Evidence map›Paper›PMID 31122836›Full record

ArticlePediatric neurology2019

The Timing, Nature, and Range of Neurobehavioral Comorbidities in Juvenile Myoclonic Epilepsy.

Dace N Almane, Jana E Jones, Taylor McMillan, Carl E Stafstrom, David A Hsu, Michael Seidenberg, Bruce P Hermann, Temitayo O Oyegbile

Open access · greenAbstract read
In one paragraph

Article in Pediatric neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Psychiatric Comorbidities in Pediatric Epilepsy.Current psychiatry reports · 2020
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Dace N AlmaneDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
Jana E JonesDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
Taylor McMillanDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
Carl E StafstromDepartment of Neurology, Johns Hopkins School of Medicine, Baltimore Maryland.
David A HsuDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
Michael SeidenbergRosalind Franklin University of Medicine and Science, Chicago Illinois.
Bruce P HermannDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
Temitayo O OyegbileDepartment of Pediatrics and Neurology, Georgetown University, Washington District of Columbia. Electronic address: too3@georgetown.edu.
University of Wisconsin–Madison · USGeorgetown University · USJohns Hopkins University · USRosalind Franklin University of Medicine and Science · US

Funding

Neuropsychological Progression of New Onset EpilepsyR01NS044351 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI HERMANN, BRUCE PHILLIP · 2003 to 2015
$6.3M
Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2016 to 2020
$5.9M
Neuropsychological Progression in New Onset EpilepsyR56NS044351 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI HERMANN, BRUCE PHILLIP, JONES, JANA E · 2011 to 2019
$1.0M
NICHD NIH HHS U54 HD090257NINDS NIH HHS R01 NS044351NINDS NIH HHS R56 NS044351
6 · The paper itself

Abstract

backgroundAccumulating evidence suggests that considerable cognitive and psychiatric comorbidity is associated with juvenile myoclonic epilepsy, for which the etiology remains controversial. Our goal was to comprehensively characterize the status of multiple neurobehavioral comorbidities in youth with new- or recent-onset juvenile myoclonic epilepsy, before effects of chronic seizures and medications.

methodsA total of 111 children aged eight to 18 years (41 new- or recent-onset juvenile myoclonic epilepsy and 70 first-degree cousin controls) underwent neuropsychological assessment (attention, executive, verbal, perceptual, speed), structured review of need for supportive academic services, parent reports of behavior and executive function (Child Behavior Checklist and Behavior Rating Inventory of Executive Function), and formal structured psychiatric interview and diagnosis (Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version).

resultsChildren with juvenile myoclonic epilepsy performed worse than controls across all tested cognitive domains (F(1,105) = 3.85, P < 0.01), utilized more academic services (47% versus 19%, P = 0.002), had more parent-reported behavioral problems and dysexecutive function with lower competence (P < 0.001), and had a higher prevalence of current Axis I diagnoses (attention-deficit/hyperactivity disorder, depression, and anxiety; 54% versus 23%, P = 0.001). Academic and psychiatric problems occurred antecedent to epilepsy onset compared with comparable timeline in controls.

conclusionComprehensive assessment of cognitive, academic, behavioral, and psychiatric comorbidities in youth with new- or recent-onset juvenile myoclonic epilepsy reveals a pattern of significantly increased neurobehavioral comorbidities across a broad spectrum of areas. These early evident comorbidities are of clear clinical importance with worrisome implications for future cognitive, behavioral, and social function. It is important for health care providers to avoid delays in intervention by assessing potential comorbidities early in the course of the disorder to optimize their patients' social, academic and behavioral progress.

Indexed as

AdolescentAnxietyAttention Deficit Disorder with HyperactivityChildChild Behavior DisordersComorbidityDepressionExecutive FunctionFemaleHumansMaleMyoclonic Epilepsy, JuvenileNeuropsychological TestsPrevalenceAcademic issuesAntecedent to seizuresBehaviorChildrenCognitionJuvenile myoclonic epilepsyPsychiatric comorbidities

Identifiers

PMID31122836
PMCPMC6752993
OpenAlexW2921103017

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.