Cognition, academic achievement, and epilepsy in school-age children: a case-control study in a developing country.

Melbourne Chambers, R; Morrison-Levy, N; Chang, S; Tapper, J; Walker, S; Tulloch-Reid, M

Melbourne Chambers, R; Morrison-Levy, N; Chang, S; Tapper, J; Walker, S; Tulloch-Reid, M.

Afiliação

Melbourne Chambers R; Department of Child and Adolescent Health, University of the West Indies (UWI), Mona, Jamaica. Electronic address: roxanne.melbournechambers@uwimona.edu.jm.
Morrison-Levy N; Bustamante Hospital for Children, Arthur Wint Drive, Kingston, Jamaica. Electronic address: nadinelevy.morrison74@gmail.com.
Chang S; Epidemiology Research Unit, Tropical Medicine Research Institute, UWI, Mona, Jamaica. Electronic address: susan.changlopez@uwimona.edu.jm.
Tapper J; Bustamante Hospital for Children, Arthur Wint Drive, Kingston, Jamaica. Electronic address: judymtapper@yahoo.com.
Walker S; Epidemiology Research Unit, Tropical Medicine Research Institute, UWI, Mona, Jamaica. Electronic address: susan.walker@uwimona.edu.jm.
Tulloch-Reid M; Epidemiology Research Unit, Tropical Medicine Research Institute, UWI, Mona, Jamaica. Electronic address: marshall.tullochreid@uwimona.edu.jm.

Epilepsy Behav ; 33: 39-44, 2014 Apr.

Article em En | MEDLINE | ID: mdl-24632351

RESUMO

We conducted a case-control study of 33 Jamaican children 7 to 12years old with uncomplicated epilepsy and 33 of their classroom peers matched for age and gender to determine whether epilepsy resulted in differences in cognitive ability and school achievement and if socioeconomic status or the environment had a moderating effect on any differences. Intelligence, language, memory, attention, executive function, and mathematics ability were assessed using selected tests from NEPSY, WISCR, TeaCh, WRAT3 - expanded, and Raven's Coloured Progressive Matrices. The child's environment at home was measured using the Middle Childhood HOME inventory. Socioeconomic status was determined from a combination of household, crowding, possessions, and sanitation. We compared the characteristics of the cases and controls and used random effects regression models (using the matched pair as the cluster) to examine the relationship between cognition and epilepsy. We found that there was no significant difference in IQ, but children with epilepsy had lower scores on tests of memory (p<0.05), language (p<0.05), and attention (p<0.01) compared with their controls. In random effects models, epilepsy status had a significant effect on memory (coefficient=-0.14, CI: -0.23, -0.05), language (coefficient=-0.13, CI: -0.23, -0.04), and mathematics ability (coefficient=-0.01, CI: -0.02, -0.00). Adjustment for the home environment and socioeconomic status and inclusion of interaction terms for these variables did not alter these effects. In conclusion, we found that epilepsy status in Jamaican children has a significant effect on performance on tests of memory, language, and mathematics and that this effect is not modified or explained by socioeconomic status or the child's home environment.

Assuntos

Logro; Cognição; Epilepsia/psicologia; Atenção; Estudos de Casos e Controles; Criança; Países em Desenvolvimento; Escolaridade; Feminino; Humanos; Inteligência; Jamaica; Masculino; Memória; Testes Neuropsicológicos

Palavras-chave

Achievement; Cognition; Country; Developing; Epilepsy; Jamaica

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Logro / Cognição / Epilepsia Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Male País/Região como assunto: Caribe ingles / Jamaica Idioma: En Revista: Epilepsy Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / NEUROLOGIA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos

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