Shamsaei Farshid, Cheraghi Fatemeh, Zamani Gholamreza
Mother and Child Care Health Center, Hamadan University of Medical sciences, Hamadan, Iran.
Chronic Diseases (home care) Research Center, Hamadan University of Medical sciences, Hamadan, Iran.
Iran J Child Neurol. 2016 Summer;10(3):35-41.
Mental health problems frequently occur in children with epilepsy but the diagnosis is frequently missed and therapeutic opportunities are often lost. The aim of this study was to compare mental health statues between school-aged children with epilepsy and the healthy group.
MATERIALS & METHODS: In this case, control study, 120 children aged 6 to 12 years with idiopathic epilepsy and 240 healthy control groups were followed up. Children with epilepsy were enrolled from Iranian Epilepsy Association in 2014. The parent version of Child Symptom Inventory-4 questionnaire was used. Mean comparisons were performed using Student's t test while effect sizes were estimated by Cohen's d coefficient. The Chi-Square test was used to assess the difference between frequency distribution of demographic variables in both groups. The significance level was considered less than 0.05.
There were statistically significant differences between children with epilepsy and control group as for attention deficit hyperactivity disorder, generalized anxiety disorder, major depression, separation anxiety, social phobia, motor and vocal tics and oppositional defiant disorder.
The carefully evaluating and prospectively following the psychopathology symptom of children with epilepsy are critical for early identification, prevention and treatment.
心理健康问题在癫痫患儿中经常出现，但诊断常常被遗漏，治疗机会也常常丧失。本研究的目的是比较学龄期癫痫患儿与健康组之间的心理健康状况。
在本病例对照研究中，对120名6至12岁的特发性癫痫患儿和240名健康对照组进行了随访。癫痫患儿于2014年从伊朗癫痫协会招募。使用儿童症状量表-4问卷的家长版。采用学生t检验进行均值比较，同时用科恩d系数估计效应量。卡方检验用于评估两组人口统计学变量频率分布的差异。显著性水平设定为小于0.05。
癫痫患儿与对照组在注意力缺陷多动障碍、广泛性焦虑症、重度抑郁症、分离焦虑症、社交恐惧症、运动和发声抽动以及对立违抗障碍方面存在统计学显著差异。
仔细评估并前瞻性跟踪癫痫患儿的精神病理学症状对于早期识别、预防和治疗至关重要。
