Prevalence of and risk factors for anxiety and depressive disorders in Nigerian adolescents with epilepsy
Prevalence of and risk factors for anxiety and depressive disorders in Nigerian adolescents with epilepsy
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DOI：
10.1016/j.yebeh.2004.12.011
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发表时间：
2005-05-01
影响因子：
2.6
通讯作者：
Ola, BA
中科院分区：
文献类型：
--
作者：
Adewuya, AO;Ola, BA
青少年对癫痫等慢性疾病的情绪反应可能因文化而异。本研究的目的是调查一组尼日利亚青少年癫痫患者焦虑和抑郁障碍的患病率和危险因素。青少年癫痫（n = 102），年龄在12岁至18岁之间的焦虑和抑郁障碍与儿童诊断访谈计划第四版（DISC-IV）进行了评估。32例（31.37%）青少年被诊断为焦虑症，29例（28.43%）被报告为抑郁症。通过回归分析，焦虑和抑郁障碍的预测因素包括不受控制的癫痫发作、多种治疗和感觉耻辱。家庭因素，如父母的精神病理学和家庭压力也中度显着。结果表明，癫痫青少年的情绪障碍跨越文化。早期干预需要适当的监测、旨在减少耻辱感的教育和家庭干预计划。(c)2005年爱思唯尔公司All rights reserved.
The emotional response of adolescents to a chronic illness like epilepsy may differ across cultures. This study was aimed at investigating the prevalence of and risk factors for anxiety and depressive disorders in a group of Nigerian adolescents with epilepsy. Adolescents with epilepsy (n = 102) aged between 12 and 18 were assessed for anxiety and depressive disorders with the Diagnostic Interview Schedule for Children Version IV (DISC-IV). An anxiety disorder was diagnosed in 32 (31.37%) of the adolescents and a depressive disorder was reported in 29 (28.43%). Predictors of anxiety and depressive disorders by regression analysis include uncontrolled seizures, polytherapy, and felt stigma. Family factors such as parents' psychopathology and family stress are also moderately significant. Results show that emotional disorders in adolescents with epilepsy cut across cultures. Adequate monitoring, education targeted at reducing felt stigma, and family intervention programs are needed for early intervention. (c) 2005 Elsevier Inc. All rights reserved.