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接受视频/脑电图监测的癫痫患者的情感:回顾性评估与即时评估以及与癫痫发作的时间关系

Affect in patients with epilepsy undergoing video/EEG monitoring: retrospective versus momentary assessment and temporal relationship to seizures.

作者信息

Willard Kristen S, Licht Barbara G, Gilmore Robin L, Licht Mark H, Sackellares J Chris, Eisenschenk Stephen J, Bowers Dawn, Hyson Linda, Kirsch Lindsey

机构信息

Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.

出版信息

Epilepsy Behav. 2006 May;8(3):625-34. doi: 10.1016/j.yebeh.2006.02.005. Epub 2006 Mar 20.

DOI:10.1016/j.yebeh.2006.02.005
PMID:16546451
Abstract

This study was designed to (1) compare retrospective and momentary assessments of mood/affect, and (2) examine the temporal relationship between affect and seizure occurrence. Patients with epilepsy undergoing long-term video/EEG monitoring (LTM) completed an affect rating of how they felt "at that moment" each time a programmed watch beeped (momentary assessment); these ratings were averaged across each patient's hospital stay. Prior to discharge, patients were asked to think back and rate how they felt "during their hospital stay" using the same rating scale (retrospective assessment). Results indicated that patients retrospectively recalled feeling significantly more positive during their LTM than they reported feeling when they were actually undergoing LTM. Among patients who had EEG-verified seizures, momentary assessments were used to compare affect during the interictal periods with affect during the prodromal and postictal periods. The latter two periods were characterized by significantly less activated positive affect than were the interictal periods.

摘要

本研究旨在

(1)比较情绪/情感的回顾性评估和即时评估;(2)检验情感与癫痫发作之间的时间关系。接受长期视频/脑电图监测(LTM)的癫痫患者在每次程控手表发出哔哔声时完成一项关于他们“当时”感受的情感评分(即时评估);这些评分在每位患者的住院期间进行平均。在出院前,要求患者回想并使用相同的评分量表对他们“住院期间”的感受进行评分(回顾性评估)。结果表明,患者回顾性回忆起在长期视频/脑电图监测期间感觉比实际进行监测时报告的感觉明显更积极。在脑电图证实有癫痫发作的患者中,使用即时评估来比较发作间期的情感与前驱期和发作后期的情感。后两个时期的特点是积极情感的激活程度明显低于发作间期。

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