Febrile seizures and behavioural and cognitive outcomes in preschool children: the Generation R Study

Aim  General developmental outcome is known to be good in school‐aged children who experienced febrile seizures. We examined cognitive and behavioural outcomes in preschool children with febrile seizures, including language and executive functioning outcomes. Method  This work was performed in the G...

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Veröffentlicht in:Developmental medicine and child neurology 2012-11, Vol.54 (11), p.1006-1011
Hauptverfasser: VISSER, ANNEMARIE M, JADDOE, VINCENT WV, GHASSABIAN, AKHGAR, SCHENK, JACQUELINE J, VERHULST, FRANK C, HOFMAN, ALBERT, TIEMEIER, HENNING, MOLL, HENRIETTE A, ARTS, WILLEM FRANS M
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container_end_page 1011
container_issue 11
container_start_page 1006
container_title Developmental medicine and child neurology
container_volume 54
creator VISSER, ANNEMARIE M
JADDOE, VINCENT WV
GHASSABIAN, AKHGAR
SCHENK, JACQUELINE J
VERHULST, FRANK C
HOFMAN, ALBERT
TIEMEIER, HENNING
MOLL, HENRIETTE A
ARTS, WILLEM FRANS M
description Aim  General developmental outcome is known to be good in school‐aged children who experienced febrile seizures. We examined cognitive and behavioural outcomes in preschool children with febrile seizures, including language and executive functioning outcomes. Method  This work was performed in the Generation R Study, a population‐based cohort study in Rotterdam from early fetal life onwards. Information about the occurrence of febrile seizures was collected by questionnaires at the ages of 1, 2, and 3 years. At the age of 3 years, behaviour and emotion were assessed using the Child Behavior Checklist. Information on expressive language development was obtained by the Language Development Survey at the age of 2 years 6 months. To assess executive functioning, parents completed the Behaviour Rating Inventory of Executive Function – Preschool Version when their children were 4 years old. Final analyses were based on 3157 children. Results  No associations were found between febrile seizures and the risk of behavioural problems or executive functioning. In contrast to single febrile seizures, recurrent febrile seizures were significantly associated with an increased risk of delayed vocabulary development (odds ratio 3.22, [95% confidence interval 1.30–7.94]). Interpretation  Febrile seizures are not associated with problem behaviour or executive functioning in preschool children, but the results suggest that children with recurrent febrile seizures might be at risk for delayed language development. This article is commented on by Deonna on page 969 of this issue.
doi_str_mv 10.1111/j.1469-8749.2012.04405.x
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We examined cognitive and behavioural outcomes in preschool children with febrile seizures, including language and executive functioning outcomes. Method  This work was performed in the Generation R Study, a population‐based cohort study in Rotterdam from early fetal life onwards. Information about the occurrence of febrile seizures was collected by questionnaires at the ages of 1, 2, and 3 years. At the age of 3 years, behaviour and emotion were assessed using the Child Behavior Checklist. Information on expressive language development was obtained by the Language Development Survey at the age of 2 years 6 months. To assess executive functioning, parents completed the Behaviour Rating Inventory of Executive Function – Preschool Version when their children were 4 years old. Final analyses were based on 3157 children. Results  No associations were found between febrile seizures and the risk of behavioural problems or executive functioning. In contrast to single febrile seizures, recurrent febrile seizures were significantly associated with an increased risk of delayed vocabulary development (odds ratio 3.22, [95% confidence interval 1.30–7.94]). Interpretation  Febrile seizures are not associated with problem behaviour or executive functioning in preschool children, but the results suggest that children with recurrent febrile seizures might be at risk for delayed language development. 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We examined cognitive and behavioural outcomes in preschool children with febrile seizures, including language and executive functioning outcomes. Method  This work was performed in the Generation R Study, a population‐based cohort study in Rotterdam from early fetal life onwards. Information about the occurrence of febrile seizures was collected by questionnaires at the ages of 1, 2, and 3 years. At the age of 3 years, behaviour and emotion were assessed using the Child Behavior Checklist. Information on expressive language development was obtained by the Language Development Survey at the age of 2 years 6 months. To assess executive functioning, parents completed the Behaviour Rating Inventory of Executive Function – Preschool Version when their children were 4 years old. Final analyses were based on 3157 children. Results  No associations were found between febrile seizures and the risk of behavioural problems or executive functioning. In contrast to single febrile seizures, recurrent febrile seizures were significantly associated with an increased risk of delayed vocabulary development (odds ratio 3.22, [95% confidence interval 1.30–7.94]). Interpretation  Febrile seizures are not associated with problem behaviour or executive functioning in preschool children, but the results suggest that children with recurrent febrile seizures might be at risk for delayed language development. 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We examined cognitive and behavioural outcomes in preschool children with febrile seizures, including language and executive functioning outcomes. Method  This work was performed in the Generation R Study, a population‐based cohort study in Rotterdam from early fetal life onwards. Information about the occurrence of febrile seizures was collected by questionnaires at the ages of 1, 2, and 3 years. At the age of 3 years, behaviour and emotion were assessed using the Child Behavior Checklist. Information on expressive language development was obtained by the Language Development Survey at the age of 2 years 6 months. To assess executive functioning, parents completed the Behaviour Rating Inventory of Executive Function – Preschool Version when their children were 4 years old. Final analyses were based on 3157 children. Results  No associations were found between febrile seizures and the risk of behavioural problems or executive functioning. In contrast to single febrile seizures, recurrent febrile seizures were significantly associated with an increased risk of delayed vocabulary development (odds ratio 3.22, [95% confidence interval 1.30–7.94]). Interpretation  Febrile seizures are not associated with problem behaviour or executive functioning in preschool children, but the results suggest that children with recurrent febrile seizures might be at risk for delayed language development. This article is commented on by Deonna on page 969 of this issue.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22937894</pmid><doi>10.1111/j.1469-8749.2012.04405.x</doi><tpages>6</tpages></addata></record>
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subjects At Risk Persons
Behavior Problems
Check Lists
Child Behavior
Child Behavior - physiology
Child Behavior Checklist
Child Development
Child Development - physiology
Child, Preschool
Cognitive Ability
Cognitive Development
Cohort Studies
Developmental Disabilities - etiology
Executive Function - physiology
Expressive Language
Female
Foreign Countries
Humans
Infant
Infants
Language Acquisition
Language Development
Language Development Survey
Male
Netherlands
Prospective Studies
Questionnaires
Recurrence
Risk
Seizures
Seizures, Febrile - complications
Seizures, Febrile - physiopathology
Surveys and Questionnaires
Toddlers
Vocabulary Development
Young Children
title Febrile seizures and behavioural and cognitive outcomes in preschool children: the Generation R Study
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