Cognitive impairments in patients with treatment resistant epilepsy and complex rehabilitation

V. Korostiy, I. Blazhina
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Abstract

Background. The study of features of comorbid pathology in patients with epilepsy is of particular interest due to the high prevalence of this pathology and a significant impact on the quality of life of patients and their social adaptation. Aim. The aim of the research was to detect versatile cognitive impairments and affective disorders in epilepsy, and to study the results of cognitive training and psychoeducation. Materials and methods. The theoretical analysis of modern scientific researches in the field of cognitive and affective impairments during epilepsy was carried out. We studied the features of clinical and psychopathological manifestations in patients, suffering from epilepsy. The study covered 146patients (85 men and 61 women) who were in inpatient care. The following psychodiagnostic techniques were used: the MOCA test, the Toronto Cognitive Assessment (TorCA), the MiniMult test, the Münsterberg test, the quality of life scale, the Hamilton scale of depression and anxiety. Results. This publication offers the results of a study of cognitive and affective disorders the quality of life in patients who suffer from epilepsy and the results of online cognitive training and psychoeducation. We found cognitive decline in 88% of patients with epilepsy and improvement of cognitive functions by methods of non-pharmacological correction. Conclusions. Affective and cognitive disorders significantly affects the quality of life of patients, their ability to work and socialization. The conducted research showed that compared to the control group of healthy persons, patients with epilepsy showed improvement in their cognitive decline, anxiety and depressive disorders. Cognitive online training appeared to be effective for the patients with epilepsy.
难治性癫痫患者的认知障碍与复杂康复
背景。癫痫患者的共病病理特征的研究是特别感兴趣的,因为这种病理的高患病率和显著影响患者的生活质量和他们的社会适应。本研究的目的是检测癫痫的多种认知障碍和情感性障碍,并研究认知训练和心理教育的结果。材料和方法。对现代科学研究中关于癫痫的认知和情感障碍进行了理论分析。我们研究了癫痫患者的临床和精神病理表现特点。这项研究涵盖了146名住院病人(85名男性和61名女性)。采用了MOCA测试、多伦多认知评估(TorCA)、MiniMult测试、m nsterberg测试、生活质量量表、汉密尔顿抑郁焦虑量表等心理诊断技术。本出版物提供了一项关于认知和情感障碍、癫痫患者生活质量的研究结果以及在线认知训练和心理教育的结果。我们发现88%的癫痫患者认知功能下降,通过非药物矫正的方法认知功能得到改善。情感和认知障碍显著影响患者的生活质量、工作能力和社交能力。所进行的研究表明,与对照组的健康人相比,癫痫患者在认知能力下降、焦虑和抑郁障碍方面表现出改善。认知在线训练似乎对癫痫患者有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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