Høie B, Sommerfelt K, Waaler P E, Alsaker F D, Skeidsvoll H, Mykletun A
Section for Paediatrics, Department of Clinical Medicine, University of Bergen, Norway.
Dev Med Child Neurol. 2006 Mar;48(3):213-9. doi: 10.1017/S0012162206000454.
In this study we describe psychosocial functions and seizure-related factors in a population-based sample of children with epilepsy. Psychosocial problems (Achenbach scales), cognitive function, and socioeconomic status were studied in 117 children with epilepsy aged between 6 and 13 years (mean age 11y [SD 2y 1mo] and 10y 8mo [SD 2y]; 71 males, 46 females) and in randomly selected controls matched with 117 children for sex and age (mean age 11y 2mo [SD 2y 1mo] and 10y 5mo [SD 2y 4mo]; 69 males, 48 females). The children had partial (n=67), generalized (n=43), or undetermined (n=7) epilepsy syndromes, and partial (n=68), generalized (n=47), or other (n=2) main seizure types. Psychosocial problems were more common among children with epilepsy than controls (odds ratio 5-9) and significantly related to epilepsy syndrome, main seizure type, age at onset, and seizure frequency. Mothers and teachers reported males with epilepsy as having more problems than females. Females self-reported psychosocial problems, males did not. Psychosocial problems were common in childhood epilepsy. Females appreciated the problems more realistically than males. Psychosocial problems should be considered an integral part of epilepsy management.
在本研究中，我们描述了基于人群的癫痫患儿样本中的心理社会功能及与癫痫发作相关的因素。对117名年龄在6至13岁之间的癫痫患儿（平均年龄11岁[标准差2岁1个月]和10岁8个月[标准差2岁]；男71名，女46名）以及随机选取的117名在性别和年龄上与之匹配的对照儿童（平均年龄11岁2个月[标准差2岁1个月]和10岁5个月[标准差2岁4个月]；男69名，女48名）的心理社会问题（阿chenbach量表）、认知功能和社会经济地位进行了研究。这些儿童患有部分性（n = 67）、全身性（n = 43）或未明确的（n = 7）癫痫综合征，以及部分性（n = 68）、全身性（n = 47）或其他（n = 2）主要癫痫发作类型。癫痫患儿中的心理社会问题比对照组更为常见（优势比5 - 9），且与癫痫综合征、主要癫痫发作类型、发病年龄和癫痫发作频率显著相关。母亲和教师报告称，患有癫痫的男性比女性存在更多问题。女性自我报告了心理社会问题，而男性则没有。心理社会问题在儿童癫痫中很常见。女性比男性更现实地认识到这些问题。心理社会问题应被视为癫痫管理的一个组成部分。
