Symptoms of anxiety and depression among adolescents with seizures in Irbid, Northern Jordan
Symptoms of anxiety and depression among adolescents with seizures in Irbid, Northern Jordan
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DOI：
10.1053/seiz.2000.0427
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发表时间：
2000-09-01
影响因子：
3
通讯作者：
Matloub, FF
中科院分区：
文献类型：
--
作者：
Alwash, RH;Hussein, MJ;Matloub, FF
在约旦，癫痫患者通常会去神经精神科诊所就诊。本研究的目的是评估青少年癫痫的心理社会结果。该研究包括 101 名就诊于约旦北部巴斯马公主教学医院神经科诊所的癫痫青少年和 101 名非癫痫对照者。通过采访病例和对照来收集社会人口学特征和所有相关临床数据。根据DSM-TV标准对焦虑和抑郁症状进行识别。患者的年龄和性别与对照组相匹配。对照组的受教育程度明显优于癫痫患者（>12 年教育）。患有癫痫症的青少年在生活环境方面也处于不利地位。他们中的一些人在一些日常身体活动中依赖父母，例如洗澡，这可能是父母过度保护的表现。与对照组相比，癫痫患者出现焦虑和抑郁症状的倾向明显更高。此外，当癫痫发作没有得到适当的药物控制时，这些精神症状，尤其是焦虑症状，更有可能发生。父母对患病孩子的过度保护行为也可能会延迟他们的心理社会成熟。因此，对患者和家长进行有关癫痫的咨询是控制癫痫发作及其后遗症的重要因素。 (C) 2000 东亚银行贸易有限公司
in Jordan, individuals with epilepsy commonly attend neuropsychiatric clinics. The objective of this study was to assess the psychosocial outcome of epilepsy among adolescents. The study included 101 epileptic adolescents who attended the neurology clinic at the Princess Basma Teaching Hospital in Northern Jordan and 101 non-epileptic controls. Sociodemographic characteristics and all relevant clinical data were collected through interviewing the cases and controls. Identification of the symptoms of anxiety and depression was made according to DSM-TV criteria. The patients were age and sex matched with the controls. The controls had achieved a significantly better education (>12 years education) than the patients with epilepsy. The adolescents with epilepsy were also shown to be disadvantaged in their Living circumstances. Some of them were dependent on their parents in some daily physical activities, such as bathing, which might be a sign of overprotection by their parents. Those with epilepsy had a significantly higher tendency to develop symptoms of anxiety and depression than the control group. Moreover these psychiatric symptoms, especially anxiety symptoms, were more likely to happen when seizures had not been properly medically controlled. Overprotective parental behaviour towards their ill children could also delay their psychosocial maturation. Therefore, counselling of patients and parents about epilepsy is an important factor in the control of seizures and their sequelae. (C) 2000 BEA Trading Ltd.