Evidence map›Paper›PMID 32557544›Full record

ArticleEpilepsia2020

Behavioral phenotypes of childhood idiopathic epilepsies.

Bruce P Hermann, Aaron F Struck, Carl E Stafstrom, David A Hsu, Kevin Dabbs, Carson Gundlach, Dace Almane, Michael Seidenberg, Jana E Jones

Abstract read
In one paragraph

Article in Epilepsia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

9 authors.

Bruce P HermannDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID 0000-0003-0133-4427
Aaron F StruckDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID 0000-0002-9103-1798
Carl E StafstromDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland, USA.
David A HsuDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Kevin DabbsDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Carson GundlachDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Dace AlmaneDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Michael SeidenbergDepartment of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.
Jana E JonesDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID 0000-0003-1723-0163

Funding

Neuropsychological Progression of New Onset EpilepsyR01NS044351 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI HERMANN, BRUCE PHILLIP · 2003 to 2015
$6.3M
The Juvenile Myoclonic Epilepsy Connectome ProjectR01NS111022 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI STRUCK, AARON F · 2020 to 2024
$3.1M
Neuropsychological Progression in New Onset EpilepsyR56NS044351 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI HERMANN, BRUCE PHILLIP, JONES, JANA E · 2011 to 2019
$1.0M
NIH HHS 2RO1-44351NINDS NIH HHS R01 NS044351NINDS NIH HHS R01 NS111022NINDS NIH HHS R56 NS044351
6 · The paper itself

Abstract

objectiveTo characterize the presence and nature of discrete behavioral phenotypes and their correlates in a cohort of youth with new and recent onset focal and generalized epilepsies.

methodsThe parents of 290 youth (age = 8-18 years) with epilepsy (n = 183) and typically developing participants (n = 107) completed the Child Behavior Checklist for children aged 6-18 from the Achenbach System of Empirically Based Assessment. The eight behavior problem scales were subjected to hierarchical clustering analytics to identify behavioral subgroups. To characterize the external validity and co-occurring comorbidities of the identified subgroups, we examined demographic features (age, gender, handedness), cognition (language, perception, attention, executive function, speed), academic problems (present/absent), clinical epilepsy characteristics (epilepsy syndrome, medications), familial factors (parental intelligence quotient, education, employment), neuroimaging features (cortical thickness), parent-observed day-to-day executive function, and number of lifetime-to-date Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) diagnoses.

resultsHierarchical clustering identified three behavioral phenotypes, which included no behavioral complications (Cluster 1, 67% of epilepsy cohort [n = 122]), nonexternalizing problems (Cluster 2, 11% of cohort [n = 21]), and combined internalizing and externalizing problems (Cluster 3, 22% of cohort [n = 40]). These behavioral phenotypes were characterized by orderly differences in personal characteristics, neuropsychological status, history of academic problems, parental status, cortical thickness, daily executive function, and number of lifetime-to-date DSM-IV diagnoses. Cluster 1 was most similar to controls across most metrics, whereas Cluster 3 was the most abnormal compared to controls. Epilepsy syndrome was not a predictor of cluster membership. SIGNIFICANCE: Youth with new and recent onset epilepsy fall into three distinct behavioral phenotypes associated with a variety of co-occurring features and comorbidities. This approach identifies important phenotypes of behavior problem presentations and their accompanying factors that serve to advance clinical and theoretical understanding of the behavioral complications of children with epilepsy and the complex conditions with which they co-occur.

Indexed as

PhenotypeAdolescentChildChild Behavior DisordersCohort StudiesCross-Sectional StudiesEpilepsies, PartialEpilepsy, GeneralizedFemaleHumansMaleNeuropsychological Testsbehavior problemsChild Behavior Checklistcluster analysiscomorbidityepilepsylatent groups

Identifiers

PMID32557544
PMCPMC7387224

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Registered trials

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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.