Skip to main content
Log in

Familien von anfallskranken Kindern

Auswirkungen der Epilepsie auf das familiäre Zusammenleben

Families of children with epilepsy

Impact of epilepsy on family life

  • Leitthema
  • Published:
Zeitschrift für Epileptologie Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Die Epilepsie eines Kinds hat nicht nur unmittelbare Auswirkungen auf das erkrankte Kind selbst, sondern beeinflusst seine gesamte Familie, insbesondere die Eltern.

Ziel der Arbeit

Es wird ein Überblick zu den verschiedenen psychosozialen Auswirkungen der Epilepsie von Kindern auf deren Familien gegeben.

Methode

Der Überblick basiert auf einer Auswahl an Primärstudien, die v. a. durch eine PubMed-Literaturrecherche ermittelt wurden.

Ergebnisse

Neben unterschiedlichsten Sorgen, einem hohen Unterstützungsbedarf und psychischen Beeinträchtigungen auf Seiten der Eltern führt die Epilepsie eines Kinds oft auch zu Belastungen der Geschwisterkinder und der intrafamiliären Beziehungen. Zudem finden sich sehr häufig Einschränkungen im Alltags- und Sozialleben der betroffenen Familien. Ein wichtiger Einflussfaktor für die familiären Belastungen sind zusätzliche Verhaltens- oder Gesundheitsprobleme des Kinds.

Schlussfolgerung

Ein interdisziplinäres Behandlungskonzept für Kinder und Jugendliche mit Epilepsie sollte die erkrankungsbedingten Belastungen der Familie berücksichtigen und gegebenenfalls psychosoziale Unterstützung anbieten.

Abstract

Background

Epilepsy has an impact on not only the affected child, but also the whole family, especially the parents.

Aim of the study

To give an overview of the psychosocial impact of a child’s epilepsy on his/her family.

Methods

This overview is based on a selection of primary studies, which were mainly identified by a PubMed search.

Results

Besides various worries, high support needs, and mental health problems on the part of the parents, the epilepsy of a child also leads to stress for their siblings and strains in the relationships within the family. Furthermore, there are several limitations both in everyday life and in the social activities of the affected families. The presence of additional behavioral or health problems in children has been found to be an important factor influencing the impact of epilepsy on families.

Conclusion

In a comprehensive treatment approach for children and adolescents with epilepsy, the disease-related burdens of the family should be taken into account and psychosocial support should be provided.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1

Literatur

  1. Arunkumar G, Wyllie E, Kotagal P et al (2000) Parent- and patient-validated content for pediatric epilepsy quality-of-life assessment. Epilepsia 41(11):1474–1484

    Article  CAS  PubMed  Google Scholar 

  2. Austin JK, Dunn DW, Johnson CS, Perkins SM (2004) Behavioral issues involving children and adolescents with epilepsy and the impact of their families: recent research data. Epilepsy Behav 5:33–41

    Article  Google Scholar 

  3. Baker GA, Hargis E, Hsih MM-S et al (2008) Perceived impact of epilepsy in teenagers and young adults: an international survey. Epilepsy Behav 12(3):395–401

    Article  PubMed  Google Scholar 

  4. Baki O, Erdogan A, Kantarci O et al (2004) Anxiety and depression in children with epilepsy and their mothers. Epilepsy Behav 5(6):958–964

    Article  PubMed  Google Scholar 

  5. Besag FMC, Nomayo A, Pool F (2005) The reactions of parents who think that a child is dying in a seizure – in their own words. Epilepsy Behav 7(3):517–523

    Article  PubMed  Google Scholar 

  6. Bompori E, Niakas D, Nakou I et al (2014) Comparative study of the health-related quality of life of children with epilepsy and their parents. Epilepsy Behav 41:11–17

    Article  PubMed  Google Scholar 

  7. Camfield C, Breau L, Camfield P (2001) Impact of pediatric epilepsy on the family: a new scale for clinical and research use. Epilepsia 42(1):104–112

    Article  CAS  PubMed  Google Scholar 

  8. Cottrell L, Khan A (2005) Impact of childhood epilepsy on maternal sleep and socioemotional functioning. Clin Pediatr (Phila) 44(7):613–616

    Google Scholar 

  9. Cushner-Weinstein S, Dassoulas K, Salpekar JA et al (2008) Parenting stress and childhood epilepsy: the impact of depression, learning, and seizure-related factors. Epilepsy Behav 13(1):109–114

    Article  PubMed  Google Scholar 

  10. Datta SS, Premkumar TS, Fielding S et al (2006) Impact of pediatric epilepsy on indian families: influence of psychopathology and seizure related variables. Epilepsy Behav 9(1):145–151

    Article  PubMed  Google Scholar 

  11. Dehn LB, Korn-Merker E, Pfäfflin M et al (2013) Einflussfaktoren der psychosozialen Belastungen von Eltern anfallskranker Kinder. Neuropädiatr. Klin Prax 12(2):81–87

    Google Scholar 

  12. Dehn LB, Korn-Merker E, Pfäfflin M et al (2013) Erfassung der Belastungen von Eltern anfallskranker Kinder: Psychometrische Überprüfung einer Kurzform des Familien-Belastungs-Fragebogens. Z Epileptol 26(4):214–222

    Article  Google Scholar 

  13. Duffy LV (2011) Parental coping and childhood epilepsy: the need for future research. J Neurosci Nurs 43(1):29–35

    Article  PubMed  Google Scholar 

  14. Ferro MA, Speechley KN (2009) Depressive symptoms among mothers of children with epilepsy: a review of prevalence, associated factors, and impact on children. Epilepsia 50(11):2344–2354

