Division of Child Neurology, Ohio State University College of Medicine, Columbus, OH, USA.
Epilepsy Behav. 2011 Sep;22(1):38-46. doi: 10.1016/j.yebeh.2011.02.013. Epub 2011 Mar 26.
This paper first summarizes the main findings of clinical studies conducted over the past two and a half decades on psychopathology (i.e., psychiatric diagnoses, behavior and emotional problems) in children with new onset and chronic epilepsy both with and without intellectual disability who are treated medically and surgically. Although impaired social relationships are core features of the psychiatric disorders found in pediatric epilepsy, few studies have examined social competence (i.e., social behavior, social adjustment, and social cognition) in these children. There also is a dearth of treatment studies on the frequent psychiatric comorbidities of pediatric epilepsy, attention deficit hyperactivity disorder, anxiety disorders, and depression. Drs. Hamiwka and Jones then describe their current and planned studies on social competence and cognitive behavioral treatment of anxiety disorders, respectively, in these children and how they might mitigate the poor long-term psychiatric and social outcome of pediatric epilepsy.
本文首先总结了过去二十五年间有关新发病例和慢性癫痫儿童（包括伴有和不伴有智力障碍的儿童）的精神病理学（即精神科诊断、行为和情绪问题）的临床研究的主要发现，这些儿童均接受了医学和手术治疗。尽管社会关系受损是儿科癫痫中发现的精神障碍的核心特征，但很少有研究关注这些儿童的社会能力（即社会行为、社会适应和社会认知）。对于儿科癫痫的常见精神共病，如注意缺陷多动障碍、焦虑障碍和抑郁症，也缺乏治疗研究。Hamiwka 和 Jones 博士随后分别描述了他们目前和计划进行的关于这些儿童社会能力以及焦虑障碍认知行为治疗的研究，以及它们如何减轻儿科癫痫患者长期不良的精神和社会预后。
