Antebi D, Bird J
Burden Neurological Hospital, Stapleton, Bristol.
Br J Psychiatry. 1993 Jun;162:759-64. doi: 10.1192/bjp.162.6.759.
The finding that seizures can be precipitated in some epileptic patients by stimuli which originate from outside the central nervous system is not new. The influence of psychological changes on seizure frequency has, however, been much more difficult to determine. Patients who become aware of such associations may gain some control over their seizures. One hundred randomly selected out-patients with epilepsy were asked about their awareness of such associations and whether, as a consequence, they believed they had any control of their seizures. Ninety-two reported associations between seizures and facilitators or precipitants. The group who had made associations between independent states or stimuli and their seizures were more likely to have poorly controlled seizures and to be taking more anticonvulsants. Many had used this knowledge to control their seizures.
在一些癫痫患者中，由中枢神经系统以外的刺激引发癫痫发作这一发现并不新鲜。然而，心理变化对癫痫发作频率的影响却更难确定。意识到这种关联的患者可能会对其癫痫发作有所控制。对100名随机挑选的癫痫门诊患者询问了他们对这种关联的认知，以及他们是否因此认为自己能够控制癫痫发作。92人报告了癫痫发作与促发因素或诱发因素之间的关联。那些将独立状态或刺激与癫痫发作联系起来的患者，癫痫发作更有可能控制不佳，且服用更多抗癫痫药物。许多人利用这一认知来控制自己的癫痫发作。
