Boldyrev A I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(6):819-22.
The principles of the prognostic evaluation in epilepsy are suggested. Since the concept of prognosis is complex and multifacet it is advisable to differentiate its clinical aspect (including the prognosis of paroxysmal, psychic, neurologic and other manifestations of the disease) and the social one (occupational, familial, and social). The correlation of these factors considered from the viewpoint of a dynamic approach determines the course and the prognosis of epilepsy as a whole. The degree of the patient's clinical and occupational compensation serves as one of the major criteria of the assessment of the disease course and prognosis. Clinical and social criteria taken as a whole permit a comprehensive qualification of the prognosis of epilepsy. The above principles may be applied to other mental disorders as well.
本文提出了癫痫预后评估的原则。由于预后的概念复杂且多面,因此最好区分其临床方面(包括疾病的发作性、精神性、神经性和其他表现的预后)和社会方面(职业、家庭和社会方面)。从动态方法的角度考虑这些因素的相关性,决定了癫痫整体的病程和预后。患者临床和职业代偿的程度是评估疾病病程和预后的主要标准之一。临床和社会标准整体上有助于对癫痫预后进行全面的评定。上述原则也可应用于其他精神障碍。