Vicentic Sreeten, Nenadovic Milutin, Nenadovic Nenad, Simonovic Perisa
Department of Psychiatry,y, General Hospital, Sabac, Serbia.
Isr J Psychiatry Relat Sci. 2013;50(1):55-60.
Anxiety symptoms may have significant implications on the quality of life of patients with epilepsy. The aim of our research is a comparative analysis of the quality of life, i.e., of the level of disability in patients with different forms of epilepsy.
In this cross-sectional study, the sample consisted of three groups of 30 patients each--with recently diagnosed generalized epilepsy, temporal and extratemporal epilepsy. the anxiety level in these groups was compared with the control group of 30 healthy subjects. Beck anxiety inventory (Bai) was used for assessment of anxiety. level of functional disability due to anxiety was measured according to the Sheehan Disability Scale (SDS).
Patients with extratemporal epilepsy had the greatest level of functional disability, while patients with generalized epilepsies had the lowest average of scores on the Sheehan scale. the correlation between the Bai and the SDS was highly statistically significant.
Our results clearly indicate the need for a broader concept of therapy--neurological (antiepileptic therapy) and psychiatric (pharmaco-, psycho- and social therapy) when it comes to anxiety in patients with epilepsy.
焦虑症状可能对癫痫患者的生活质量产生重大影响。我们研究的目的是对不同类型癫痫患者的生活质量，即残疾程度进行比较分析。
在这项横断面研究中，样本包括三组，每组30名患者，分别为近期诊断出的全身性癫痫、颞叶癫痫和颞叶外癫痫患者。将这些组的焦虑水平与30名健康受试者的对照组进行比较。使用贝克焦虑量表（BAI）评估焦虑程度。根据希恩残疾量表（SDS）测量因焦虑导致的功能残疾水平。
颞叶外癫痫患者的功能残疾程度最高，而全身性癫痫患者在希恩量表上的平均得分最低。BAI与SDS之间的相关性具有高度统计学意义。
我们的结果清楚地表明，在治疗癫痫患者的焦虑问题时，需要更广泛的治疗概念，包括神经学（抗癫痫治疗）和精神病学（药物、心理和社会治疗）。
