心理干预对癫患者焦虑抑郁情绪的影响

Effects of psychological intervention on anxiety and depression in adult patients with epilepsy

目的:探讨心理干预对癫患者焦虑抑郁情绪的影响。方法:对163例成人癫患者在抗癫治疗的同时实施为期3个月的心理干预;采用中文版Zung焦虑自评量表(SAS)及抑郁自评量表(SDS)分别于干预前、干预后1个月和3个月进行评定。结果:163例癫患者实施心理干预后焦虑和抑郁情绪改善显著,并随干预时间延长而显著下降。与干预前比较,干预1周,SAS及SDS评分与干预前差异无统计学意义(P=0.469、0.272);干预1个月和3个月,SAS及SDS评分与干预前比较差异有显著统计学意义(F=15.196、16.207,P均<0.001)。结论:癫患者焦虑抑郁情绪明显;心理干预能够显著改善患者焦虑抑郁情绪;干预时间越长,效果越好。

Objective：To explore the influence of psychological intervention on anxiety and depression in adult patients with epilepsy. Method：One hundred and sixty-three patients with epilepsy who received anti-epileptic treatment and psychological intervention were evaluated by Zung self-rating anxiety scale（SAS） and self-rating depression scale（SDS） pre-intervention,one month and three months after intervention,respectively. Results：Both anxiety and depression state of the patients improved significantly after psychological intervention.Compared with pre-intervention,the scores of SAS and SDS were not obviously different after one week of psychological intervention（P=0.469,0.272） ,but the differences were remarkable after one month and three months of intervention（F=15.196,16.207;all P0.001） . Conclusion：The adult epilepsy patients present with obvious mood of anxiety and depression.Both anxiety and depression state may be improved after psychological intervention,and the longer of intervention,the better of effect.