Children with epilepsy are at risk for impaired social cognition and autism. We aimed at evaluating the utility of the social responsiveness scale (SRS) for assessment of social impairment in these children. Prospective study; the SRS was applied to a group of children with epilepsy and a healthy control group. Intellectual disability in the epilepsy group was assessed utilizing adapted versions of the Wechsler Intelligence and adaptive behavior scales. One hundred and one children with epilepsy and 92 healthy children were included. The majority of children in both groups had normal SRS scores. Significant differences were identified in children with high total scores indicating significant deficiencies in reciprocal social behavior; high scores were found in 16% of children with epilepsy versus 7% of normal children, p < .05, particularly involving social communication, p < .05. Intellectual disability was identified in 42% of children with epilepsy, particularly processing speed index, p < .001. Intellectual disability had a significant effect on total scores, p = .016. Children with epilepsy have increased risk of social impairments. Social impairments are more likely in the presence of intellectual disability. The SRS is a quick identification tool that can be employed in the outpatient setting.

患有癫痫症的儿童面临社会认知受损和自闭症的风险。我们旨在评估社会反应量表 (SRS) 在评估这些儿童的社会障碍方面的效用。前瞻性研究; SRS应用于一组癫痫患儿和一个健康对照组。癫痫组的智力障碍使用韦氏智力和适应性行为量表的改编版本进行评估。包括101名癫痫儿童和92名健康儿童。两组中的大多数儿童的 SRS 评分正常。在总分高的儿童中发现了显着差异，表明互惠社会行为存在显着缺陷；在 16% 的癫痫儿童中发现高分，而在正常儿童中则为 7%，p< .05，特别是涉及社会交流，p < .05。在 42% 的癫痫儿童中发现智力障碍，尤其是处理速度指数，p < .001。智力障碍对总分有显着影响，p = .016。患有癫痫症的儿童会增加社交障碍的风险。如果存在智力障碍，则更有可能出现社交障碍。SRS 是一种快速识别工具，可用于门诊设置。