Kuzman Zdravko, Mlinarevic-Polic Ines, Aleric Ivan, Katalinic Darko, Vcev Aleksandar, Babic Dragan
Department of Pediatrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Department of Clinical Medicine, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Nord J Psychiatry. 2020 May-Jul;74(5):352-358. doi: 10.1080/08039488.2020.1715475. Epub 2020 Jan 21.
Epilepsy is a neurological disease that is often associated with psychiatric comorbidities. The aim of the study was to examine the frequency of psychic symptoms and their association with different types of epilepsy in the adolescent population. The study involved 100 adolescents with epilepsy and 100 healthy adolescents of both sexes at the age of 13-19. The examinees completed a standardized Symptom Checklist-90-R (SCL-90-R) questionnaire, concerning self-assessment of psychological disorders in the previous week. The value system of nine dimensions and three global indexes of SCL-90-R scales were analyzed. Our results suggest that adolescents with epilepsy have more than one psychic disorder compared to a healthy group of respondents. Somatic symptoms are more common in non-epileptic subjects, while obsessive-compulsive, depressive and phobic symptoms, as well as anxiety, aggressiveness, interpersonal vulnerability and paranoia, are more common in adolescents with epilepsy. Due to the type of epilepsy, obsessive compulsive symptoms are more common in adolescents with focal epilepsy, while the symptoms of phobia are more present in those with generalized epilepsy. The depth and intensity of psychological stress is higher in the group of adolescents with epilepsy compared to the healthy group of respondents. Psychiatric comorbidity is very common in epileptic patients and depending on the type of diagnosed epilepsy, various symptoms are expressed. Furthermore, psychological stress is more observable in adolescents with epilepsy. For patients with epilepsy, mental health care and seizure control is extremely important in the prevention of serious mental disabilities.
癫痫是一种常伴有精神疾病共病的神经疾病。本研究的目的是调查青少年人群中精神症状的发生率及其与不同类型癫痫的关联。该研究纳入了100名患有癫痫的青少年以及100名年龄在13至19岁的健康青少年（男女均有）。受试者完成了一份标准化的症状自评量表90修订版（SCL - 90 - R）问卷，该问卷涉及对前一周心理障碍的自我评估。分析了SCL - 90 - R量表九个维度的价值体系和三个总体指标。我们的结果表明，与健康对照组相比，患有癫痫的青少年患有一种以上精神障碍的情况更多。躯体症状在非癫痫受试者中更为常见，而强迫、抑郁和恐惧症状，以及焦虑、攻击性、人际敏感性和偏执症状在患有癫痫的青少年中更为常见。由于癫痫类型的不同，强迫症状在局灶性癫痫青少年中更为常见，而恐惧症状在全身性癫痫青少年中更为明显。与健康对照组相比，患有癫痫的青少年组心理压力的深度和强度更高。精神疾病共病在癫痫患者中非常常见，并且根据诊断出的癫痫类型，会表现出各种不同的症状。此外，心理压力在患有癫痫的青少年中更为明显。对于癫痫患者而言，精神卫生保健和癫痫发作控制对于预防严重精神残疾极为重要。
