ICNC2018 Abstracts & Symposia Proposals, ICNC 2014

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THE EFFECT OF DEPRESSION ON COGNITIVE PERFORMANCE IN CHILDREN WITH REFRACTORY MESIAL TEMPORAL SCLEROSIS (MTS)
Gopukumar Kumarpillai

Last modified: 2014-04-03

Abstract


Aim:

The aim of the present study focuses the difference between high and low depression and cognitive functions of Mesial Temporal Sclerosis (MTS) children, and to study the relationship between depression and cognitive performance.

Method:

Thirty-six MTS children were included in the study, and the  subjects were set up by a median split of the scores obtained on the Centre for Epidemiological Studies – Depression Scale for Children (CES-DC) high depression (N = 15) and low depression (N = 21). Standardized neuropsychological tests were employed in the domains of motor speed, mental speed, attention, working memory, executive functions and learning and memory.

Results:

Group Analysis: Mean, SD, ANOVA and correlation analyses were used to interpret the data. Individual analysis: Scores were compared with age, education and gender specific norms. Results: High and low depression groups significantly differ on  visual learning & memory [(CFT-copy, (P=0.019), CFT-IR, (P=0.01), CFT-DR- (P=0.008)]; and verbal  learning & memory [(AVLT-Total (P=0.008), AVLT-IR (P=0.01), AVLT-DR (P=0.012);  LM-IR (P=0.027)}. There is a significant relationship between high depression and the  neuropsychological variables on CFT-DR ( P=0.05), LM–IR (P=0.19), LM-DR (P=0.016) and DSST (P=0.024).

Conclusion:

  • The MTS children who performed low in cognitive functions reported higher level of depression.
  • MTS children’s cognitive impairments are seen more in attention, processing speed, learning and memory functions.
  • MTS children are not affected in the areas of focused & divided attention, motor speed,  mental speed, comprehension and executive functions.
  • It was concluded that high depression is associated with Bi-temporal involvement.

Keywords


Mesial Temporal Sclerosis children, Depression, cognitive performance

References


 

  1. Annegers JF. The epidemiology of epilepsy. In: Wyllie E, editor. The treatment of epilepsy: Principles and practice. 3 rd ed. Lippincott Williams and Wilkins: Philadelphia; 2001. p. 131-8.
  2. Schachter SC. Epilepsy. Neurol Clin 2001; 19:57-78.
  3. 3. David Blum “Total Impact of Epilepsy: Biological, Psychological, Social, and Economic Aspects ; Division of Neurology,year:1999 volume 15; no 1.
  4. 4. Sarason, I. G. & Sarason, B. R. (2002). Abnormal Psychology: the Problem of Maladaptive Behaviour. Upper Saddle River, N.J: Prentice Hall.
  5. 5. S Paradiso, B P Hermann, D Blumer, K Davies, R G Robinson Journal of Neurology, Neurosurgery & Psychiatry.2001“impact of depressed mood on neuropsychological status in temporal lobe epilepsy”
  6. Sanchez-Gistau V, Pintor L, Sugranyes G, Bailles E, Carreno M, Donaire A, Boget T, Setoain X, Bargallo N, Rumia J. (2009) Prevalence of interictal psychiatric disorders in patients with refractory temporal and extratemporal lobe epilepsy in Spain. A comparative study. Epilepsia.
  7. 7. Ciechanowski, P et al. PEARL’s depression treatment for individuals with epilepsy(2010).
  8. Rutter ML. Psycho-social disorders in childhood, and their outcome in adult life. J R Coll Physicians Lond 1970;4:211-218.
  9. Thome-Souza S, Kuczynski E, Assumpção F Jr., et al. “Which factors may play a pivotal role on determining the type of psychiatric disorder in children and adolescents with epilepsy? “Epilepsy Behav 2004;5:988-994.

10.   Ettinger AB, Weisbrot DM, Nolan EE, et al. “Symptoms of depression and anxiety in pediatric epilepsy patients.” Epilepsia 1998;39:595-599. Ott D, Siddarth P, Gurbani S, et al. Behavioral disorders in pediatric epilepsy: unmet psychiatric need. Epilepsia 2003;44:591-597.

11.  .Baker GA.” Depression and suicide in adolescents with epilepsy.” Neurology 2006;66:S5-S12

12.  Sanchez-Gistau VSugranyes GBaillés ECarreño MDonaire ABargalló NPintor L. Epilepsia. 2012 Feb.

13.  Rao, Subbakrishna & Gopukumar (2005). NIMHANS Neuropsychology Battery, NIMHANS Publication, India.

14.  Maj, M., Satz, P., Janssen, R., Zaudig, M., Starace, F., D’Elia, L.F., Sughondhabirom, B., Mussa, M., Naber, D., Ndetei, D., Schulte, G., Sartorius, N. (1994) WHO Neuropsychiatric AIDS study, cross sectional phase II: Neuropsychological and neurological findings. Archives of General Psychiatry, 51, 51-61.

15.  Lezak, M. D. (1995) Neuropsychological Assessment (3rd ed.) New York, Oxford University Press.

16.  Schmidt, M. (1996) Rey Auditory Verbal Learning Test: A handbook. Los Angles. Western Psychological Services.


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