Altınöz Ali Ercan, Tosun Meriç Olcay, Tosun Altınöz Şengül, Eşsizoğlu Altan, Coşar Behçet
Department of Psychiatry, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey.
Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Seizure. 2016 Aug;40:133-5. doi: 10.1016/j.seizure.2016.06.016. Epub 2016 Jul 1.
Epilepsy is an extremely widespread and serious neurological disease. Although comorbidities of psychiatric disorders are prevalent in epilepsy patients, quite often this coexistence could be overlooked. Studies in this area demonstrated that depression, anxiety disorders and schizophrenia are the most common psychiatric disorders accompanying epilepsy. Mental health problems are known to be more common in prisoners compared to general population. The present study aims to demonstrate the psychiatric comorbidities in prisoners diagnosed with epilepsy.
In this study, demographic data and the psychiatric comorbidity of 200 patients who were diagnosed with epilepsy by a neurologist at Ankara Penal Institution Campus State Hospital between January 2013 and January 2014 were analyzed retrospectively.
The mean age of study population was 32.6±10.1years. 181 of these patients were male (90.5%). 81 of 200 patients (40.5%) had a comorbid psychiatric disorder. The most common comorbid psychiatric disorders were depression (18.5%), anxiety (11%), and personality disorders (11%), respectively.
The most common psychiatric comorbid disorders among prisoners diagnosed with epilepsy were depression and anxiety as general population with epilepsy whereas some disorders, personality disorder, substance dependence and bipolar affective disorders, were found to be more common among prisoners compared to the general population with epilepsy. It is crucial to question psychiatric symptoms and comorbidities while evaluating the patients with epilepsy, especially among prisoners.
癫痫是一种极为普遍且严重的神经系统疾病。尽管癫痫患者中精神障碍共病情况普遍存在，但这种共存情况常常被忽视。该领域的研究表明，抑郁症、焦虑症和精神分裂症是伴随癫痫最常见的精神障碍。众所周知，与普通人群相比，囚犯中的心理健康问题更为常见。本研究旨在揭示被诊断患有癫痫的囚犯中的精神共病情况。
在本研究中，对2013年1月至2014年1月期间在安卡拉监狱院区国立医院由神经科医生诊断为癫痫的200例患者的人口统计学数据和精神共病情况进行了回顾性分析。
研究人群的平均年龄为32.6±10.1岁。其中181例患者为男性（90.5%）。200例患者中有81例（40.5%）患有共病精神障碍。最常见的共病精神障碍分别为抑郁症（18.5%）、焦虑症（11%）和人格障碍（11%）。
在被诊断患有癫痫的囚犯中，最常见的精神共病障碍与患有癫痫的普通人群一样是抑郁症和焦虑症，而某些障碍，如人格障碍、物质依赖和双相情感障碍，在囚犯中比患有癫痫的普通人群更为常见。在评估癫痫患者时，尤其是在囚犯中，询问精神症状和共病情况至关重要。
