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Communication deficits in pediatric complex partial seizure disorder and schizophrenia

Published online by Cambridge University Press:  31 October 2008

Rochelle Caplan ,
Donald Guthrie ,
W. Donald Shields  and
Sue Yudovin
Rochelle Caplan*
Affiliation:
Division of Child Psychiatry
Donald Guthrie
Affiliation:
Department of Biostatistics and Mental Retardation Research Center
W. Donald Shields
Affiliation:
Departments of Neurology and Pediatrics
Sue Yudovin
Affiliation:
Departments of Neurology and Pediatrics, University of California, Los Angeles
*
Address correspondence and reprint requests to: Rochelle Caplan, M.D., Neuropsychiatric Institute, 760 Westwood Plaza, Los Angeles, CA 90024.
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Abstract

Based on findings that, like schizophrenic children, children with complex partial seizure disorder have illogical thinking, this study examined whether or not these same epileptic subjects had other thought processing impairments found in schizophrenic children. Compared to normal children (N = 38), both the epileptic (N = 27) and schizophrenic children (N = 31) underutilized discourse (cohesive) devices that make speech coherent. The severity of the discourse deficits and formal thought disorder of the schizophrenic children was associated with age, but not with IQ scores. Age, IQ, and seizure-related, not behavioral variables, were associated, however, with the severity of the discourse deficits of the epileptic subjects. The study' findings suggest that measures of impaired thought processing and communication in schizophrenic children could be a model to study the developmental impact of complex partial seizure disorder in middle childhood. The clinical implications of the study's findings are discussed.

Type
Articles
Information
Development and Psychopathology , Volume 6 , Issue 3 , Summer 1994 , pp. 499 - 517
Copyright
Copyright © Cambridge University Press 1994

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