Title:
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Social understanding in children with epilepsy
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Children with epilepsy are at increased risk of communication and behavioural problems.
Previous research has not assessed whether difficulties with social understanding are a
contributory factor. This thesis contains three studies that addressed social cognitive
reasoning and social attention in a group of children with epilepsy and typically developing
children in mainstream education. The studies employed diverse methodologies to explore
functioning in a number of cognitive and attention domains known to contribute to social
understanding skills. The first study involved 55 children with epilepsy and 69 typically
developing children. It employed social cognitive and social perceptual reasoning tasks,
standardized assessments of IQ and expressive language and parental report measures of
communication and behaviour. The findings suggest that children with epilepsy have
difficulty with socio-cognitive reasoning that may be independent of functioning in other
non-social domains. The degree of socio-cognitive impairment also predicted increased
parental reports of communication and behaviour problems in some children. The second
study involved 57 children (34 with epilepsy) and addressed bias in mental states
attribution. It provides evidence that atypical mental states attribution is associated with
poor executive function and attention in children with epilepsy who have increased reports
of behavioural problems. The third study used eye tracking to assess social attention and
inhibition to dynamic displays of gaze and emotion. It involved 59 children (25 with
epilepsy). The children with epilepsy demonstrated atypical responding to gaze and emotion
signals and performance was associated with increased reports of social problems. Overall,
the findings suggest that social cognition and social attention are areas of vulnerability in
some children with epilepsy.
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