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目的探讨癫痫诊断对个体心理健康与睡眠质量状况的影响。方法采用症状自评量表(Symptom Checklist 90,SCL-90)和匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI),对100例确诊癫痫患者和74例可疑癫痫患者的心理健康水平和睡眠质量状况进行评价。结果确诊癫痫组的心理健康水平较常模水平低,SCL-90的总分、总均分、强迫症状、焦虑、恐怖和精神病性因子的差别具有非常显著性意义(P＜0．01或P＜0．001),躯体化、抑郁、敌对因子的差别具有显著性意义(P＜0．05),但人际关系敏感和偏执因子的差别无显著性意义(P＞0．05)。可疑癫痫组SCL-90评分水平更高,除人际关系敏感和偏执因子的差别无显著性意义外(P＞0．05),其余SCL-90全部指标的差别均具有非常显著性意义(P＜0．01或P＜0．001)。但两组SCL-90相应指标的差别无显著性意义(P＞0．05)。与正常人相比,确诊癫痫组除睡眠时间和睡眠障碍因子的差别无显著性意义外(P＞0．05),其余所有PSQI指标的差别均具有显著性意义(P＜0．01或P＜0．05)。可疑癫痫组的PSQI评分水平更高,与正常人相比,除睡眠效率因子的差别无显著性意义外(P＞0．05),其它所有指标的差别均具有显著性意义(P 0.05). The level of SCL-90 was higher in suspicious epilepsy group, except for the difference of interpersonal sensitivity and paranoid factor (P> 0.05), and the differences of other SCL-90 indexes were highly significant (P < 0.01 or P <0.001). However, there was no significant difference between the two groups (P> 0.05). Compared with normal controls, there was no significant difference between sleep disorders and sleep disorders in the diagnosed epilepsy group (P> 0.05), and all other PSQI indexes had significant difference (P <0.01 or P <0.05). PSQI score of suspicious epilepsy group was higher than that of normal people, except for the difference of sleep efficiency factor (P> 0.05), all the other indexes had significant difference (P <0.05). Ol or dead <0.05). The differences between the two groups in total scores, sleep quality and sleep time were significant (P <0.05). Conclusion There are obvious psychological problems and sleep problems in epilepsy patients. The situation of patients with suspected epilepsy is more serious, especially sleep problems, suggesting that the impact of epilepsy diagnosis on individual mental health and sleep quality status is quite obvious and should be noticed by clinicians.