Ekinci Ozalp, Titus Jeffrey B, Rodopman Ayse Arman, Berkem Meral, Trevathan Edwin
Department of Child Psychiatry, School of Medicine, Marmara University, Istanbul, Turkey.
Epilepsy Behav. 2009 Jan;14(1):8-18. doi: 10.1016/j.yebeh.2008.08.015. Epub 2008 Oct 18.
Among the psychiatric comorbid conditions in children and adolescents with epilepsy, depression and anxiety disorders require further attention because they carry the risk of reduced quality of life and life-threatening complications (e.g., suicide). Research in recent years has shed light on both the prevalence of emotional problems in youth with epilepsy and the safety and efficacy of treatment options. A number of challenges exist in treating patients with epilepsy. This is particularly true when seizures are difficult to control and medication regimens are more complex. Some pharmaceutical options may provide assistance with both seizures and emotional distress, but care is needed when considering such treatment approaches. In addition, integration of mental health professionals into the care of patients is necessary when cases are complicated and risk factors are high. Thorough methods to accurately diagnose emotional conditions and regular monitoring of symptoms can help prevent serious problems that can negatively affect the success of children and adolescents in everyday life. Collaboration between disciplines offers the best hope for early identification and treatment of these conditions.
在患有癫痫的儿童和青少年的精神共病中，抑郁症和焦虑症需要进一步关注，因为它们会降低生活质量并带来危及生命的并发症（如自杀）风险。近年来的研究揭示了癫痫青少年情绪问题的患病率以及治疗方案的安全性和有效性。治疗癫痫患者存在诸多挑战。当癫痫发作难以控制且药物治疗方案更为复杂时尤其如此。一些药物选择可能对癫痫发作和情绪困扰都有帮助，但在考虑此类治疗方法时需谨慎。此外，当病情复杂且风险因素较高时，将心理健康专业人员纳入患者护理是必要的。准确诊断情绪状况的全面方法以及对症状的定期监测有助于预防可能对儿童和青少年日常生活成功产生负面影响的严重问题。多学科协作是早期识别和治疗这些病症的最大希望。
