Smith Kimberly, Siddarth Prabha, Zima Bonnie, Sankar Raman, Mitchell Wendy, Gowrinathan Rani, Shewmon Alan, Caplan Rochelle
Department of Psychiatry, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.
Epilepsy Behav. 2007 Nov;11(3):401-8. doi: 10.1016/j.yebeh.2007.05.009. Epub 2007 Sep 17.
Eighteen pediatric neurologists and 18 pediatricians completed a 5-point Likert scale questionnaire on their knowledge of, attitudes toward, and management of the behavioral, cognitive, and psychosocial aspects of pediatric epilepsy, before and after a lecture on this topic. They also responded to questions about possible barriers to mental health care of children with epilepsy. The brief educational intervention modified the knowledge/attitudes of pediatricians compared with pediatric neurologists on the impact of epilepsy on behavior and cognition in children with epilepsy. However, there were no between-group differences in how providers perceived their competence to assess behavioral and cognitive comorbid conditions in pediatric epilepsy. Responses to open-ended questions suggested insufficient mental health coverage for and expertise on pediatric epilepsy, resistance of mental health clinicians to treat children with epilepsy, and the stigma of mental health as possible barriers to mental health care in children with epilepsy. In addition to the need for provider education about the behavioral and cognitive comorbid conditions of pediatric epilepsy, these findings emphasize the importance of examining alternative routes to increasing mental health care for children with epilepsy.
18名儿科神经科医生和18名儿科医生在一场关于小儿癫痫行为、认知和心理社会方面的讲座前后，完成了一份关于他们对小儿癫痫的了解、态度及管理的五点李克特量表问卷。他们还回答了有关癫痫患儿心理健康护理可能存在的障碍的问题。与儿科神经科医生相比，简短的教育干预改变了儿科医生对癫痫对癫痫患儿行为和认知影响的知识/态度。然而，在医疗服务提供者如何看待自己评估小儿癫痫行为和认知合并症的能力方面，两组之间没有差异。对开放式问题的回答表明，小儿癫痫的心理健康覆盖范围和专业知识不足、心理健康临床医生对治疗癫痫患儿的抵触以及心理健康的污名化是癫痫患儿心理健康护理的可能障碍。除了需要对医疗服务提供者进行小儿癫痫行为和认知合并症的教育外，这些发现强调了研究增加癫痫患儿心理健康护理替代途径的重要性。
