NCT03806946

Brief Summary

The most common neuropsychiatric disorder in early childhood is attention deficit/hyperactivity disorder (ADHD) with evidence of abnormality in structure and function of brain. Epilepsy is one of the commonest comorbidity associated with ADHD with negative outcome on childrens' quality of life, and is considered to be a risk for academic underachievement. These two disorders are highly associated, with more possibility to be a bidirectional relationship. The mechanisms of this comorbidity are unknown. In this association, a difficult challenge is presented since antiepileptic therapy and drugs used to treat ADHD may aggravate the clinical picture of each other. The main objectives are to evaluate this overlap of those disorders, find their complications on child and his family, and to suggest possible solutions to improve the outcome of those children.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Feb 2019

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 9, 2018

Completed
8 months until next milestone

First Posted

Study publicly available on registry

January 16, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

February 15, 2019

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2020

Completed
Last Updated

April 14, 2020

Status Verified

April 1, 2020

Enrollment Period

11 months

First QC Date

May 9, 2018

Last Update Submit

April 13, 2020

Conditions

Outcome Measures

Primary Outcomes (4)

  • measure intellectual equations for children with epilepsy and ADHD

    WISC-III provided scores for Verbal IQ (VIQ), Performance IQ (PIQ), and Full-Scale IQ (FSIQ). The child's verbal IQ score was derived from scores on six of the subtests: information, digit span, vocabulary, arithmetic, comprehension, and similarities. The child's performance IQ was derived from scores on the remaining seven subtests: picture completion, picture arrangement, block design, object assembly, coding, mazes, and symbol search. The overall intelligence quotient, called the full scale IQ, as well as a verbal IQ and a performance IQ. The three IQ scores are standardized in such a way that a score of 100 is considered average and serves as a benchmark for higher and lower scores.

    baseline

  • measure socioeconomic class for families and children with comorbid epilepsy and ADHD

    It will be measure by Socioeconomic class scale which consist of It contain four main variables 1-the educational level of the father and mother 2-the occupation of the father and mother 3-total family income 4-life style of the family. The total score of the scale equal the sum of scores in each level, the scores 36-42 mean the high socioeconomic class, the scores 21-26 mean the low socioeconomic class, and scores between them mean the middle class.

    baseline

  • measure mood and feeling changes in children with comorbid epilepsy and ADHD.

    It will be measure by Mood and Feelings Questionnaire (MFQ) arent Report is a 13-item measure assessing recent depressive and describe feelings and mood,more than 26 is consider for evaluation of depression

    baseline

  • measure quality of life for children with comorbid epilepsy and ADHD

    It is composed of 23 items that assessment function in the following four areas: physical (eight items), emotional (five items), social (five items), and school (five items). Patients report their function using a 5-point Likert scale ranging from 0 to 4. These responses are reverse scored and linearly transformed to a 0 to 100 scale, with a higher score indicating a higher QOL. The Psychosocial Health Summary score is a computed mean of the emotional, social, and school functioning subscales of the PedsQL. The physical functioning scale is the same as the Physical Summary score. In addition, the computed mean of the Emotional, Social, School functioning, and Physical scales are used to generate a Total Summary score. PedsQL scales are composed of parallel child self-report and parent-proxy report formats.

    baseline

Study Arms (5)

group1

ADHD with normal EEG

Diagnostic Test: electroencephalographyDiagnostic Test: psychometric scales to diagnosis psychiatric disordersOther: psychometric scales for assesment socioeconomic and behaviour problems

group 2

ADHD with abnormal EEG

Diagnostic Test: electroencephalographyDiagnostic Test: psychometric scales to diagnosis psychiatric disordersOther: psychometric scales for assesment socioeconomic and behaviour problems

group 3

Epilepsy

Diagnostic Test: electroencephalographyDiagnostic Test: psychometric scales to diagnosis psychiatric disordersOther: psychometric scales for assesment socioeconomic and behaviour problems

group 4

Healthy control group

Diagnostic Test: electroencephalographyDiagnostic Test: psychometric scales to diagnosis psychiatric disordersOther: psychometric scales for assesment socioeconomic and behaviour problems

group 5

ADHD and epilepsy

Diagnostic Test: electroencephalographyDiagnostic Test: psychometric scales to diagnosis psychiatric disordersOther: psychometric scales for assesment socioeconomic and behaviour problems

Interventions

electroencephalographyDIAGNOSTIC_TEST

diagnosis epileptic discharge

Also known as: EEG
group 2group 3group 4group 5group1

to diagnosis intellectual disability, attention deficit hyperactivity disorder ,epilepsy,autism and other mental illness.

