Mula Marco, Cavalheiro Esper, Guekht Alla, Kanner Andres M, Lee Hyang Woon, Özkara Çiğdem, Thomson Alfredo, Wilson Sarah J
Atkinson Morley Regional Neuroscience Centre, St George's University Hospitals NHS Foundation Trust; Department of Neuropsychiatry, South West London & St George's Mental Health Trust; Institute of Medical and Biomedical Sciences, St George's University of London, United Kingdom.
Department of Neurology and Neurosurgery, Escola Paulista de Medicina/UNIFESP, São Paulo, Brazil.
Epileptic Disord. 2017 Jun 1;19(2):178-185. doi: 10.1684/epd.2017.0915.
Psychiatric disorders are relatively frequent comorbidities in epilepsy and they have an impact on morbidity, mortality, and quality of life. This is a report from the Task Force on Education of the ILAE Commission on Neuropsychiatry based on a survey about educational needs of epileptologists regarding management of the psychiatric comorbidities of epilepsy. The Task Force designed a quantitative questionnaire to survey the self-perceived confidence of child and adult epileptologists and psychiatrists in managing major psychiatric comorbidities of epilepsy to identify: (1) critical areas of improvement from a list of skills that are usually considered necessary for effective management of these conditions, and (2) the preferred educational format for improving these skills. A total of 211 respondents from 36 different countries participated in the survey. Confidence and usefulness scores suggest that responders would most value education and training in the management of specific clinical scenarios. Child neurologists identified major Axis I disorders, such as mood and anxiety disorders, while adult neurologists identified attention deficit hyperactivity disorder, intellectual disabilities, and autistic spectrum disorder as key areas. Both adult and child neurologists identified screening skills as the priority. Psychiatrists mainly valued specific training in the management of psychiatric complications of epilepsy surgery or psychiatric adverse events of antiepileptic drugs. Sessions during congresses and face-to-face meetings represent the preferred educational format, while e-learning modules and review papers were chosen by a minority of respondents. Results of this survey identify key areas for improvement in managing the psychiatric comorbidities of epilepsy and suggest specific strategies to develop better training for clinicians involved in epilepsy care.
精神障碍在癫痫中是相对常见的共病，它们对发病率、死亡率和生活质量都有影响。这是一份来自国际抗癫痫联盟神经精神病学委员会教育特别工作组的报告，该报告基于一项关于癫痫学家在癫痫精神共病管理方面教育需求的调查。特别工作组设计了一份定量问卷，以调查儿童和成人癫痫学家及精神科医生在管理癫痫主要精神共病方面的自我感知信心，从而确定：（1）从通常被认为对有效管理这些病症必要的一系列技能中找出关键的改进领域，以及（2）提高这些技能的首选教育形式。来自36个不同国家的211名受访者参与了此次调查。信心得分和有用性得分表明，受访者最看重针对特定临床场景管理的教育和培训。儿童神经科医生确定了主要的轴I障碍，如情绪和焦虑障碍，而成人神经科医生则将注意力缺陷多动障碍、智力残疾和自闭症谱系障碍确定为关键领域。成人和儿童神经科医生都将筛查技能列为优先事项。精神科医生主要看重在癫痫手术精神并发症或抗癫痫药物精神不良事件管理方面的特定培训。大会期间的课程和面对面会议是首选的教育形式，而少数受访者选择了电子学习模块和综述文章。这项调查的结果确定了癫痫精神共病管理方面的关键改进领域，并提出了为参与癫痫护理的临床医生开展更好培训的具体策略。
