Social impairment in children with epilepsy assessed by the social responsiveness scale

Children with epilepsy are at risk for impaired social cognition and autism. We aimed at evaluating the utility of the social responsiveness scale (SRS) for assessment of social impairment in these children. Prospective study; the SRS was applied to a group of children with epilepsy and a healthy co...

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Bibliographic Details
Published in:Clinical child psychology and psychiatry 2021-10, Vol.26 (4), p.1170-1181
Main Authors: Aburahma, Samah K, Hammouri, Hanan, Hazaimeh, Ethar, Jbarah, Omar, Nassar, Ahmad, Almasri, Ayham, Al Momani, Miral, Bashtawi, Mahmoud
Format: Article
Language:English
Subjects:
Adaptive behavior
Autistic children
Behavior rating scales
Child & adolescent psychiatry
Cognitive ability
Cognitive impairment
Epilepsy
Intellectual disabilities
Intelligence
Responsiveness
Social behavior
Social cognition
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Summary:Children with epilepsy are at risk for impaired social cognition and autism. We aimed at evaluating the utility of the social responsiveness scale (SRS) for assessment of social impairment in these children. Prospective study; the SRS was applied to a group of children with epilepsy and a healthy control group. Intellectual disability in the epilepsy group was assessed utilizing adapted versions of the Wechsler Intelligence and adaptive behavior scales. One hundred and one children with epilepsy and 92 healthy children were included. The majority of children in both groups had normal SRS scores. Significant differences were identified in children with high total scores indicating significant deficiencies in reciprocal social behavior; high scores were found in 16% of children with epilepsy versus 7% of normal children, p < .05, particularly involving social communication, p < .05. Intellectual disability was identified in 42% of children with epilepsy, particularly processing speed index, p < .001. Intellectual disability had a significant effect on total scores, p = .016. Children with epilepsy have increased risk of social impairments. Social impairments are more likely in the presence of intellectual disability. The SRS is a quick identification tool that can be employed in the outpatient setting.
ISSN:1359-1045
1461-7021
DOI:10.1177/13591045211033176