Xu X J, Yang Q, Ge L, Yuan L L, Xu Y Q, Wang W B, Sun J Y, Zhou N
Department of Neurology, Yijishan Hospital of Wannan Medical College, Wuhu 241000, China.
Department of Neurology, the First Affiliated Hospital of Anhui Medical university, Hefei 230000, China.
Zhonghua Yi Xue Za Zhi. 2020 Feb 25;100(7):509-512. doi: 10.3760/cma.j.issn.0376-2491.2020.07.006.
To explore the characteristics of humor in young adult epileptic patients and examine the relationship between humor and depression. We recruited 55 young adult epileptic patients who visited outpatient clinic of the Department of Neurology of Yijishan Hospital of Wannan Medical College between October 2018 and March 2019 and 44 healthy controls to complete the multidimensional humor scale (MSHS), humor style questionnaire (HSQ) and Beck depression scale-Ⅱ (BDI-Ⅱ), and compared their differences between the two groups. The results showed that the young adult patients with epilepsy (PWEs) were affected in humor creation, coping with humor and the totally scores of MSHS. The scores of humor creation, coping with humor and the totally scores of MSHS in the young epilepsy patients were 25.3±5.9, 16.7±5.0 and 61±10, which were significantly lower than those in the control group 29.8±6.1, 21.1±2.6 and 71±8. As for the humor style, self-defeating humor scores in PWEs were higher than controls 14±5 vs 9±3, and the self-enhancing humor scores were lower than controls 18±7 vs 23±6. The scores of BDI-Ⅱ in PWEs were significantly higher than those of normal controls 13±7 vs 6±4. Pearson's correlation test showed that the scores of BDI-Ⅱ were negatively correlated with humor creation, coping with humor, the totally scores of MSHS and self-enhancing humor scores (-0.566--0.721, 0.05), while it was positively correlated with self-defeating humor scores (0.818, 0.05). Among the clinically relevant factors, the scores of BDI-Ⅱ were correlated with seizure control and gender. Multiple stepwise linear regression showed that coping with humor, self-defeating and self-enhancing humor scores were closely related with depression in young epileptic adults. The young adults with epilepsy are affected in sense of humor and humor style, which are closely related with depression.
为探究青年癫痫患者的幽默特征，并考察幽默与抑郁之间的关系。我们招募了55名于2018年10月至2019年3月期间就诊于皖南医学院弋矶山医院神经内科门诊的青年癫痫患者以及44名健康对照者，让他们完成多维幽默量表（MSHS）、幽默风格问卷（HSQ）和贝克抑郁量表-Ⅱ（BDI-Ⅱ），并比较两组之间的差异。结果显示，青年癫痫患者在幽默创造、应对幽默及MSHS总分方面均受到影响。青年癫痫患者的幽默创造得分、应对幽默得分及MSHS总分分别为25.3±5.9、16.7±5.0和61±10，显著低于对照组的29.8±6.1、21.1±2.6和71±8。在幽默风格方面，癫痫患者的自我挫败型幽默得分高于对照组（14±5 vs 9±3），而自我提升型幽默得分低于对照组（18±7 vs 23±6）。癫痫患者的BDI-Ⅱ得分显著高于正常对照组（13±7 vs 6±4）。Pearson相关性检验显示，BDI-Ⅱ得分与幽默创造、应对幽默、MSHS总分及自我提升型幽默得分呈负相关（-0.566--0.721，P<0.05），而与自我挫败型幽默得分呈正相关（0.818，P<0.05）。在临床相关因素中，BDI-Ⅱ得分与癫痫控制及性别相关。多元逐步线性回归显示，应对幽默、自我挫败型和自我提升型幽默得分与青年癫痫患者的抑郁密切相关。青年癫痫患者的幽默感和幽默风格受到影响，且与抑郁密切相关。
