摘要
目的探讨原发性癫痫患者焦虑抑郁情绪现状和影响因素。方法采用自编问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)、社会支持评定量表(SSRS)和匹兹堡睡眠质量指数问卷(PSQI)对2010年10月至2012年10月治疗的53例原发性癫痫患者和同期53例年龄、性别与原发性癫痫患者相匹配的健康体检者(对照组)进行测评。结果原发性癫痫患者的焦虑抑郁情绪检出率分别为45.28%和52.83%,明显高于对照组的9.43%及13.20%(P均<0.05)。通过多因素Logistic回归分析发现:初次发作年龄小、发作频率大、病程长和有睡眠问题是原发性癫痫患者焦虑抑郁情绪的危险因素,而原发性癫痫者对癫痫了解程度和SSRS总分是原发性癫痫患者焦虑抑郁情绪的保护因素,主观支持分是原发性癫痫患者焦虑抑郁情绪的保护因素。结论原发性癫痫患者焦虑情绪普遍存在,其焦虑抑郁情绪受多方面因素的影响。
Objective To investigate anxiety and depression status and its influential factors in patients with primary epilepsy. Methods The clinical data of 53 patients with primary epilepsy treated from October 2010 to October 2012 and 53 age-, sex-matched health subjects in corresponding period （control group） were collected. Using the self-made general data questionnaire, self-rating anxiety scale （ SAS）, self-rating depression scale （ SDS）, the social support rating scale （SSRS） and pittsburgh sleep quality index （ PSQI ）, the cross-sectional survey was performed. Results The detectable rates of anxiety and depression in patients with primary epilepsy were higher than those in control group （45.28% vs 9.43% ,P 〈0.05;52.83% vs 13.20% ,P 〈0.05）. Multivariate logistic analysis showed that less age of first onset, high seizure frequency, long course and having sleeping problems were the risk factors of existing anxiety and depression sentiments for primary epilepsy; patient＇s understanding degree on the primary epilepsy and high total scores of SSRS were the protective factors of anxiety and depression in primary epilepsy ; the subjective support point was a protective factor of anxiety sentiments in primary epilepsy. Conclusion The anxiety and depression sentiments are common in patients with primary epilepsy and were affected by many factors.
出处
《中国临床研究》
CAS
2013年第2期123-125,127,共4页
Chinese Journal of Clinical Research
关键词
癫痫
原发性
焦虑
抑郁
影响因素
横断面调查
Primary epilepsy
Anxiety
Depression
Influential factors
Cross-sectional survey
