Kutlu Ayşe, Gökçe Gökçen, Büyükburgaz Ülkü, Selekler Macit, KOMŞUOğLU Sezer
Kocaeli University Faculty of Medicine, Department of Neurology, Kocaeli, Turkey.
Noro Psikiyatr Ars. 2013 Dec;50(4):320-324. doi: 10.4274/Npa.y6374. Epub 2013 Dec 1.
The increased risk for psychiatric disorders in epilepsy can be related to a number of clinical, psychosocial and biological factors. Due to the unpredictability of seizures and the possibility that they may occur at any time and in any place, patients with epilepsy may develop social phobia and may have feelings of worthlessness and stigma. These factors decrease their psychosocial function, self-efficacy, and quality of life and even increase the suicide rate. Considering the above-mentioned scientific data, the present study was designed to investigate phobia, self-esteem and depression status in patients with epilepsy.
One hundred thirty-two patients (aged 21-52 years) and age- and gender-matched control group of 61 subjects (aged 25-60 years) were included in this study. All patients in both groups were administered the Liebowitz Social Anxiety Scale (LSAS), Coopersmith Self-Esteem Inventory (CSEI), and the Beck Depression Inventory (BDI).
The mean ages of the patient group and the healthy controls were 29.66±11.3 and 32.16±7.99, respectively. There was no statistical significance between the two groups in terms of age and sex (p>0.05). BDI, LSAS and CSEI scores in the patient group were statistically significantly different than in the control group (p<0.05).
Our results showed that social phobia, lower self-esteem and depression are important comorbid conditions in epileptic patients. Psychiatric disorders are usually underrecognized and undertreated in patients with epilepsy. Therefore, it is very important to identify and treat the psychiatric comorbid conditions in epilepsy because of their significant burden on patients' quality of life.
癫痫患者患精神疾病的风险增加可能与多种临床、心理社会和生物学因素有关。由于癫痫发作的不可预测性以及发作可能在任何时间、任何地点发生，癫痫患者可能会出现社交恐惧症，并可能产生无价值感和耻辱感。这些因素会降低他们的心理社会功能、自我效能感和生活质量，甚至会提高自杀率。考虑到上述科学数据，本研究旨在调查癫痫患者的恐惧症、自尊和抑郁状况。
本研究纳入了132例年龄在21至52岁之间的患者以及61例年龄和性别匹配的对照组受试者（年龄在25至60岁之间）。两组的所有患者均接受了利博维茨社交焦虑量表（LSAS）、库珀史密斯自尊量表（CSEI）和贝克抑郁量表（BDI）的评估。
患者组和健康对照组的平均年龄分别为29.66±11.3岁和32.16±7.99岁。两组在年龄和性别方面无统计学差异（p>0.05）。患者组的BDI、LSAS和CSEI得分与对照组相比有统计学显著差异（p<0.05）。
我们的结果表明，社交恐惧症、低自尊和抑郁是癫痫患者重要的共病情况。癫痫患者的精神疾病通常未得到充分认识和治疗。因此，识别和治疗癫痫患者的精神共病非常重要，因为它们对患者的生活质量有重大影响。
