癫痫患者认知功能与心理健康状态的关系  

Relationship between Cognitive Function and Mental Health Status in Patients with Epilepsy

作　　者：李桂花[1] 宋永斌[1] 杨俊[1] 徐建春[1] 张晓馨[1] 徐江涛[1] 

机构地区：[1]兰州军区乌鲁木齐总医院神经内科,中国乌鲁木齐830000

出　　处：《中国健康心理学杂志》2011年第6期656-658,共3页China Journal of Health Psychology

摘　　要：目的探讨癫痫患者认知功能与心理健康状态的关系。方法对50例癫痫患者(试验组)及40例体检健康者(对照组)行蒙特利尔认知评估量表(M oCA)、抑郁自评量表(SDS)及焦虑自评量表(SA S)评定。结果试验组与对照组认知功能障碍、焦虑及抑郁检出例数分别为:42/50(84.00%)vs 3/40(7.50%)(χ2=52.020,P<0.05)、12/50(24.00%)vs 1/40(2.50%)(χ2=8.312,P<0.05)和28/50(56.00%)vs 7/40(17.50%)(2χ=13.860,P<0.05)。两组患者的M oCA总分、M oCA 7个子项目、SA S标准分、SDS标准分和SDS 4个子项目比较P均<0.05,差异有统计学意义。相关性分析显示认知功能评分与心理健康状态评分呈负相关。结论癫痫患者存在认知功能障碍和焦虑抑郁障碍,癫痫患者认知功能评分与心理健康状态评分有关。Objective To evaluate the relationship between cognitive function and mental health status in patients with epilepsy.Methods The Montreal Cognitive Assessment（MoCA）,Depression Self Rating Scale（SDS） and Anxiety Self-evaluation Questionnaire（SAS） were assessed and analysized in 50 patients with epilepsy（case group） and 40 normal subjects（normal group）,and analysize the relationship between cognitive function and mental health status.Results The numbers of cognitive dysfunction,anxiety and depression were detected in experimental group and control group respectively： 42/50（84.00%）vs 3/40（7.50%）（χ2=52.020,P0.05）,12/50（24.00%）vs 1/40（2.50%）（χ2=8.312,P0.05）and 28/50（56.00%） vs 7/40（17.50%）（χ2=13.860,P0.05）.The total scores of MoCA,its seven sub-projects,the standard scores of SAS,the standard scores of SDS and its four sub-projects in two groups showed significant differences（P0.05）.Correlation analysis showed that mental health scores negatively correlated with MoCA scores.Conclusion There were cognitive dysfunction,anxiety and depression disorders,and the cognitive function scores was related to mental health status scores in patients with epilepsy.

关 键 词：癫痫 认知功能 心理健康 蒙特利尔认知评估量表 

分 类 号：R749.16[医药卫生—神经病学与精神病学]