Special education participation in children with epilepsy: What does it reflect?
Abstract Epilepsy is associated with academic and neurocognitive disorders, with the latter often assumed to explain the former. We examined utilization of special education services (SpES) in relation to neurocognitive test scores in a case-matched sibling control study. In a follow-up assessment 8...
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| Veröffentlicht in: | Epilepsy & behavior 2011-10, Vol.22 (2), p.336-341 |
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| creator | Berg, Anne T Hesdorffer, Dale C Zelko, Frank A.J |
| description | Abstract Epilepsy is associated with academic and neurocognitive disorders, with the latter often assumed to explain the former. We examined utilization of special education services (SpES) in relation to neurocognitive test scores in a case-matched sibling control study. In a follow-up assessment 8–9 years after entry into a prospective study of childhood-onset epilepsy, cases and siblings participated in an interview and standardized neurocognitive testing. Analyses included 142 pairs in which both had Full Scale IQ ≥ 80 and the case had normal examination and imaging. Sixty-four (45%) cases and 25 (17.6%) controls reported SpES utilization, (matched odds ratio [mOR] = 5.3, P < 0.0001). Adjustment for neurocognitive test scores resulted in a mOR of 4.6 ( P < 0.0001). Types and duration of services were similar in cases and controls. Twenty-four percent of school-aged cases were already receiving services at the time of initial epilepsy diagnosis. Young people with epilepsy have academic difficulties that are not explained simply by cognitive test scores. |
| doi_str_mv | 10.1016/j.yebeh.2011.07.014 |
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We examined utilization of special education services (SpES) in relation to neurocognitive test scores in a case-matched sibling control study. In a follow-up assessment 8–9 years after entry into a prospective study of childhood-onset epilepsy, cases and siblings participated in an interview and standardized neurocognitive testing. Analyses included 142 pairs in which both had Full Scale IQ ≥ 80 and the case had normal examination and imaging. Sixty-four (45%) cases and 25 (17.6%) controls reported SpES utilization, (matched odds ratio [mOR] = 5.3, P < 0.0001). Adjustment for neurocognitive test scores resulted in a mOR of 4.6 ( P < 0.0001). Types and duration of services were similar in cases and controls. Twenty-four percent of school-aged cases were already receiving services at the time of initial epilepsy diagnosis. 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All rights reserved. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-37bcbab5fdbb041f356db621d2e92d6a01d6f03a8dd94113c8b86d405cf52e183</citedby><cites>FETCH-LOGICAL-c545t-37bcbab5fdbb041f356db621d2e92d6a01d6f03a8dd94113c8b86d405cf52e183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.yebeh.2011.07.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21849261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berg, Anne T</creatorcontrib><creatorcontrib>Hesdorffer, Dale C</creatorcontrib><creatorcontrib>Zelko, Frank A.J</creatorcontrib><title>Special education participation in children with epilepsy: What does it reflect?</title><title>Epilepsy & behavior</title><addtitle>Epilepsy Behav</addtitle><description>Abstract Epilepsy is associated with academic and neurocognitive disorders, with the latter often assumed to explain the former. We examined utilization of special education services (SpES) in relation to neurocognitive test scores in a case-matched sibling control study. In a follow-up assessment 8–9 years after entry into a prospective study of childhood-onset epilepsy, cases and siblings participated in an interview and standardized neurocognitive testing. Analyses included 142 pairs in which both had Full Scale IQ ≥ 80 and the case had normal examination and imaging. Sixty-four (45%) cases and 25 (17.6%) controls reported SpES utilization, (matched odds ratio [mOR] = 5.3, P < 0.0001). Adjustment for neurocognitive test scores resulted in a mOR of 4.6 ( P < 0.0001). Types and duration of services were similar in cases and controls. Twenty-four percent of school-aged cases were already receiving services at the time of initial epilepsy diagnosis. Young people with epilepsy have academic difficulties that are not explained simply by cognitive test scores.