Rauh Raphael, Schulze-Bonhage Andreas, Metternich Birgitta
Epilepsy Center, University Medical Center, University of Freiburg, Freiburg, Germany.
Front Neurol. 2022 Apr 25;13:836321. doi: 10.3389/fneur.2022.836321. eCollection 2022.
Approximately 20% of people with epilepsy (PWE) suffer from anxiety. These fears are quite diverse and may manifest periictally or interictally, be part of the seizure's semiology, or an expression of reactive psychological distress from seizures themselves. Our review addresses the question of what screening tools are used in clinical care and epileptological research to capture the complexity of epilepsy-specific anxieties.
On 2021/11/11, we entered a search string in PubMed that covered our research interest as completely as possible. We also screened the bibliographies of our findings and followed PubMed's recommendations. From the assessments we found in the included studies, we extracted domains that represent the range of manifestations of anxiety, in order to compare the tools and to discuss to what extent they are suitable for assessing epilepsy-specific anxieties.
We screened 1,621 abstracts. In total, we identified 24 different anxiety assessments. In addition to the psychiatric assessments in use, we found 7 tools that were designed to assess epilepsy-specific anxieties. The latter focus on different aspects of epilepsy-specific anxieties. In some cases, the conceptual frameworks are not sufficiently transparent or divergent.
Because a diagnosis of epilepsy can result in, or seizures may appear as, anxiety, it is important to better understand this psychological burden and address it therapeutically, if necessary. There is a need for screening tools that integrate specific points of a variety of assessments, so as to cover the broad range of epilepsy-specific fears. None of the assessments we found meets this integrative perspective. At the same time, the appropriate design of such a required tool presupposes a conceptual framework of what should be considered as epilepsy-specific anxiety.
约20%的癫痫患者患有焦虑症。这些恐惧多种多样，可能在发作期间或发作间期出现，是癫痫发作症状学的一部分，或是癫痫发作本身引起的反应性心理困扰的一种表现。我们的综述探讨了在临床护理和癫痫学研究中使用哪些筛查工具来捕捉癫痫特异性焦虑的复杂性。
2021年11月11日，我们在PubMed中输入了一个尽可能涵盖我们研究兴趣的搜索词。我们还筛选了研究结果的参考文献，并遵循PubMed的建议。从纳入研究中的评估中，我们提取了代表焦虑表现范围的领域，以便比较这些工具，并讨论它们在多大程度上适用于评估癫痫特异性焦虑。
我们筛选了1621篇摘要。总共识别出24种不同的焦虑评估方法。除了现有的精神科评估方法外，我们还发现了7种旨在评估癫痫特异性焦虑的工具。后者关注癫痫特异性焦虑的不同方面。在某些情况下，概念框架不够清晰或存在分歧。
由于癫痫诊断可能导致焦虑，或者癫痫发作可能表现为焦虑，因此更好地理解这种心理负担并在必要时进行治疗干预非常重要。需要有整合多种评估特定要点的筛查工具，以涵盖广泛的癫痫特异性恐惧。我们发现的评估方法均未满足这种综合观点。同时，设计这样一种所需工具的前提是要有一个关于应被视为癫痫特异性焦虑的概念框架。
