LaFrance W Curt, Kanner Andres M, Hermann Bruce
Brown Medical School, Rhode Island Hospital, Departments of Psychiatry and Neurology, Providence, Rhode Island 02903, USA.
Int Rev Neurobiol. 2008;83:347-83. doi: 10.1016/S0074-7742(08)00020-2.
Psychiatric disorders can be identified in 25-50% of patients with epilepsy, with higher prevalence among patients with poorly controlled seizures. These disturbances include depression, anxiety, psychotic disorders, cognitive, and personality changes occurring in the interictal or ictal/postictal states. In this chapter, we describe four areas of focus in women with epilepsy: comorbid primary psychiatric processes, integrated symptoms secondary to epilepsy, stigma and psychosocial consequences of epilepsy, and nonepileptic seizures.
25%至50%的癫痫患者可被诊断出患有精神障碍,在癫痫发作控制不佳的患者中患病率更高。这些精神障碍包括抑郁、焦虑、精神性疾病、认知及人格改变,可发生于发作间期或发作期/发作后期。在本章中,我们将阐述癫痫女性患者需要重点关注的四个方面:共病的原发性精神障碍、癫痫继发的综合症状、癫痫的污名化及社会心理后果,以及非癫痫性发作。