2019新型冠状病毒肺炎疫情爆发期间癫痫患者的焦虑情绪及原因

High anxiety level and the underlying reason of people with epilepsy during the outbreak of 2019 Novel Coronavirus Diseases

目的调查2019新型冠状病毒肺炎(以下简称"新冠")疫情爆发期间癫痫患者的焦虑水平,并探讨焦虑产生的原因。方法在2020年2月9日-2020年2月17日期间对18~45岁曾于四川大学华西医院就诊的癫痫患者及年龄、性别匹配的健康对照人群进行焦虑水平和健康状况的网络问卷调查。问卷内容包括人口学信息、一般健康状况和状态-特质焦虑量表。结果研究共纳入148例癫痫患者和300名健康对照组。癫痫患者的总状态焦虑量表评分(46.72±9.98 vs.41.77±10.20,P<0.001)和总特质焦虑量表评分(44.18±8.88 vs.31.27±17.44,P<0.001)明显高于健康对照组。疫情期间癫痫患者最担心的问题为无法购买抗癫痫药物(69.9%),健康人群最担心的问题是口罩短缺(73.3%)。结论"新冠"疫情爆发期间癫痫患者的焦虑水平明显高于健康人群,其主要担心的是抗癫痫药物购买问题,提示社会应加强解决在疫情期间癫痫患者的购药问题,并进行及时的沟通和心理疏导。

Objective To investigate the anxious level of people with epilepsy(PWE)during the outbreak of 2019 Novel Coronavirus Diseases(COVID-19)and explore the reasons of anxiety.Methods An internet questionnaire survey were conducted on the anxiety state of PWE and health controls(HC)aged 18 to 45 years old between Feb 9,2020 and Feb17,2020.The questionnaire included demographic information,general status and the State-Trait Anxiety Inventory(STAI).Results In all,148 PWE and 300 HC were included in this study.The total SAI score(46.72±9.98 vs.41.77±10.20,P<0.001)and the total TAI score(44.18±8.88 vs.31.27±17.44,P<0.001)were significantly higher in PWE than in HC.PWE concerned most(69.9%)about the difficulty of obtaining antiepileptic drugs(AEDs)while HC concerned most about the lack of face masks(73.3%).Conclusion High anxious level in PWE during the outbreak of COVID is probably due to the difficulty of obtaining AEDs.Thus,the society should strengthen the solution of the problem of purchasing AEDs and conduct timely psychological counseling.