Northeast Regional Epilepsy Group, United States of America.
Northeast Regional Epilepsy Group, United States of America.
Epilepsy Behav. 2020 Jan;102:106694. doi: 10.1016/j.yebeh.2019.106694. Epub 2019 Nov 21.
The objective of this study was to compare Spanish-speaking American patients with epilepsy to Spanish-speaking American patients with psychogenic nonepileptic seizures (PNES) on depression, anxiety, and other clinical variables.
Research on Spanish-speaking American patients with epilepsy or PNES is relatively infrequent, with only a few studies on psychopathology in these two patient groups. Studies of English-speaking patients indicate that those with PNES present with greater depression and anxiety and report poorer quality of life (QOL) when compared with persons with epilepsy (PWEs). Similarly, although psychological trauma is observed in both groups, those with PNES appear to have more traumatic exposure compared with PWEs.
This is a retrospective study of 74 Spanish-speaking PWEs (49 women, 31 men) and 34 Spanish-speaking patients with PNES (28 women, 4 men) (2004 to 2017). The diagnosis of epilepsy or PNES was confirmed with video-EEG. Demographic and clinical (psychological trauma, history of psychological treatment, etc.) data were collected, and Spanish versions of the Beck Depression Inventory - second edition (BDI-II) and Beck Anxiety Inventory (BAI) were completed by the patients.
Patients with PWEs (M = 18.19, SD = 12.89) differed significantly from those with PNES on a measure of depression (BDI-II, (M = 24.12, SD = 11.20); t (92) = -2.22, p = 0.01). In addition, PWEs (M = 15.76, SD = 14.24) also differed significantly when compared with patients with PNES on a measure of anxiety (BAI, (M = 22.46, SD = 14.02); t (93) = -2.05, p = 0.02). Significant differences in clinical and demographic data were also noted.
Spanish-speaking American patients with PNES were significantly more depressed and anxious and reported greater exposure to sexual trauma as compared with PWEs. Furthermore, patients with PNES tended to report more prediagnosis utilization of mental health services than PWEs. After adjusting for potential linear effects of other predictors (e.g., gender, age, seizure frequency, and psychological trauma), only a reported history of psychological trauma had a linear relationship with a depression score while higher seizure frequency and history of mental health treatment had linear relationships with an anxiety score.
本研究旨在比较西班牙语裔美国癫痫患者和西班牙语裔美国非癫痫性精神性发作（PNES）患者的抑郁、焦虑和其他临床变量。
针对西班牙语裔美国癫痫或 PNES 患者的研究相对较少，仅有少数研究涉及这两组患者的精神病理学。针对英语患者的研究表明，PNES 患者的抑郁和焦虑程度更高，生活质量（QOL）更差，与癫痫患者（PWEs）相比。同样，尽管两组患者都存在心理创伤，但与 PWEs 相比，PNES 患者的创伤暴露似乎更多。
这是一项对 74 名西班牙语裔 PWEs（49 名女性，31 名男性）和 34 名西班牙语裔 PNES 患者（28 名女性，4 名男性）（2004 年至 2017 年）的回顾性研究。癫痫或 PNES 的诊断通过视频脑电图确认。收集人口统计学和临床数据（心理创伤、心理治疗史等），并由患者完成贝克抑郁量表-第二版（BDI-II）和贝克焦虑量表（BAI）的西班牙语版本。
与 PNES 患者相比，PWEs 患者（M=18.19，SD=12.89）在抑郁（BDI-II，M=24.12，SD=11.20）方面有显著差异（t(92)=-2.22，p=0.01）。此外，与 PNES 患者相比，PWEs 患者（M=15.76，SD=14.24）在焦虑（BAI，M=22.46，SD=14.02）方面也有显著差异（t(93)=-2.05，p=0.02）。还注意到临床和人口统计学数据的显著差异。
与 PWEs 相比，西班牙语裔美国 PNES 患者明显抑郁和焦虑程度更高，且性创伤暴露程度更大。此外，PNES 患者在诊断前更倾向于利用心理健康服务，而 PWEs 则不然。在调整其他潜在线性预测因素（如性别、年龄、发作频率和心理创伤）后，仅报告的心理创伤史与抑郁评分呈线性关系，而更高的发作频率和心理健康治疗史与焦虑评分呈线性关系。
