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Temperament and Character Factors in Korean Children With Seizure Disorders

Park, Subin MD*; Yoo, Hanik K. MD, PhD*; Kim, Jin Yong MD*; Jeon, Jeongwon MD*; Choi, Soon Ho MD*; Wang, Hee-Ryung MD*; Sung Ko, Tae MD, PhD

The Journal of Nervous and Mental Disease: June 2007 - Volume 195 - Issue 6 - p 470-476
doi: 10.1097/NMD.0b013e3180302608
Original Article

Although the organic and psychosocial consequences of seizure disorders are thought to affect temperament and character patterns, these patterns in children with seizure disorders have not yet been investigated. We therefore investigated temperament and character patterns in Korean children with seizure disorders and their associations with seizure-related variables. The Korean version of the Junior Temperament and Character Inventory was used to assess temperament and character factors of 65 children with seizure disorders (32 boys, 33 girls; mean age, 10.6 ± 1.8 years) and 65 healthy controls matched for age and sex. Children with seizure disorders showed higher harm avoidance, and lower persistence, self-directedness, and cooperativeness than controls. In children with seizure disorders, character factors such as self-directedness, cooperativeness, and self-transcendence were significantly associated with seizure type, and cooperativeness was correlated with seizure severity. Novelty seeking and self-directedness were correlated with paternal educational level and parental economic status, respectively. These findings suggest that children with seizure disorders have distinctive temperament and character patterns, with seizure type being the most influential factor modulating character patterns.

Departments of *Psychiatry, and †Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Send reprint requests to Hanik K. Yoo, MD, PhD, Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. E-mail:

© 2007 Lippincott Williams & Wilkins, Inc.