Decision-making under risk condition in benign epilepsy children with centrotemporal spikes
10.3760/cma.j.issn.1674-6554.2017.04.010
- VernacularTitle:伴中央颞区棘波的儿童良性癫痫风险决策能力研究
- Author:
Xuehui HU
;
Xiaocui WANG
;
Liwei SHEN
;
Xiaofei YE
;
Bin YANG
- Keywords:
Benign epilepsy children with centrotemporal spikes;
Decision-making
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2017;26(4):335-339
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the ability of decision-making under risk condition in benign epilepsy children with centrotemporal spikes (BECT).Method Seventy-eight BECT patients and seventyfive healthycontrols were studied by Iowa Gambling Task (IGT) with inexplicit probability and Game of Dice Test (GDT) with explicit probability.Results (1) There was a significant difference in IGT task scores between the two group (t=-2.56,P＜0.05).The total number of advantageous choices in IGT were lower in BECT group (49.35±5.38) than that in healthy control group (52.24±6.23).BECT group (-1.41 ± 10.60) performed worse on task than healthy control group (4.43±11.88),and the difference was statistically significant (t=-3.21,P＜0.05).The control group scored higher on Blockl,Block4 and Block5 than that of BECT group (P＜0.05).(2) There was no significant difference between the BECT group (4.42±7.74) and the control group(5.49±6.81) in the GDT test scores (t=-0.91,P=0.37).(3) Pearson correlation analysis showed that there was no significant correlation between the age,age of onset,education,seizure frequency and onset duration and the score of IGT and GDT (r =-0.091-0.274,all P ＞ 0.05).Conclusion There is no significant decision-making disability in children with BECT under the condition of certain risk probability,while there is significant impairment under the condition of uncertain risk probability.The decision-making disability may be associated with impaired frontal lobe function.
