癫痫儿童焦虑抑郁情绪及多动的评定与临床研究

发布时间：2018-03-14 03:29

  本文选题：癫痫　切入点：焦虑　出处：《青岛大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过不同焦虑抑郁情绪及多动测试量表,探讨癫痫患儿焦虑抑郁及多动问题,为癫痫儿童共患精神疾病的诊断与治疗提供依据。方法:选取2012年9月-2015年12月期间在济南市第四人民医院收治的确诊为癫痫的儿童(未系统抗癫痫药物治疗)共113例,作为癫痫组;选取同期来医院就诊治疗的非癫痫儿童97例,均为非神经系统疾病(排除慢性疾病的患儿如血液疾病,心脏病、免疫性疾病等),作为对照组。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及专门针对儿童的儿童焦虑性情绪障碍筛查表(SCARED)和儿童抑郁障碍自评量表(DSRSC)对癫痫儿童进行测试,并且对注意力缺陷多动症(ADHD)量表测定,为儿童癫痫与情绪精神异常的关系提供参考。结果:1.癫痫组患儿的HAMA及HAMD总分分别为10.49±2.48分、16.02±2.77分,对照组患儿的HAMA及HAMD总分分别为6.89±1.05分、9.68±1.68分,癫痫组患儿的焦虑、抑郁情绪评分HAMA及HAMD总分均显著高于对照组患儿,均有统计学差异(P0.05)。2.癫痫组患儿HAMA总分≥14分(评分超过14分,患儿肯定有焦虑)患儿的比例为41%,显著高于对照组患儿12%,癫痫组患儿HAMD总分≥20分(评分超过20分,患儿肯定有抑郁症)患儿的比例为52%,显著高于对照组患儿15%,均有统计学差异(P0.05)。3.癫痫组儿童抑郁障碍自评量表和儿童焦虑性情绪障碍筛查表显示患儿出现抑郁症状≥13分患儿比例为24%,显著高于对照组患儿15%,出现焦虑≥15分患儿比例为21%,显著高于对照组患儿13%,共患ADHD患儿比例为28%,显著高于对照组患儿20.4%,均有统计学差异(P0.05)。4.癫痫组患儿采用HAMA评分诊断儿童焦虑情绪障碍的比例为41%,显著高于儿童焦虑性情绪障碍筛查表的21%,癫痫组患儿采用HAMD评分诊断儿童抑郁情绪障碍的比例为52%,显著高于儿童抑郁障碍自评量表测试的24%,均有统计学差异(P0.05)。结论:癫痫儿童出现抑郁、焦虑、多动等情绪行为障碍的比例明显高于非癫痫儿童,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及专门针对儿童的儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表以及注意力缺陷多动症量表都可以对癫痫儿童焦虑抑郁等情绪行为障碍进行评定,但是汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)对癫痫儿童出现抑郁、焦虑、多动等情绪行为障碍的诊断率远高于单纯用儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表,降低漏诊率。同时临床对癫痫儿童的诊断与治疗应重视对儿童情绪的控制。
[Abstract]:Objective: to explore the anxiety, depression and hyperactivity problems in children with epilepsy by using different anxiety and depression and hyperactivity scale. Methods: from September 2012 to December 2015, 113 children (without systemic antiepileptic therapy) who were admitted to Jinan 4th people's Hospital were selected. As epilepsy group, 97 cases of non-epileptic children who were treated in hospital during the same period were all non-nervous system diseases (excluding chronic diseases such as blood disease, heart disease, etc.). Immune diseases were used as control group. Children with epilepsy were tested with Hamilton anxiety scale (Hamilton anxiety scale), Hamilton Depression scale (Hamilton Depression scale), screening form (SCAREDD) and Self-Rating scale (DSRSCC) for Children with anxiety mood Disorder. The results showed that the total scores of HAMA and HAMD in children with epilepsy were 10.49 卤2.48 and 16.02 卤2.77, respectively. The total scores of HAMA and HAMD in the control group were 6.89 卤1.05 and 9.68 卤1.68, respectively. The total scores of anxiety, depression and HAMD in the epileptic group were significantly higher than those in the control group (P < 0.05). The total score of HAMA in the epileptic group was more than 14 (the score was more than 14). The proportion of children with anxiety was 41, significantly higher than that of control group. The total score of HAMD in epilepsy group was more than 20 points (score more than 20 points). The proportion of children with depressive disorder was 52, which was significantly higher than that of control group (P 0.05). 3. The self-rating scale of depressive disorder and the screening form of anxiety mood disorder in epilepsy group showed that the children had depressive symptoms. The proportion of children with ADHD 鈮，

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