Higashi T, Ishihara O, Wada T
Folia Psychiatr Neurol Jpn. 1979;33(3):399-405. doi: 10.1111/j.1440-1819.1979.tb00776.x.
Medicosocial aspects of 2,000 patients with epilepsy were outlined on the basis of international classification of epilepsies and epileptic seizures. 1. The incidence of secondary generalized epilepsy was higher compared with that reported previously. It was possible that we have been dealing with rather intractable epilepsy. Non-convulsive epileptic seizures should be treated as intensively as convulsive attacks. 2. Contrary to primary generalized epilepsy, secondary generalized epilepsy and partial epilepsy, a part of which was complex partial seizures, were more prone to be associated with psychological difficulties. 3. The rate of normal mentality was apparently proportional to the actual ease of employment among adult patients. Fortunately, the general attitude of education toward younger people with epilepsy was seemingly generous. However, the marital status of both sexes was far from satisfactory. The stigma might have been felt more by adult patients than younger ones. 4. It appeared to be conceivable that two-thirds of the people with epilepsy are treatable to a certain extent by adequate regimens while one-tenth are obliged to stay in residential centers for a lengthy period of time. Thus, various rehabilitation activities are indicated for one-fourth of the patient population. Actual strategy for rehabilitation of epileptics should be individually designed in accordance with the natural history of each epilepsy.
基于国际癫痫及癫痫发作分类，概述了2000例癫痫患者的社会医学方面情况。1. 继发性全身性癫痫的发病率高于先前报道。有可能我们面对的是相当难治的癫痫。非惊厥性癫痫发作应与惊厥性发作一样进行积极治疗。2. 与原发性全身性癫痫、继发性全身性癫痫及部分性癫痫（其中一部分为复杂部分性发作）相反，继发性全身性癫痫更容易伴有心理问题。3. 成年患者的正常心理状态比率显然与实际就业难易程度成正比。幸运的是，教育界对癫痫青少年的总体态度似乎较为宽容。然而，两性的婚姻状况都远不尽如人意。成年患者可能比青少年更能感受到这种耻辱。4. 似乎可以想象，三分之二的癫痫患者可通过适当的治疗方案在一定程度上得到治疗，而十分之一的患者不得不长期住在康复中心。因此，四分之一的患者需要开展各种康复活动。癫痫患者的实际康复策略应根据每种癫痫的自然病程进行个体化设计。
