[Latar belakang. Gangguan perilaku pada anak epilepsi memiliki prevalens yangtinggi dan dapat menyebabkan dampak psikososial pada anak. Namun sejauh ini diIndonesia belum terdapat studi yang meneliti gangguan perilaku pada anak epilepsiserta faktor-faktor yang berhubungan.Tujuan. Penelitian ini untuk mengetahui: (1) proporsi dan jenis gangguan perilakupada anak epilepsi berdasarkan child behavior checklist (CBCL), (2) hubunganantara: usia awitan kejang, frekuensi kejang, durasi epilepsi, obat anti epilepsi, tingkatsosial ekonomi, dan pendidikan orangtua, dengan gangguan perilaku pada anakepilepsi, (3) adaptasi keluarga dalam menghadapi anak epilepsi.Metode. Penelitian potong lintang di Klinik Neurologi Anak FKUI RSCM. Skrininggangguan perilaku dengan kuesioner CBCL dilakukan pada 30 anak epilepsi tanpadefisit neurologis dan disabilitas intelektual. Studi kualitatif untuk menilai adaptasikeluarga dalam menghadapi anak epilepsi.Hasil. Terdapat tiga dari tiga puluh anak epilepsi yang mengalami gangguan perilaku,dengan jenis gangguan perilaku eksternalisasi (perilaku melanggar aturan danagresif), masalah sosial dan gangguan pemusatan perhatian. Faktor usia awitan kejang(p=0,280), frekuensi kejang (p=0,007; RP 0,036; IK95% 0,005-0,245), durasi epilepsi(p=1,000), obat anti epilepsi (p=0,020; RP 0,019; IK95% 0,001-0,437), tingkat sosialekonomi (p=0,251), dan pendidikan orangtua (p=1,000), tidak berisiko meningkatkangangguan perilaku. Terdapat sikap dan reaksi, serta persepsi dan stigma orangtuayang negatif dalam menghadapi anak epilepsi yang mengalami gangguan perilaku.Terdapat masalah keluarga sejak anak mengalami epilepsi dan gangguan perilaku.Orangtua tidak dapat menerapkan pola asuh displin dan kemandirian pada anakdengan gangguan perilaku.Simpulan. Proporsi gangguan perilaku pada anak epilepsi tanpa defisit neurologisdan disabilitas intelektual tidak tinggi. Tidak terdapat faktor-faktor yangmemengaruhi gangguan perilaku. Adaptasi keluarga baik dalam menghadapi anakepilepsi tanpa gangguan perilaku, dibandingkan dengan keluarga anak epilepsi yangmengalami gangguan perilaku.
Background. Behavior problems are prevalent in children with epilepsy and havepsychosocial impact in children. However, in Indonesia, no research has ever beendone to study behavior problems in children with epilepsy and related factors.Objectives. This study aimed to define: (1) proportion behavior problem and type ofbehavior disorder based on child behavior checklist (CBCL), (2) the relationshipbetween factors: age at seizure onset, seizure frequency, epilepsy duration,antiepileptic drug, socio-economic, and parents education, with behavior problems inepileptic children, (3) family adaptation on managing children with epilepsy.Method. A Cross sectional study in Pediatric Neurology Clinic FKUI RSCM.Screening for behavior problems with CBCL questionnaires in 30 children withepilepsy without neurologic deficit and intellectual disability. A qualitative studyexamined family adaptation on managing children with epilepsy.Results. There were three of thirty children with epilepsy, who have behaviorproblems, with externalizing disorder (delinquent and agressive behavior), social andattention problems. Age at seizure onset (p=0,280), seizure frequency (p=0,007; PR0,036; CI95% 0,005-0,245), epilepsy duration (p=1,000), anti epileptic drug(p=0,020; PR 0,019; CI95% 0,001-0,437), socio-economic (p=0,251), dan parentseducation (p=1,000), are not risk factors for development of behavior problems.Parents’ behavior and reaction, their perception and stigma are negative on managingchildren with epilepsy and behavior problems. There are family problems since theirchildren have epilepsy and behavior problems. Parents are unable to disciplinechildren with behavior problems and teach them to be independent.Conclusion. The proportion of behavior problems in children with epilepsy withoutneurologic deficit and intellectual disability, are not high. There are no risk factors fordevelopment of behavior problems. Family adaptation on managing children withepilepsy without behavior problems are better than family who have children withepilepsy and behavior problems., Background. Behavior problems are prevalent in children with epilepsy and havepsychosocial impact in children. However, in Indonesia, no research has ever beendone to study behavior problems in children with epilepsy and related factors.Objectives. This study aimed to define: (1) proportion behavior problem and type ofbehavior disorder based on child behavior checklist (CBCL), (2) the relationshipbetween factors: age at seizure onset, seizure frequency, epilepsy duration,antiepileptic drug, socio-economic, and parents education, with behavior problems inepileptic children, (3) family adaptation on managing children with epilepsy.Method. A Cross sectional study in Pediatric Neurology Clinic FKUI RSCM.Screening for behavior problems with CBCL questionnaires in 30 children withepilepsy without neurologic deficit and intellectual disability. A qualitative studyexamined family adaptation on managing children with epilepsy.Results. There were three of thirty children with epilepsy, who have behaviorproblems, with externalizing disorder (delinquent and agressive behavior), social andattention problems. Age at seizure onset (p=0,280), seizure frequency (p=0,007; PR0,036; CI95% 0,005-0,245), epilepsy duration (p=1,000), anti epileptic drug(p=0,020; PR 0,019; CI95% 0,001-0,437), socio-economic (p=0,251), dan parentseducation (p=1,000), are not risk factors for development of behavior problems.Parents’ behavior and reaction, their perception and stigma are negative on managingchildren with epilepsy and behavior problems. There are family problems since theirchildren have epilepsy and behavior problems. Parents are unable to disciplinechildren with behavior problems and teach them to be independent.Conclusion. The proportion of behavior problems in children with epilepsy withoutneurologic deficit and intellectual disability, are not high. There are no risk factors fordevelopment of behavior problems. Family adaptation on managing children withepilepsy without behavior problems are better than family who have children withepilepsy and behavior problems.] |
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