Institute of Neuroscience and Physiology, Epilepsy Research Group, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
Epilepsy Behav. 2012 Jun;24(2):221-6. doi: 10.1016/j.yebeh.2012.03.032. Epub 2012 May 2.
This study aimed at investigating psychological features before and two years after epilepsy surgery. Fifty patients, 39 with temporal lobe epilepsy (TLE) and 11 with frontal lobe epilepsy (FLE), were assessed at baseline and two years postoperatively with the Karolinska Scales of Personality (KSP). Baseline group level outcome was normal while individual level analyses delineated some mild to moderate degrees of psychological problems exceeding the normal range in subsets of patients. Features of hostility characterized half of the FLE and one-fourth of the TLE patients. Above 1/3 in each group had dependency features. About 1/3 of the TLE patients suffered from psychasthenia. In conclusion, even though group levels were normal, several patients had psychological problems. The main longitudinal result was that the personality features were stable and did not change after epilepsy surgery.
本研究旨在调查癫痫手术后两年前和后的心理特征。50 名患者，39 名颞叶癫痫（TLE）和 11 名额叶癫痫（FLE）患者，在基线和术后两年分别使用 Karolinska 人格量表（KSP）进行评估。基线组的水平结局正常，而个体水平分析则在部分患者中划定了一些轻度至中度的心理问题，超出了正常范围。敌对特征占 FLE 的一半和 TLE 患者的四分之一。每组中有 1/3 以上的患者有依赖特征。大约 1/3 的 TLE 患者患有神经衰弱。总之，尽管组水平正常，但仍有部分患者存在心理问题。主要的纵向结果是人格特征稳定，癫痫手术后没有变化。
