Abstract
Many researchers have reported elevated rates of emotional, behavioral, and social competence problems (EBSP) in children with epilepsy. Although executive function has been found to be associated with EBSP in children with typical development, almost no research has looked at the individual components of executive function as potential predictors of EBSP in children with epilepsy. This is surprising given the deficits in executive function in children with epilepsy. We investigated EBSP and executive function in 42 children with epilepsy, aged 6.0 to 18.1 years and found, as expected, that EBSP were associated with executive function in these children even after epilepsy-related variables, such as seizure type, were accounted for. However, different components of executive function were related to different emotional, behavioral, and social competence problems in these children. Shifting of mental sets was a significant predictor of emotional, behavioral, and social competence problems whereas inhibition was a significant predictor of behavioral problems. This suggests that different executive function profiles in children with epilepsy may place them at-risk for developing different types of emotional, behavioral, and social competence problems. These results may help researchers and clinicians develop new techniques to identify and treat emotional, behavioral, and social competence problems in children with epilepsy.
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Acknowledgements
Aspects of this study were presented at the 2016 annual meeting of the Canadian Society for Brain, Behavior, and Cognitive Science in Ottawa, Ontario, Canada and at the 2016 annual meeting of the Canadian Psychological Association in Victoria, British Columbia, Canada. This paper is based on S. Healy’s Master’s thesis submitted to the Department of Psychology, Trent University.
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S.H. and N.I.B. designed and executed the study, analyzed the data, and wrote the paper. J.O. collaborated with the design and editing of the paper.
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Healy, S.A., Im-Bolter, N. & Olds, J. Executive Function and Emotional, Behavioral, and Social Competence Problems in Children with Epilepsy. J Child Fam Stud 27, 2430–2440 (2018). https://doi.org/10.1007/s10826-018-1079-3
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DOI: https://doi.org/10.1007/s10826-018-1079-3