Möller A A, Fröscher W
Max-Planck-Institut für Psychiatrie, München.
Schweiz Arch Neurol Psychiatr (1985). 1990;141(2):139-48.
Psychiatric disorders in epilepsy are frequently encountered. Contradictory reports are given in literature about the phenomenology of such disturbances and their relationship to seizure frequency. Depression has been described as mostly like "endogenous" with a family history of psychiatric illness or mostly "reactive". 32 patients with idiopathic Grand mal-seizures were studied using the Inpatient Multidimensional Psychiatric Scale (IMPS). They showed significant higher levels in scales of anxious depression and impaired functioning, no signs of hostility or delusion. Severity of depression was moderate compared with groups of inpatients suffering from endogenous and neurotic-depressive disorders. It was correlated with frequency of epileptic seizures and history of behaviour disturbances in infancy (Spearman-rang correlation).
癫痫患者中精神障碍屡见不鲜。关于此类障碍的现象学及其与癫痫发作频率的关系，文献中给出了相互矛盾的报道。抑郁症被描述为大多类似“内源性”，有精神疾病家族史，或大多为“反应性”。使用住院患者多维精神病量表（IMPS）对32例特发性大发作癫痫患者进行了研究。他们在焦虑抑郁和功能受损量表上的得分显著更高，没有敌意或妄想的迹象。与患有内源性和神经症性抑郁障碍的住院患者组相比，抑郁严重程度为中度。它与癫痫发作频率以及婴儿期行为障碍史相关（斯皮尔曼等级相关性）。
