儿童期癫痫并发抑郁焦虑症相关性分析.doc

儿童期癫痫并发抑郁及焦虑症的相关性分析
【摘要】目的：评价儿童癫痫患者抑郁及焦虑症状的发生率。方法：44名儿童癫痫患者，年龄7-18岁（），采用改良儿童焦虑症评分和儿童抑郁调查表，检测焦虑、抑郁评分及相关的人口统计学、社会经济学与癫痫的相关性。结果：实验初期无人表现抑郁或焦虑，但后期26%出现抑郁性评分增高，16%出现明显的焦虑症状。结论：儿童期癫痫患者常见抑郁及焦虑症状，且易被忽略。
【关键词】焦虑;抑郁;儿童期癫痫
【中图分类号】【文献标识码】b【文章编号】1008-6455（2011）08-0380-02
depressive and anxiety symptoms in pediatric epilepsy
kan minchen1 song chunhai2 che xiangyu2 et al.
【abstract】objective:to assess rates of symptoms of anxiety and depression among pediatric patients with epilepsy. methods: the revised child manifest anxiety scale （rcmas） and child depression inventory （cdi） were administrated to 84 epilepsy patients aged 7-18 years （mean age years）. demographic, socioeconomic, and epilepsy-related information was examined in relation to depression and anxiety scores. results: no patients had been previously identified to have depression or anxiety. however, 26% had significantly increased depression scores and 16% met critieria for significant anxiety symptomatology. conclusions: symptoms of depression and anxiety are common among pediatric patients with epilepsy and appear to be overlooked by care providafs.
【key words】anxiety;depression;pediatric epilepsy
癫痫是儿童常见的神经系统疾病[1]。以往的研究显示，癫痫患儿是心理疾患，包括抑郁、焦虑等的易感人群。但大多数研究主要针对***；对儿童期癫痫患者心理学并发症的研究少见。此外，某些抗癫痫药物如苯巴比妥也有导致儿童抑郁症的副作用。目前，我国对儿童期癫痫后抑郁症和焦虑症的发病率和确诊率报道较少。
国外有报道称儿童期癫痫后精神障碍发生率高达33%[2]，但未专门描述情感类疾病。也有报道称