Using the Child Behavior Checklist to Evaluate Behavioral Problems in Children with Epilepsy

使用“兒童行為檢核表”來評估癲癇兒童的行為問題

方鵬程(Peng-Cheng Fang) ； 陳永榮(Yung-Jung Chen)

《Acta Paediatrica Taiwanica》 48卷4期 (2007/08) Pp. 181-185

https://doi.org/10.7097/APT.200708.0181

摘要

背景：兒童期的癲癇症經常合併有行為問題。
方法：我們試圖使用“兒童行為檢核表”來確認慢性癲癇兒童的行為問題。針對56個癲癇兒童，並使用另外45個年齡相近的正常兒童做對照組，比較並分析兩組“兒童行為檢核表”的差異，並且收集與整理癲癇兒童的臨床資料。
結果：我們發現在癲癇兒童的組別中，所有內化行為與外化行為的分數較正常對照組明顯的升高，包括下列項目：注意力問題、身體上的抱怨、社會性退縮、焦慮／憂鬱、攻擊性行為及思想偏差。有24(42%)位癲癇兒童出現行為問題，然而在對照組中，只有4(8%)位兒童出現行為問題。另外，在56個癲癇兒童中，有行為問題者與沒有行為問題者之間在臨床特徵上並沒有顯著的差異。
結論：行為問題在癲癇兒童應受到重視，而“兒童行為檢核表”可以用來做為篩檢的工具。

關鍵字

行為問題 ； 兒童 ； 兒童行為檢核表 ； 癲癇

並列摘要

Background: Childhood epilepsy is commonly associated with behavioral problems. In this study, we used the Child Behavior Checklist (CBCL) to determine a behavioral profile for children with chronic epilepsy.
Methods: Fifty-six children with epilepsy and 45 aged-matched healthy controls were evaluated by analyzing the clinical variables of all study participants. Scores of the CBCL were markedly higher in patients than those in healthy controls for both internalizing and externalizing behaviors, which consisted of subscales of aggressive behavior, anxiety/depression, attention problems, thought problems, withdrawal, and somatic complaints.
Results: We found behavioral disturbances in 42% (n=24) of the epileptic patients and in 8% (n=4) of the controls. No significant differences were found between patients with and without behavioral problems on the clinical variables.
Conclusions: Behavioral problems deserve special attention in children with epilepsy. CBCL can be used as a screening instrument with these children.

並列關鍵字

behavioral problem ； children ； CBCL ； epilepsy