癫痫儿童的精神并发症。

IF 1.7 4区 医学 Q2 PEDIATRICS
Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-08-26
V N V S J Sarat Chandra, Mahesh Kamate, Vinayak Koparde
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引用次数: 0

摘要

目的评估癫痫儿童(CWE)中精神疾病合并症的患病率,并评估其对生活质量(QOL)的影响:方法:使用修订版儿童焦虑抑郁量表(RCADS)评估所有智商(IQ)正常的儿童癫痫患者的焦虑和抑郁情况,并使用优势和困难问卷(SDQ)评估行为和情绪问题。入院时使用儿童癫痫患者生活质量量表(QOLCE-31)评估生活质量,3个月后对合并症进行适当干预后再次进行评估:结果发现,分别有 22(24.4%)、18(20.0%)、35(38.9%)、32(35.56)、26(28.89)、12(13.34)名儿童达到了社交恐惧症、重度抑郁、广泛性焦虑、分离焦虑、行为问题和同伴问题的临床阈值。在对合并症进行适当干预后,生活质量有所改善:结论:精神疾病是癫痫患儿的常见并发症,也是导致生活质量低下的原因之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychiatric Comorbidities in Children With Epilepsy.

Objective: To evaluate the prevalence of psychiatric comorbidities in children with epilepsy (CWE) and to assess their impact on the quality of life (QOL).

Methods: All CWE with a normal Intelligence Quotient (IQ) were assessed for psychiatric commorbidities using the Revised Child Anxiety and Depression Scale (RCADS) for anxiety and depression, and Strengths and Difficulties Questionnaire (SDQ) for behavioral and emotional problems. Quality of Life in Children with Epilepsy (QOLCE-31) scale was used to assess the quality of life at enrolment and was repeated again after appropriate intervention for comorbidities at 3 months.

Results: Twenty-two (24.4%), 18 (20.0%), 35 (38.9%), 32 (35.56), 26 (28.89), and 12 (13.34) children met the clinical threshold for social phobia, major depression, generalized anxiety, separation anxiety, conduct problem and peer problem, respectively. After appropriate intervention for the co-morbidities, improvement was noted in the quality of life.

Conclusion: Psychiatric co-morbidities are common in children with epilepsy and these contribute to the poor QOL.

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来源期刊
Indian pediatrics
Indian pediatrics 医学-小儿科
CiteScore
3.30
自引率
8.70%
发文量
344
审稿时长
3-8 weeks
期刊介绍: The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.
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