Quality of life in adolescents with epilepsy, cerebral palsy, and population norms. (3rd January 2020)

• Record Type: Journal Article
• Authors: Boldyreva, Uliana; Streiner, David L; Rosenbaum, Peter L; Ronen, Gabriel M
• Is Part Of: Developmental medicine & child neurology. Volume 62:Number 5(2020)
• Page Start: 609
• Page End: 614
• Publication Date: 2020-01-03
• Subjects: Child development -- Periodicals; Pediatric neurology -- Periodicals; 616.8
• DOI: 10.1111/dmcn.14450
• Languages: English
• ISSNs: 0012-1622

Abstract

Abstract : Aim: To compare: (1) self‐ and proxy‐reported quality of life (QoL) in adolescents with epilepsy, cerebral palsy (CP), both epilepsy and CP, and a representative general population sample; and (2) parental stress between parents of adolescents with epilepsy, CP, or both epilepsy and CP. Method: This was a cross‐sectional observational study with 362 adolescents with epilepsy, 468 with CP, 192 with both CP and epilepsy, and 15 396 from the general population, assessed with the KIDSCREEN‐52 and Parenting Stress Index (PSI). Results: All KIDSCREEN‐52 domains showed statistically significant differences across groups. The epilepsy population showed clinically better scores for 'school environment' than the general population (Cohen's d =0.62). Parents scored adolescents with CP lower than adolescents with epilepsy or general populations on 'physical health' ( d =0.57, d =0.55) and 'social‐support and peers' ( d =0.82, d =0.91). Parents of adolescents with CP scored them lower than parents of the epilepsy group on 'autonomy' ( d =0.62). Parents of adolescents with epilepsy scored them lower on 'mood and emotions' ( d =0.52) and 'social acceptance' ( d =0.66) than the general population. PSI scores were better for parents of adolescents with epilepsy than for parents of adolescents with CP ( d =0.587) and with both CP and epilepsy ( d =1.03, d =0.613, d =0.528). Interpretation: Adolescents with epilepsy or CP self‐report equal or better QoL than the general adolescent population, which should comfort families and allow clinicians to address parental concerns. What this paper adds: Adolescents with epilepsy, with or without cerebral palsy (CP), self‐reported better school environment than adolescents in the general population. Proxy quality of life (QoL) results showed clinically important differences across groups in 6 out of 10 domains of the KIDSCREEN‐52. Proxy‐reported results showed poorer QoL scores for adolescents with epilepsy or CP than the general population. Parental stress level was higher in parents of children with CP or both CP and epilepsy, than in those with only epilepsy. What this paper adds: Adolescents with epilepsy, with or without cerebral palsy (CP), self‐reported better school environment than adolescents in the general population. Proxy quality of life (QoL) results showed clinically important differences across groups in 6 out of 10 domains of the KIDSCREEN‐52. Proxy‐reported results showed poorer QoL scores for adolescents with epilepsy or CP than the general population. Parental stress level was lower in parents of children with CP or both CP and epilepsy, than in those with only epilepsy. This article is commented on by Koot on pages 545–546 of this issue. Video Podcast: https://www.youtube.com/watch?v=OfZdcaPjJ1M&feature=youtu.bes