问卷；SDQ）。两组的主要护理人员都完成了对自己心理健康的测量(抑郁症，焦虑,和应力标度21；DASS-21）。使用线性回归方法探索癫痫组儿童和照顾者心理健康的相关因素。
结果：癫痫组和对照组在年龄方面没有显著差异，性别,种族和社会经济地位。与对照组相比，在SDQ风险范围内得分较高的癫痫儿童比例表明存在更多的心理健康问题。据儿童报告(45%vs.24%)(p=0.026)和护理人员(52%vs.14%)(p<0.001)。癫痫儿童的主要照顾者有更多的抑郁症状（p=0.001），焦虑(p=0.028)和压力(p=0.019)高于对照组。有更大运动协调问题的癫痫儿童有更大的心理健康困难。患有更多精神健康困难的癫痫儿童的照顾者有更多困难，癫痫发作较早的儿童的照顾者有更多的精神健康困难。
结论：癫痫赋予青少年及其主要照顾者心理健康问题的高风险。有必要更好地了解护理人员与癫痫儿童心理健康困难之间的关系。
方法：儿童癫痫（n=60），控件（n=49），和照顾者（n=60癫痫和n=49对照组）完成了儿童心理健康状况的测量（力量和困难问卷；SDQ）。两组的主要护理人员都完成了对自己心理健康的测量(抑郁症，焦虑,和应力标度21；DASS-21）。使用线性回归方法探索癫痫组儿童和照顾者心理健康的相关因素。
结果：癫痫组和对照组在年龄方面没有显著差异，性别,种族和社会经济地位。与对照组相比，在SDQ风险范围内得分较高的癫痫儿童比例表明存在更多的心理健康问题。据儿童报告(45%vs.24%)(p=0.026)和护理人员(52%vs.14%)(p<0.001)。癫痫儿童的主要照顾者有更多的抑郁症状（p=0.001），焦虑(p=0.028)和压力(p=0.019)高于对照组。有更大运动协调问题的癫痫儿童有更大的心理健康困难。患有更多精神健康困难的癫痫儿童的照顾者有更多困难，癫痫发作较早的儿童的照顾者有更多的精神健康困难。
结论：癫痫赋予青少年及其主要照顾者心理健康问题的高风险。有必要更好地了解护理人员与癫痫儿童心理健康困难之间的关系。
