Au Alma, Leung Patrick, Kwok Amy, Li Patrick, Lui Colin, Chan John
Department of Applied Social Science, Hong Kong Polytechnic University, Hong Kong, China.
Epilepsy Behav. 2006 Aug;9(1):68-72. doi: 10.1016/j.yebeh.2006.04.004. Epub 2006 May 11.
Clinicians are often confronted with the self-report of memory difficulties by patients. This study explored the possible correlates of subjective memory in 67 adult Chinese patients with epilepsy in Hong Kong. These correlates include epilepsy-related factors, mood state, and actual performance on neuropsychological tests. Results suggested that there exists no significant systematic relationship between subjective and illness-related factors such as seizure frequency, age at onset, and medication. Instead, stepwise regression analysis revealed that mood (anxiety) explained about 17% of the variance of subjective memory difficulties, whereas performance on a memory test accounted for only 8% of the variance. Findings are discussed in the light of the need to attend to the anxiety of patients with epilepsy in the process of rehabilitation.
临床医生经常会面对患者自述的记忆困难问题。本研究探讨了香港67名成年癫痫患者主观记忆的可能相关因素。这些相关因素包括癫痫相关因素、情绪状态以及神经心理学测试的实际表现。结果表明，主观记忆与癫痫发作频率、发病年龄和用药等疾病相关因素之间不存在显著的系统关系。相反，逐步回归分析显示，情绪（焦虑）解释了主观记忆困难差异的约17%，而记忆测试的表现仅占差异的8%。鉴于在康复过程中需要关注癫痫患者的焦虑情绪，对研究结果进行了讨论。
