创伤后应激障碍和重度抑郁症在癫痫患儿的父母中很常见。
Posttraumatic stress disorder and major depressive disorder is common in parents of children with epilepsy.
作者信息
Iseri Pervin K, Ozten Eylem, Aker Ahmet Tamer
机构信息
Department of Neurology, Kocaeli University Medical School, Kocaeli, Turkey.
出版信息
Epilepsy Behav. 2006 Feb;8(1):250-5. doi: 10.1016/j.yebeh.2005.10.003. Epub 2005 Dec 28.
OBJECTIVE
The purpose of the study was to determine the prevalence of posttraumatic stress disorder (PTSD), posttraumatic stress symptoms (PTSS), and major depressive disorder (MDD) in parents of children with epilepsy.
METHODS
Parents (77 mothers and 3 fathers) of children with epilepsy were administered the Structured Clinical Interview for DSM-IV (SCID), PTSD and MDD modules, and the General Health Questionnaire (GHQ).
RESULTS
The prevalence of both PTSD and MDD was 31.5%. Fifty-six percent (n = 14) of the participants with PTSD had a diagnosis of MDD. PTSD symptom clusters were very prevalent in the parents of children with epilepsy. Reexperiencing and arousal symptom clusters were more frequent (88.8 and 80% respectively) than the avoidance and numbing symptom cluster (32.5%).
CONCLUSION
These findings suggest that a significant proportion of parents of children with epilepsy experience PTSD and MDD. Increased awareness of the clinical presentations of these disorders may help clinicians to develop preventive and intervention strategies for parents of children with epilepsy.
目的
本研究旨在确定癫痫患儿父母中创伤后应激障碍（PTSD）、创伤后应激症状（PTSS）及重度抑郁症（MDD）的患病率。
方法
对癫痫患儿的父母（77名母亲和3名父亲）进行《精神疾病诊断与统计手册》第四版（DSM-IV）的结构化临床访谈（SCID）中PTSD和MDD模块以及一般健康问卷（GHQ）的测评。
结果
PTSD和MDD的患病率均为31.5%。患有PTSD的参与者中有56%（n = 14）被诊断为MDD。PTSD症状群在癫痫患儿父母中非常普遍。再体验症状群和唤醒症状群比回避和麻木症状群更常见（分别为88.8%和80%，而回避和麻木症状群为32.5%）。
结论
这些研究结果表明，相当一部分癫痫患儿的父母患有PTSD和MDD。提高对这些疾病临床表现的认识可能有助于临床医生为癫痫患儿的父母制定预防和干预策略。
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