评估患有叶与海马硬化症患者抑郁症的患病率和危险因素:一个跨截面的多中心研究
Bandar N Aljafen1, Ruwa Alneseyan1, Taim Muayqil1
1Neurology Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Epilepsy & behavior : E&B
|April 18, 2024
概括
大型抑郁症 (MDD) 在患者中很常见,特别是那些患有叶和海马硬化症 (TLE-HS) 的患者. 某些药物,如拉姆特里金和酸,与较高的抑郁症得分有关.
科学领域:
- 神经学 神经学
- 精神病学是一种精神病学.
- 临床医学 临床医学
背景情况:
- 大型抑郁症 (MDD) 经常与并发.
- 患有叶和海马硬化症 (TLE-HS) 个体对MDD的易感性增加,这意味着边缘系统参与了情绪症状的发展.
研究的目的:
- 确定TLE-HS患者抑郁症的患病率和预测因素.
- 为了比较TLE-HS的抑郁率与其他类型的抑郁率.
主要方法:
- 招募了293名患者 (134名TLE-HS,159名非TLE-HS) 的队列.
- 215名患者完成了一项电子调查,包括人口统计数据,病数据和阿拉伯神经障碍病抑郁物库 (NDDI-E).
主要成果:
- 在215名患者中,104名 (48%) 患有TLE-HS. 16%的患者被诊断为MDD (NDDI-E评分≥15).
- 瓦尔酸和拉莫特里金的使用与更高的抑郁症得分相关 (NDDI-E).
- 在TLE-HS中,多疗法与每日度低下有关.
结论:
- 与其他类型相比,TLE-HS中抑郁症的患病率最小,但略高于其他类型.
- 发作频率和疾病持续时间是TLE-HS中MDD的关键预测因素.
- 拉莫和酸与患者的抑郁症得分增加有关.
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