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[成年癫痫患者的抑郁和焦虑]

[Depression and anxiety in adult patients with epilepsy].

作者信息

Pinborg Lars Hageman, Jørgensen Martin Balslev

机构信息

Epilepsiklinikken og Neurobiologisk Forskningsenhed, Københavns Universitetshospital - Rigshospitalet.

Psykiatrisk Center København, Region Hovedstadens Psykiatri.

出版信息

Ugeskr Laeger. 2022 Jun 27;184(26).

Abstract

There is a bidirectional association between epilepsy and depression and anxiety which are more prevalent in temporal lobe epilepsy and medically intractable epilepsy and are underdiagnosed. Many factors determine the occurrence of psychiatric symptoms. It is recommended that The Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) and Generalised Anxiety Disorder Assessment (GAD-7) are employed for screening. This review finds that systematic screening should be routinely performed and treatment should be carried out in a formalized collaboration between neurologist, psychiatrist and psychologist.

摘要

癫痫与抑郁和焦虑之间存在双向关联,这些症状在颞叶癫痫和药物难治性癫痫中更为普遍,且诊断不足。许多因素决定了精神症状的发生。建议采用癫痫神经障碍抑郁量表(NDDI-E)和广泛性焦虑症评估量表(GAD-7)进行筛查。本综述发现,应常规进行系统筛查,治疗应在神经科医生、精神科医生和心理学家之间的正式合作中开展。

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