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失神发作及其与抑郁和焦虑的关系:双向证据。

Absence seizures and their relationship to depression and anxiety: Evidence for bidirectionality.

机构信息

Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USA.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, Florida, USA.

出版信息

Epilepsia. 2021 May;62(5):1041-1056. doi: 10.1111/epi.16862. Epub 2021 Mar 10.

Abstract

Absence seizures (AS), presenting as short losses of consciousness with staring spells, are a common manifestation of childhood epilepsy that is associated with behavioral, emotional, and social impairments. It has also been suggested that patients with AS are more likely to suffer from mood disorders such as depression and anxiety. This systematic review and meta-analysis synthesizes human and animal models that investigated mood disorders and AS. Of the 1019 scientific publications identified, 35 articles met the inclusion criteria for this review. We found that patients with AS had greater odds of developing depression and anxiety when compared to controls (odds ratio = 4.93, 95% confidence interval = 2.91-8.35, p < .01). The included studies further suggest a strong correlation between AS and depression and anxiety in the form of a bidirectional relationship. The current literature emphasizes that these conditions likely share underlying mechanisms, such as genetic predisposition, neurophysiology, and anatomical pathways. Further research will clarify this relationship and ensure more effective treatment for AS and mood disorders.

摘要

失神发作(AS)表现为短暂的意识丧失和凝视发作,是儿童癫痫的一种常见表现,与行为、情感和社交障碍有关。也有人认为,AS 患者更容易患情绪障碍,如抑郁和焦虑。本系统评价和荟萃分析综合了研究情绪障碍和 AS 的人类和动物模型。在确定的 1019 篇科学出版物中,有 35 篇文章符合本综述的纳入标准。我们发现,与对照组相比,AS 患者患抑郁和焦虑的几率更高(比值比=4.93,95%置信区间=2.91-8.35,p<0.01)。纳入的研究进一步表明,AS 与抑郁和焦虑之间存在很强的相关性,表现为双向关系。目前的文献强调,这些情况可能具有共同的潜在机制,如遗传易感性、神经生理学和解剖学途径。进一步的研究将阐明这种关系,并确保对 AS 和情绪障碍的更有效治疗。

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