{"title":"抗癫痫药物不良反应的评估:患者的观点","authors":"Theodor W. May","doi":"10.1016/j.epilep.2013.01.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Seizures as well as adverse effects of antiepileptic drugs (AED) affect quality of life among patients with epilepsy.</p></div><div><h3>Aims</h3><p>to give a review of instruments for the assessment of patient-reported adverse effects of AED and discuss their strengths and limitations.</p></div><div><h3>Methods</h3><p>MEDLINE search supplemented by other internet searches, citations of articles, personal communications and abstracts.</p></div><div><h3>Results</h3><p>Eight standardized instruments for the assessment of patient-reported adverse effects were included in the review. These instruments differ considerably in regard to scope, complexity and psychometric evaluation. Three questionnaires aimed primarily at patient reported cognitive dysfunction caused by AED. Some instruments were not psychometrically evaluated or corresponding information was only sparse. If reported, reliability, validity and responsiveness was satisfactory. However, confounding factors, especially comorbid depression and anxiety disorders may bias the reporting of adverse effects.</p></div><div><h3>Conclusions</h3><p>Assessment of patient-reported adverse drug effects appears useful for the optimizing of the AED therapy and for improving patients' quality of life. For this purpose, some standardized and validated questionnaires/checklists are available meanwhile. Further development of methods to evaluate the severity and clinical relevance of patient-reported adverse effects of AED would be beneficial.</p></div>","PeriodicalId":100487,"journal":{"name":"Epileptology","volume":"1 1","pages":"Pages 46-54"},"PeriodicalIF":0.0000,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.epilep.2013.01.003","citationCount":"7","resultStr":"{\"title\":\"Assessment of adverse effects of antiepileptic drugs: The patient's view\",\"authors\":\"Theodor W. May\",\"doi\":\"10.1016/j.epilep.2013.01.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Seizures as well as adverse effects of antiepileptic drugs (AED) affect quality of life among patients with epilepsy.</p></div><div><h3>Aims</h3><p>to give a review of instruments for the assessment of patient-reported adverse effects of AED and discuss their strengths and limitations.</p></div><div><h3>Methods</h3><p>MEDLINE search supplemented by other internet searches, citations of articles, personal communications and abstracts.</p></div><div><h3>Results</h3><p>Eight standardized instruments for the assessment of patient-reported adverse effects were included in the review. These instruments differ considerably in regard to scope, complexity and psychometric evaluation. Three questionnaires aimed primarily at patient reported cognitive dysfunction caused by AED. Some instruments were not psychometrically evaluated or corresponding information was only sparse. If reported, reliability, validity and responsiveness was satisfactory. However, confounding factors, especially comorbid depression and anxiety disorders may bias the reporting of adverse effects.</p></div><div><h3>Conclusions</h3><p>Assessment of patient-reported adverse drug effects appears useful for the optimizing of the AED therapy and for improving patients' quality of life. For this purpose, some standardized and validated questionnaires/checklists are available meanwhile. Further development of methods to evaluate the severity and clinical relevance of patient-reported adverse effects of AED would be beneficial.</p></div>\",\"PeriodicalId\":100487,\"journal\":{\"name\":\"Epileptology\",\"volume\":\"1 1\",\"pages\":\"Pages 46-54\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.epilep.2013.01.003\",\"citationCount\":\"7\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Epileptology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212822013000045\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epileptology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212822013000045","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Assessment of adverse effects of antiepileptic drugs: The patient's view
Background
Seizures as well as adverse effects of antiepileptic drugs (AED) affect quality of life among patients with epilepsy.
Aims
to give a review of instruments for the assessment of patient-reported adverse effects of AED and discuss their strengths and limitations.
Methods
MEDLINE search supplemented by other internet searches, citations of articles, personal communications and abstracts.
Results
Eight standardized instruments for the assessment of patient-reported adverse effects were included in the review. These instruments differ considerably in regard to scope, complexity and psychometric evaluation. Three questionnaires aimed primarily at patient reported cognitive dysfunction caused by AED. Some instruments were not psychometrically evaluated or corresponding information was only sparse. If reported, reliability, validity and responsiveness was satisfactory. However, confounding factors, especially comorbid depression and anxiety disorders may bias the reporting of adverse effects.
Conclusions
Assessment of patient-reported adverse drug effects appears useful for the optimizing of the AED therapy and for improving patients' quality of life. For this purpose, some standardized and validated questionnaires/checklists are available meanwhile. Further development of methods to evaluate the severity and clinical relevance of patient-reported adverse effects of AED would be beneficial.
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