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Thus, we aimed to characterize the profile of attention difficulties in children with epilepsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010five children with localization\u2010related epilepsy ages 6\u201316 years and 75 age\u2010matched controls were evaluated using multimodal, multidimensional measures of attention including direct performance and parent ratings of attention as well as intelligence testing. We assessed group differences across attention measures, determined if parent rating predicted performance on attention measures, and examined if epilepsy characteristics were associated with attention skills.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content> group performed worse than the <jats:styled-content style=\"fixed-case\">TD<\/jats:styled-content> group on timed and complex attention aspects of attention (p\u00a0&lt;\u00a00.05), whereas performance on simple visual and simple auditory attention tasks was comparable. Children with <jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content> were 12 times as likely as <jats:styled-content style=\"fixed-case\">TD<\/jats:styled-content> children to have clinically elevated symptoms of inattention as rated by parents, but ratings were a weak predictor of attention performance. Earlier age of onset was associated with slower motor speed (p\u00a0&lt;\u00a00.01), but no other epilepsy\u2010related clinical characteristics were associated with attention skills.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>This study clarifies the nature of the attention problems in pediatric epilepsy, which may be under\u2010recognized. Children with <jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content> had difficulty with complex attention and rapid response, not simple attention. As such, they may not exhibit difficulty until later in primary school when demands increase. Parent report with standard <jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content> screening tools may under\u2010detect these higher\u2010order attention difficulties. Thus, monitoring through direct neuropsychological performance is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/epi.12985","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T10:51:19Z","timestamp":1430736679000},"page":"833-840","source":"Crossref","is-referenced-by-count":36,"title":["Speed and complexity characterize attention problems in children with localization\u2010related epilepsy"],"prefix":"10.1111","volume":"56","author":[{"given":"Madison M.","family":"Berl","sequence":"first","affiliation":[{"name":"Children's National Health System (CNHS) Washington District of Columbia U.S.A"},{"name":"George Washington University Washington District of Columbia U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia","family":"Terwilliger","sequence":"additional","affiliation":[{"name":"Children's National Health System (CNHS) Washington District of Columbia 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