Watten V P, Watten R G
Røysumtunet Centre for Rehabilitation, Lillehammer College, Trondheim, Norway.
Seizure. 1999 Aug;8(5):304-9. doi: 10.1053/seiz.1999.0294.
The aim of this study was to explore whether patients with epilepsy show characteristic psychological profiles which might be risk factors for epileptic seizures. The instruments used in the case-control study were the Millon Behavioural Health Inventory (MBHI) and the Arnett Inventory of Sensation Seeking (AISS). A sample of hospitalized patients with medically refractory epilepsy (n = 15) and a sample of healthy controls (n = 15) matched on age and gender. Compared to the controls, the patients with epilepsy showed different psychological profiles. The patients with epilepsy showed significantly higher scores on the basic coping styles MBHI Inhibition style and MBHI Sensitivity style, and lower scores on the MBHI Sociability and the MBHI Confidence. The epilepsy group also exhibited elevated scores on the MBHI psychogenic attitude scales Chronic tension, Recent stress, Pre-morbid pessimism, Social alienation and Somatic anxiety. The patient group had lower sensation-seeking scores on the AISS Novelty scale, the AISS Intensity scale and in AISS Total scores. Some patients with medically refractory epilepsy show dysfunctional coping styles. These factors should be taken into consideration in treatment and rehabilitation planning. The findings point to psychological risk factors for eliciting epileptic seizures.
本研究的目的是探讨癫痫患者是否呈现出可能作为癫痫发作危险因素的特征性心理状况。该病例对照研究中使用的工具是米隆行为健康量表（MBHI）和阿尼特寻求感觉量表（AISS）。选取了15名药物难治性癫痫住院患者作为样本，并选取了15名在年龄和性别上与之匹配的健康对照者作为样本。与对照组相比，癫痫患者呈现出不同的心理状况。癫痫患者在MBHI基本应对方式抑制型和MBHI敏感型上的得分显著更高，而在MBHI社交性和MBHI自信方面得分更低。癫痫组在MBHI心因性态度量表慢性紧张、近期压力、病前悲观、社会疏离和躯体焦虑方面的得分也有所升高。患者组在AISS新奇性量表、AISS强度量表和AISS总分上的寻求感觉得分较低。一些药物难治性癫痫患者表现出功能失调的应对方式。在治疗和康复计划中应考虑这些因素。研究结果指出了引发癫痫发作的心理危险因素。
