Introduction: Seizure recurrence in children with epilepsy is primarily influenced by clinical factors. Family-level factors, including parenting behaviours, may also affect illness management and treatment adherence. However, evidence linking parenting styles to seizure outcomes remains limited. Objectives: To examine associations between parenting styles and recent seizure occurrence among children attending a tertiary paediatric neurology clinic. Methods: This cross-sectional study included 155 children aged 6–18 years with epilepsy . Parenting style was assessed using the Parenting Style Assessment Questionnaire (PSAQ-S). Seizure occurrence within three months was the primary outcome. Associations were analysed using non-parametric tests and logistic regression adjusting for age, sex, epilepsy duration, antiepileptic drug (AED) count, and seizure severity . Results: Thirty-seven children (23.9%) had experienced a seizure within the preceding threemonths. In unadjusted analyses, higher Presenting Authoritarian (OR 1.112, 95% CI 1.035–1.194, p=0.004), permissive (OR 1.117 , 95% CI 1.029–1.211, p=0.008), and neglectful (OR 1.092, 95% CI 1.008–1.183, p=0.031) scores were associated with recent seizure occurrence. In multivariate models, parenting subscales were no longer independently associated. Seizure severity (aOR 3.769, 95% CI 1.671–8.503, p=0.001), AED count (aOR 1.280, 95% CI 1.014–1.616, p=0.038), shorter duration of epilepsy (aOR 0.801, 95% CI 0.659–0.974, p=0.026) remained significant predictors. Conclusions: These findings suggest that short-term seizure recurrence is drivenpredominantly by clinical disease burden rather than parenting style. Family dynamics may play a contextual or indirect role, but their independent influence appears limited in this setting. Further longitudinal research is needed to explore indirect family effects.