de Toffol Bertrand, Hingray Coraline, Biberon Julien, El-Hage Wissam
Inserm U 930, CHU Bretonneau, service de neurologie et neurophysiologie clinique, 2 bis, boulevard Tonnellé, 37044 Tours cedex, France.
Centre psychiatrique de Nancy, pôle universitaire du Grand-Nancy, 1, rue du Dr Archambault, 54520 Laxou, France.
Presse Med. 2018 Mar;47(3):243-250. doi: 10.1016/j.lpm.2017.10.019. Epub 2017 Dec 20.
Psychiatric comorbidities are overrepresented in people suffering from epilepsy in comparison to the general population. There is a two-way link between epilepsy and psychiatric disorders. Psychiatric symptomatology is specific in epilepsy, according to the chronology of symptoms in relation to the seizure (inter, pre- or postictal). Easy to use, fast and efficient self-administered questionnaires are available to evaluate depressive (NDDI-E) and generalized anxiety disorder (GAD-7) symptoms. Selective serotonin reuptake inhibitors (SSRIs) are not proconvulsant and can be safely used to treat depressive or anxious disorders.
与普通人群相比,癫痫患者中精神疾病共病的比例过高。癫痫与精神障碍之间存在双向联系。根据症状与癫痫发作(发作间期、发作前或发作后)的时间顺序,癫痫中的精神症状具有特异性。有易于使用、快速且高效的自填式问卷可用于评估抑郁(NDDI-E)和广泛性焦虑症(GAD-7)症状。选择性5-羟色胺再摄取抑制剂(SSRI)不会诱发惊厥,可安全用于治疗抑郁或焦虑症。