R. Madhavan Nayar Center for Comprehensive Epilepsy Care, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695011, India.
R. Madhavan Nayar Center for Comprehensive Epilepsy Care, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695011, India.
Epilepsy Behav. 2021 Jan;114(Pt A):107605. doi: 10.1016/j.yebeh.2020.107605. Epub 2020 Nov 24.
Psychiatric disease is the most common co-morbidity seen in persons with epilepsy (PWE), often secondary to psychosocial disturbances due to poor adaptation to the disease. Optimizing epilepsy treatment by targeting both seizure control and addressing psychological issues go a long way in improving psychological outcome among PWE. This study aims to assess the psychological status among PWE using validated questionnaires and to assess the effect of viewing their own seizures on their psychological milieu post-viewing.
A prospective interventional study was conducted enrolling 52 PWE. Their baseline psychological scores were assessed using Hospital Anxiety Depression Scale (HADS), Self Esteem Inventory (SEI), Locus of Control (LOC) and Quality of Life in Epilepsy (QOLIE-31). The scores were reassessed 3 months post seizure viewing and compared with the baseline scores.
Among the 52 patients analyzed, anxiety was present in 20 (38.4%) and depression in 8 (15.3%). The mean HADS-A (anxiety) scores for study population was 9.56 ± 4.12. Gender, income status, risk factors antedating index seizure, type of seizure, temporal semiology, seizure frequency, MRI or EEG characteristics did not have any significant association with baseline psychological scores. There was statistically significant reduction in HADS-A scores from 9.56 ± 4.12 to 8.35 ± 3.85 in the study population after seizure viewing (p = 0.049). We identified patient characteristics that benefit seizure viewing with respect to each of the psychological batteries mentioned earlier.
This study emphasizes that viewing one's own seizures improves the psychological milieu of PWE and improves their quality of life by helping them cope up with their illness more judiciously.
精神疾病是癫痫患者（PWE）最常见的合并症，通常是由于对疾病适应不良导致的社会心理障碍引起的。通过针对控制癫痫发作和解决心理问题来优化癫痫治疗，对于改善 PWE 的心理结局具有重要意义。本研究旨在使用经过验证的问卷评估 PWE 的心理状况，并评估观看自身发作对观看后心理环境的影响。
进行了一项前瞻性干预研究，共纳入 52 例 PWE。使用医院焦虑抑郁量表（HADS）、自尊量表（SEI）、控制源量表（LOC）和癫痫生活质量量表（QOLIE-31）评估他们的基线心理评分。在观看发作后 3 个月重新评估评分，并与基线评分进行比较。
在分析的 52 例患者中，20 例（38.4%）存在焦虑，8 例（15.3%）存在抑郁。研究人群的 HADS-A（焦虑）平均得分为 9.56±4.12。性别、收入状况、首发痫性发作的危险因素、发作类型、时间半侧化、发作频率、MRI 或 EEG 特征与基线心理评分均无显著相关性。观看发作后，研究人群的 HADS-A 评分从 9.56±4.12 降至 8.35±3.85，具有统计学意义（p=0.049）。我们确定了患者特征，这些特征使他们在观看自身发作时受益于心理评估的各个方面。
本研究强调，观看自身发作可以改善 PWE 的心理环境，并通过帮助他们更明智地应对疾病来提高他们的生活质量。
