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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 observe the status of depression in children with epilepsy and to explore the effects of anxiety, personality and guardian’s anxiety, depression and personality on children’s depression. Methods Children’s depression self-rating scale (DSRS), children’s social anxiety scale (SASC), Beck’s self-assessment of depression (BDI), self-rating anxiety scale (SAS) , 95 patients with epilepsy and their guardians of depression, anxiety, personality, four dimensions were scored, and 118 cases of children with upper respiratory tract infection (control group), the state of depression were compared. Results The scores of DSRS in children with epilepsy were higher than those in control group. The score of children in the age group of 13-15 years old was higher than that in the same age group (P <0.05), while the level of depression in children with epilepsy There was no significant difference in DSRS score between children with different age groups and gender. There was a positive correlation between DSRS score of children with SASQ and children’s EPQN score in case group, negative correlation with E scale score (Pa <0.005), no correlation with P scale and L scale score (Pa> 0.05). There was a positive correlation between scores of Guardian’s BDI, SAS and adult’s EPQP scale (Pa <0.05), but not between Guardian’s N, E, L scale’s score (Pa> 0.05). There was no significant difference in DSRS scores between case group and control group (P> 0.05). There were significant differences in the DSRS score between the two groups (P <0.05), and the guardian culture The degree of depression in primary and below epilepsy children was higher than that of guardians undergraduate / college, the difference was statistically significant (P <0.05). Guardian occupations were the same, and there was no significant difference in DSRS scores between case group and control group (Pa> 0.05). Guardians of different occupations, regardless of workers, peasants or administrative staff, cases of children with DSRS score was no significant difference (Pa> 0.05). Children with localized or comprehensive attack, with or without imaging abnormalities, duration of different lengths, children’s DSRS score was no significant difference (Pa> 0.05). Conclusions Epilepsy children have higher level of depression than healthy children, and are associated with children’s age, anxiety or depression of children and guardians, some personality traits and guardian’s educational level.