    Article  PubMed  Google Scholar 

  15. Freilinger M, Neussl D, Hansbauer T et al (2006) Geschwister epilepsiekranker Kinder. Klin Pädiatr 218(1):1–6

    Article  CAS  PubMed  Google Scholar 

  16. Hames A, Appleton R (2009) Living with a brother or sister with epilepsy: siblings‘ experiences. Seizure 18(10):699–701

    Article  PubMed  Google Scholar 

  17. Hoare P (1993) The quality of life of children with chronic epilepsy and their families. Seizure 2(4):269–275

    Article  CAS  PubMed  Google Scholar 

  18. Jantzen S, Müller-Godeffroy E, Hallfahrt-Krisl T et al (2009) Flip&Flap – a training programme for children and adolescents with epilepsy, and their parents. Seizure 18(7):478–486

    Article  CAS  PubMed  Google Scholar 

  19. Julita SD (2007) Diagnose Epilepsie – Adaptationsleistungen der Eltern Anfallskranker Kinder. Epileptologie 24:8–14

    Google Scholar 

  20. Larson AM, Ryther RCC, Jennesson M et al (2012) Impact of pediatric epilepsy on sleep patterns and behaviors in children and parents: pediatric epilepsy and sleep. Epilepsia 53(7):1162–1169

    Article  PubMed  Google Scholar 

  21. Lv R, Wu L, Jin L et al (2009) Depression, anxiety and quality of life in parents of children with epilepsy. Acta Neurol Scand 120(5):335–341

    Article  CAS  PubMed  Google Scholar 

  22. Malhi P, Singhi P (2005) Correlates of quality of life with epilepsy. Indian J Pediatr 72(2):131–135

    Article  PubMed  Google Scholar 

  23. Mims J (1997) Self-esteem, behavior, and concerns surrounding epilepsy in siblings of children with epilepsy. J Child Neurol 12(3):187–192

    Article  CAS  PubMed  Google Scholar 

  24. Modi AC (2009) The impact of a new pediatric epilepsy diagnosis on parents: parenting stress and activity patterns. Epilepsy Behav 14(1):237–242

    Article  PubMed  Google Scholar 

  25. Mu P-F (2008) Transition experience of parents caring of children with epilepsy: a phenomenological study. Int J Nurs Stud 45(4):543–551

    Article  PubMed  Google Scholar 

  26. Pfäfflin M, Petermann F, Rau J, May TW (2012) The psychoeducational program for children with epilepsy and their parents (famoses): results of a controlled pilot study and a survey of parent satisfaction over a five-year period. Epilepsy Behav 25(1):11–16

    Article  PubMed  Google Scholar 

  27. Ramaglia G, Romeo A, Viri M et al (2007) Impact of idiopathic epilepsy on mothers and fathers: strain, burden of care, worries and perception of vulnerability. Epilepsia 48(9):1810–1814

    Article  PubMed  Google Scholar 

  28. Rodenburg R, Wagner JL, Austin JK et al (2011) Psychosocial issues for children with epilepsy. Epilepsy Behav 22(1):47–54

    Article  PubMed  Google Scholar 

  29. Ronen GM, Streiner DL, Rosenbaum P (2003) Health-related quality of life in childhood epilepsy: moving beyond „seizure control with minimal adverse effects“. Health Qual Life Outcomes 1(1):36

    Article  PubMed  PubMed Central  Google Scholar 

  30. Shore CP, Buelow JM, Austin JK, Johnson CS (2009) Continuing psychosocial care needs in children with new-onset epilepsy and their parents. J Neurosci Nurs 41(5):244

    Article  PubMed  PubMed Central  Google Scholar 

  31. Soria C, Callu D, Viguier D et al (2008) Parental report of cognitive difficulties, quality of life and rehabilitation in children with epilepsy or treated for brain tumour. Dev Neurorehabilitation 11(4):268–275

    Article  Google Scholar 

  32. Taylor J, Jacoby A, Baker GA, Marson AG (2011) Self-reported and parent-reported quality of life of children and adolescents with new-onset epilepsy. Epilepsia 52(8):1489–1498

    Article  PubMed  Google Scholar 

  33. Thornton N, Hamiwka L, Sherman E et al (2008) Family function in cognitively normal children with epilepsy: impact on competence and problem behaviors. Epilepsy Behav 12(1):90–95

    Article  PubMed  Google Scholar 

  34. Tröster H (1999) Anforderungen und Belastungen von Müttern mit anfallskranken Kindern. Z Med Psychol 2:53–64

    Google Scholar 

  35. Tröster H (2005) Chronische Krankheiten. Kindh Entwickl 14(2):63–68

    Article  Google Scholar 

  36. Tsuchie SY, Guerreiro MM, Chuang E et al (2006) What about us? Siblings of children with epilepsy. Seizure 15(8):610–614

    Article  PubMed  Google Scholar 

  37. Tuxhorn I, Hauser A, Fischbach H et al (2004) Krankheitsverarbeitung bei Epilepsien im Kindesalter. Z Epileptol 17(4):270–278

    Article  Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. L.B. Dehn gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L.B. Dehn M.Sc..

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dehn, L. Familien von anfallskranken Kindern. Z. Epileptol. 28, 140–147 (2015). https://doi.org/10.1007/s10309-015-0428-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10309-015-0428-0

Schlüsselwörter

Keywords

Navigation