癫癎患儿抑郁情绪及影响因素  

Depression in Children with Epilepsy and Its Effect Factors

作　　者：吴革菲[1] 刘智胜[1] 胡家胜[1] 何彩英[1] 吴舒华[1] 毛冰[1] 孙丹[1] 王芳琳[1] 

机构地区：[1]武汉市儿童医院神经内科,武汉430016

出　　处：《实用儿科临床杂志》2011年第12期933-936,共4页Journal of Applied Clinical Pediatrics

基　　金：湖北省青年科技人才基金项目(QJX2005-22);武汉市科技攻关计划资助项目(200860923433);武汉市临床重点学科资助项目(2005-294)

摘　　要：目的观察癫癎患儿的抑郁状态,并探讨患儿的焦虑、个性以及监护人的焦虑、抑郁和个性等对患儿抑郁的影响。方法采用儿童抑郁自评量表（DSRS）、儿童社交焦虑量表（SASC）、Beck抑郁自评问卷（BDI）、焦虑自评量表（SAS）以及儿童和成人艾森克个性问卷（EPQ）,对95例癫癎患儿及其监护人的抑郁、焦虑、个性的4个维度进行评分,同时与118例上呼吸道感染患儿（对照组）的抑郁状态进行比较。结果癫癎患儿DSRS得分较对照组儿童高、13~15岁病例组患儿得分较同年龄段对照组高,差异均有统计学意义（Pa〈0.05）,而癫癎患儿的抑郁水平与性别无关,不同年龄段病例组患儿DSRS得分比较差异无统计学意义。病例组患儿DSRS得分与儿童SASC及儿童EPQN量表得分呈正相关、与E量表得分呈负相关（Pa〈0.005）,与P量表和L量表得分无相关关系（Pa〉0.05）;与监护人BDI、SAS及成人EPQP量表得分呈正相关（Pa〈0.05）,与监护人N、E、L量表得分无相关关系（Pa〉0.05）。监护人文化程度相同,病例组和对照组儿童DSRS得分比较,差异无统计学意义（P〉0.05）;监护人文化程度不同,病例组患儿DSRS得分有统计学差异（P〈0.05）,且监护人文化程度为小学及以下者癫癎患儿的抑郁水平高于监护人为本科/大专者,差异有统计学意义（P〈0.05）。监护人职业相同,病例组和对照组儿童DSRS得分差异无统计学意义（Pa〉0.05）。监护人职业不同,无论工人、农民或行政人员等,病例组患儿DSRS得分差异无统计学意义（Pa〉0.05）。患儿为局限性发作或全面性发作、有无影像学异常、病程长短不同,其儿童DSRS得分差异无统计学意义（Pa〉0.05）。结论癫癎患儿抑郁水平较健康儿童高,且与患儿年龄、患儿和监护人的焦虑或抑郁水平、某些个性特征及监护人文化程度相关。Objective To investigate the state of depression in children with epilepsy and explore the influence on patients′ anxiety,personality and their supervisors′ state of anxiety,personality and guardians′ anxiety,depression and personality on the patients′ depression state.Methods Ninety-five epileptic children（epilepsy group） and their supervisors were assessed with Depression Self Rating Scale for Children（DSRS）,Social Anxiety Scale for Children（SASC）,Eysenck Personality Questionnaire of children and adult（EPQ） to rate their depression,Self-Rating Anxiety Scale（SAS）,Beck Depression Inventory（BDI）anxiety and personality,118 children who had recovered from upper respiratory infection were included as the control group;and the state of depression were compared between 2 groups.Results The DSRS score in epilepsy group was higher than that in control group,DSRS score of children in 13-15 years old group in epilepsy group was higher than that in the same age group in control group（Pa0.05）.There was no significant difference in DSRS score between girls and boys,and between different age groups in epilepsy group.The DSRS score was correlated positively with score of SASC,N dimension and negatively to E dimension（Pa0.005）,and there was no correlation with P and L dimensions of EPQ in epilepsy group（Pa0.05）.The score of DSRS in epilepsy group was correlated positively with score of supervisors′ BDI,SAS and P dimension of EPQ of supervisors（Pa0.05）.There was no correlation between DSRS score in epilepsy group and supervisors′ N,E,L dimension score of EPQ（Pa0.05）.As for the same educational level of the supervisors,there was no significant difference in their children′s DSRS score between epilepsy group and control group（P0.05）.As for different educational levels of supervisors,there was significant difference in their children′s DSRS score and the depression score of children whose supervisors′ educational level was primary school or under this level was higher

关 键 词：癫癎 抑郁 焦虑 个性 儿童 

分 类 号：R742.1[医药卫生—神经病学与精神病学]