Blumer D, Montouris G, Hermann B
Department of Psychiatry, College of Medicine, University of Tennessee-Memphis, USA.
J Neuropsychiatry Clin Neurosci. 1995 Fall;7(4):445-56. doi: 10.1176/jnp.7.4.445.
This study aimed to clarify prevalence and type of psychiatric disorders among 97 consecutive patients with seizures who were admitted for neurodiagnostic monitoring. Of the 97 patients, 33 (34%) had an atypical mood disorder, 21 (22%) had pseudoseizures, and 9 (9%) had other psychiatric disorders, for a total of 63 (65%) in need of psychiatric treatment. Patients with the atypical mood disorder had predominantly depressive symptoms, which occurred intermittently, were associated with episodes of irritability, and alternated with briefer euphoric moods. Anxiety and phobic symptoms occurred less often. The existence of an epilepsy-specific mood disorder is suggested.
本研究旨在阐明97例因神经诊断监测而入院的癫痫患者中精神障碍的患病率及类型。97例患者中，33例（34%）患有非典型心境障碍，21例（22%）有假性癫痫发作，9例（9%）患有其他精神障碍，总计63例（65%）需要接受精神科治疗。非典型心境障碍患者主要表现为抑郁症状，症状间歇性出现，与易怒发作相关，并与短暂的欣快情绪交替出现。焦虑和恐惧症状出现较少。提示存在癫痫特异性心境障碍。
