Analysis of status quo and related risk factors of epilepsy with anxiety and depression
Objectives To investigate the situation of epilepsy patients with anxiety and depression,analyze the relevant risk factors,and provide idea for diagnosis,treatment,and intervention of anxiety and depression in epilepsy patients.Methods The Zung's self-assessment scale for anxiety(SAS)and self-assessment scale for depression(SDS)were used for investigation of 335 epilepsy patients.Meanwhile,the diagnosis was clarified according to the clinical features and the diagnostic standard of mental psychological illness.Results The comorbid rate of epilepsy patients with anxiety was 58.5％in 335 epilepsy patients,and the mild,moderate and severe comorbid rates was 36.1％,18.8％and 3.6％,respectively.There were statistical differences in the comorbid rates of marital status(x2=6.375,P=0.041),occupations(x2=31.963,P=0.000),economic status(x2=22.375,P=0.001),education background(x2=9.224,P=0.026),age of first onset(x2=6.545,P=0.038)and courses of diseases(x2=12.521,P=0.002).The comorbid rate of epilepsy patients with depression was 58.8％,and the mild,moderate and severe comorbid rates was 29.9％,17.0％and 11.9％,respectively.There were statistical differences in the comorbid rates of occupations(x2=17.687,P=0.000),economic status(x2=6.728,P=0.035)and courses of diseases(x2=12.521,P=0.002).The results of Logistic regression analysis showed that the education background age of first onset,occupation,economic status and course of disease were the independent risk factors of epilepsy patients with anxiety and depression.The comorbid rate of psychological illness was low if the education level was high,economic status was good.The older age of first onset and longer course of disease,the higher comorbid rate of psychological illness.Conclusions The prevalence rate of epilepsy patients with anxiety and depression is high,and directly affect quality of life of the patients.The screening and assessment of anxiety and depression should be carried out as earlier as possible in epilepsy patients,so as to take targeted intervention measures.
万方数据
维普
