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[癫痫、抗惊厥治疗与儿童精神方面的显著表现]

[Epilepsy, anticonvulsive treatment and child psychiatric conspicuousness].

作者信息

Lehmkuhl G, Detzner M, Poustka F

出版信息

Z Kinder Jugendpsychiatr. 1985;13(3):199-211.

PMID:3837567
Abstract

Seventy-nine children suffering from epileptic seizures who were seen at a clinic for child and adolescent psychiatry for behavior disorders were compared with a control group from the same clinic matched by age, sex and IQ. Significant differences were found between the two groups in the percentages diagnosed as having "no psychiatric disorder", "neurotic or emotional disorder" and "specific disorder following brain damage". Neither the type nor the frequency of epileptic seizures was found to have an influence on the type of psychiatric disturbance. Only a small proportion of the children with epilepsy (12%) had psychiatric symptoms, which if present were compatible with the diagnosis "organic psychosyndrome". No abnormal psychosocial situations were found to be specific for epilepsy, but the type of medication (especially barbiturates) had a significant influence on the incidence of conduct disorders.

摘要

在一家儿童与青少年精神病诊所,对79名因癫痫发作前来就诊且伴有行为障碍的儿童,与来自同一家诊所、年龄、性别和智商相匹配的对照组进行了比较。在被诊断为“无精神障碍”“神经症或情感障碍”以及“脑损伤后特定障碍”的百分比方面,两组之间存在显著差异。癫痫发作的类型和频率均未发现对精神障碍的类型有影响。只有一小部分癫痫儿童(12%)有精神症状,若有则符合“器质性精神综合征”的诊断。未发现异常的社会心理状况是癫痫所特有的,但药物类型(尤其是巴比妥类药物)对品行障碍的发生率有显著影响。

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