Also known as: WISC III (Wechsler Intelligence Scale for Children),conners 3rd Edition,(cbcl)The Child Behavior Checklis,Epilepsy interview,The Childhood Autism Spectrum Test (CAST)
group 2group 3group 4group 5group1

to assessment other behavioural comorbidity as aggression ,mood changes,etc and help in identify function impairment, social and economic burden

Also known as: socioeconomic class, pediatric quality of life inventory, The Strengths and Difficulties Questionnaire (SDQ),The Mood and Feelings Questionnaire (MFQ),
group 2group 3group 4group 5group1

Eligibility Criteria

Age6 Years - 11 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)
Sampling MethodProbability Sample
Study Population

childern and adolescent attending psychiatric outpatients clinic of Assiut university who had diagnosis of attention deficit hyperactivity disorder or epilepsy or both and with age (6y-11y)

You may qualify if:

  • Both males and females were included.
  • Age range from 6- 11 years.
  • Diagnosis of ADHD and/or epilepsy was verified and confirmed either on a clinical basis or by using reliable psychometric tests.
  • In epilepsy groups: only Idiopathic type was included.
  • Willing of the parents or the caregivers to participate in the study.

You may not qualify if:

  • Children whom caretakers refused to give informed consent.
  • Children with intelligence quotient below 70.
  • Children with history or current substance use.
  • Children with medical or other neurological conditions.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Assiut University Hospital

Asyut, 71111, Egypt

Location

Related Publications (8)

  • Dunn DW, Austin JK, Huster GA. Behaviour problems in children with new-onset epilepsy. Seizure. 1997 Aug;6(4):283-7.

  • Kanner AM. The use of psychotropic drugs in epilepsy: what every neurologist should know. Semin Neurol. 2008 Jul;28(3):379-88. doi: 10.1055/s-2008-1079342. Epub 2008 Jul 24.

  • Chou IC, Chang YT, Chin ZN, Muo CH, Sung FC, Kuo HT, Tsai CH, Kao CH. Correlation between epilepsy and attention deficit hyperactivity disorder: a population-based cohort study. PLoS One. 2013;8(3):e57926. doi: 10.1371/journal.pone.0057926. Epub 2013 Mar 6.

  • Sherman EM, Slick DJ, Connolly MB, Eyrl KL. ADHD, neurological correlates and health-related quality of life in severe pediatric epilepsy. Epilepsia. 2007 Jun;48(6):1083-91. doi: 10.1111/j.1528-1167.2007.01028.x. Epub 2007 Mar 22.

  • Kaufmann R, Goldberg-Stern H, Shuper A. Attention-deficit disorders and epilepsy in childhood: incidence, causative relations and treatment possibilities. J Child Neurol. 2009 Jun;24(6):727-33. doi: 10.1177/0883073808330165.

  • Kirov R, Kinkelbur J, Banaschewski T, Rothenberger A. Sleep patterns in children with attention-deficit/hyperactivity disorder, tic disorder, and comorbidity. J Child Psychol Psychiatry. 2007 Jun;48(6):561-70. doi: 10.1111/j.1469-7610.2007.01729.x.

  • Dickstein, L.J., Roba, M.B. and Oldham, J.M.(1997): Review of psychiatry. AmericanPsychiatric Press. Washington, DC. London,England.

    RESULT
  • Ahmed GK, Darwish AM, Khalifa H, Khashbah MA. Evaluation of psychiatric comorbidity in attention-deficit hyperactivity disorder with epilepsy: A case-control study. Epilepsy Res. 2021 Jan;169:106505. doi: 10.1016/j.eplepsyres.2020.106505. Epub 2020 Nov 21.

MeSH Terms

Conditions

Attention Deficit Disorder with HyperactivityEpilepsy

Interventions

Electroencephalography

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior DisordersNeurodevelopmental DisordersMental DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

Diagnostic Techniques, NeurologicalDiagnostic Techniques and ProceduresDiagnosisElectrodiagnosis

Study Officials

  • Alaa El-Din Darweesh, PhD

    Assiut University

    STUDY DIRECTOR
  • HossamEddin Ahmad, PhD

    Assiut University

    STUDY CHAIR
  • Patrick Bolton, PhD

    King's College London

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistent lecture

Study Record Dates

First Submitted

May 9, 2018

First Posted

January 16, 2019

Study Start

February 15, 2019

Primary Completion

December 30, 2019

Study Completion

March 1, 2020

Last Updated

April 14, 2020

Record last verified: 2020-04

Locations