Pellock John M
Division of Child Neurology, Department of Neurology, Virginia Commonwealth University, Medical College of Virginia Campus, Richmond, VA 23298, USA.
Epilepsy Behav. 2004 Oct;5 Suppl 3:S3-9. doi: 10.1016/j.yebeh.2004.06.010.
A variety of comorbid psychiatric conditions are frequently identified in children and adolescents with epilepsy, including depression, anxiety, psychosis, and attention-deficit hyperactivity disorder. Data regarding the epidemiology and precise prevalence of comorbid disorders in childhood epilepsy are incomplete and just now beginning to be compiled. Psychiatric and behavioral comorbidities are believed to affect approximately 40-50% of children and adolescents with epilepsy. Optimal diagnosis, clinical evaluation, and choice of treatment are predicated on the proper identification of coexisting psychiatric and behavioral disorders. Comorbid conditions in children and adolescents with epilepsy should be evaluated and treated as soon as they are recognized.
在患有癫痫的儿童和青少年中,经常会发现多种共病的精神疾病,包括抑郁症、焦虑症、精神病和注意力缺陷多动障碍。关于儿童癫痫中共病疾病的流行病学和确切患病率的数据并不完整,目前才刚刚开始收集。据信,精神和行为共病影响着约40%-50%的癫痫儿童和青少年。最佳诊断、临床评估和治疗选择取决于对共存的精神和行为障碍的正确识别。癫痫儿童和青少年一旦被确认存在共病情况,就应立即进行评估和治疗。