</description><subject>Academic difficulties</subject><subject>Adolescent</subject><subject>Case-Control Studies</subject><subject>Case–control study</subject><subject>Child</subject><subject>Children</subject><subject>Cognition Disorders - etiology</subject><subject>Cognitive function</subject><subject>Cohort Studies</subject><subject>Education, Special - methods</subject><subject>Education, Special - statistics & numerical data</subject><subject>Epilepsy</subject><subject>Epilepsy - complications</subject><subject>Epilepsy - psychology</subject><subject>Epilepsy - rehabilitation</subject><subject>Female</subject><subject>Humans</subject><subject>Intelligence Tests</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Siblings - psychology</subject><subject>Special education</subject><subject>Young Adult</subject><issn>1525-5050</issn><issn>1525-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkkFv1DAQhS0EomXhFyCh3Dht6rHjbIJEEaqgRapUpII4Wo49IbN4k9ROivbf42XbFfTSk235zRv7fcPYa-A5cChP1vkWG-xywQFyvso5FE_YMSihloqX9dPDXvEj9iLGNU9CJeE5OxJQFbUo4Zh9vR7RkvEZutmaiYY-G02YyNK4P1Gf2Y68C9hnv2nqMhzJ4xi377IfnZkyN2DMaMoCth7t9OEle9YaH_HV3bpg3z9_-nZ2sby8Ov9y9vFyaVWhpqVcNbYxjWpd0_ACWqlK15QCnMBauNJwcGXLpamcqwsAaaumKl3BlW2VQKjkgp3ufce52aCz2E_BeD0G2piw1YMh_f9NT53-OdxqCZVKMSSDt3cGYbiZMU56Q9Gi96bHYY665kXKqK7Fo8qqLgUXRTJdMLlX2jDEmCI5vAe43kHTa_0Xmt5B03ylE7RU9ebfrxxq7iklwfu9AFOgt4RBR0vYW3QUUubaDfRIg9MH9dZTT9b4X7jFuB7m0CdWGnQUmuvr3dzsxgaA80LIWv4BzIa_eA</recordid><startdate>20111001</startdate><enddate>20111001</enddate><creator>Berg, Anne T</creator><creator>Hesdorffer, Dale C</creator><creator>Zelko, Frank A.J</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>20111001</creationdate><title>Special education participation in children with epilepsy: What does it reflect?</title><author>Berg, Anne T ; Hesdorffer, Dale C ; Zelko, Frank A.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c545t-37bcbab5fdbb041f356db621d2e92d6a01d6f03a8dd94113c8b86d405cf52e183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Academic difficulties</topic><topic>Adolescent</topic><topic>Case-Control Studies</topic><topic>Case–control study</topic><topic>Child</topic><topic>Children</topic><topic>Cognition Disorders - etiology</topic><topic>Cognitive function</topic><topic>Cohort Studies</topic><topic>Education, Special - methods</topic><topic>Education, Special - statistics & numerical data</topic><topic>Epilepsy</topic><topic>Epilepsy - complications</topic><topic>Epilepsy - psychology</topic><topic>Epilepsy - rehabilitation</topic><topic>Female</topic><topic>Humans</topic><topic>Intelligence Tests</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Siblings - psychology</topic><topic>Special education</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berg, Anne T</creatorcontrib><creatorcontrib>Hesdorffer, Dale C</creatorcontrib><creatorcontrib>Zelko, Frank A.J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Epilepsy & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berg, Anne T</au><au>Hesdorffer, Dale C</au><au>Zelko, Frank A.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Special education participation in children with epilepsy: What does it reflect?</atitle><jtitle>Epilepsy & behavior</jtitle><addtitle>Epilepsy Behav</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>22</volume><issue>2</issue><spage>336</spage><epage>341</epage><pages>336-341</pages><issn>1525-5050</issn><eissn>1525-5069</eissn><abstract>Abstract Epilepsy is associated with academic and neurocognitive disorders, with the latter often assumed to explain the former. We examined utilization of special education services (SpES) in relation to neurocognitive test scores in a case-matched sibling control study. In a follow-up assessment 8–9 years after entry into a prospective study of childhood-onset epilepsy, cases and siblings participated in an interview and standardized neurocognitive testing. Analyses included 142 pairs in which both had Full Scale IQ ≥ 80 and the case had normal examination and imaging. Sixty-four (45%) cases and 25 (17.6%) controls reported SpES utilization, (matched odds ratio [mOR] = 5.3, P < 0.0001). Adjustment for neurocognitive test scores resulted in a mOR of 4.6 ( P < 0.0001). Types and duration of services were similar in cases and controls. Twenty-four percent of school-aged cases were already receiving services at the time of initial epilepsy diagnosis. 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| subjects | Academic difficulties Adolescent Case-Control Studies Case–control study Child Children Cognition Disorders - etiology Cognitive function Cohort Studies Education, Special - methods Education, Special - statistics & numerical data Epilepsy Epilepsy - complications Epilepsy - psychology Epilepsy - rehabilitation Female Humans Intelligence Tests Male Multivariate Analysis Neurology Neuropsychological Tests Siblings - psychology Special education Young Adult |
| title | Special education participation in children with epilepsy: What does it reflect? |
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