Vol. 30-31/2021-2022 Nr 60
okładka czasopisma Child Neurology
powiększenie okładki
Journal Info

CHILD NEUROLOGY

Journal of the Polish Society of Child Neurologists

PL ISSN 1230-3690
e-ISSN 2451-1897
DOI 10.20966
Semiannual


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Choroby afektywne i zaburzenia lękowe u dzieci i młodzieży chorujących na padaczkę


Affective and anxiety disorders in children and adolescents with epilepsy




Klinika Neurologii Rozwojowej, Katedra Neurologii, Gdański Uniwersytet Medyczny

https://doi.org/10.20966/chn.2016.51.387
Neurol Dziec 2016; 25, 51: 9-16
Full text PDF Choroby afektywne i zaburzenia lękowe u dzieci i młodzieży chorujących
na padaczkę



STRESZCZENIE
Dzieci chorujące na padaczkę częściej od swoich rówieśników borykają się z chorobami afektywnymi. Rozpowszechnienie tego zjawiska nie jest do końca znane, głównie ze względu na trudności metodologiczne związane z prowadzeniem badań i porównywaniem ich wyników. Wczesne rozpoznanie i leczenie zaburzeń psychicznych współtowarzyszących padaczce zmniejsza negatywny wpływ na jakość życia. Zaburzenia afektywne i lękowe u dzieci często współwystępują z padaczką, ale ich częstość oraz czynniki ryzyka są trudne do określenia. Opublikowane dane często są sprzeczne, głównie z powodu różnych metod badawczych i nakładających się na obraz kliniczny różnych patomechanizmów powstania określonych zaburzeń. Każde dziecko z padaczką powinno zostać objęte opieką wielodyscyplinarnego zespołu złożonego z neurologa, psychologa, psychiatry i pracownika socjalnego. Taka opieka pozwoli na szybszą diagnozę zaburzeń, które mogą towarzyszyć padaczce.

Słowa kluczowe: padaczka, dzieci, młodzież, choroby afektywne, depresja, lęk


ABSTRACT
Children with epilepsy struggle with affective disorders more often than their peers. The epidemiology of such co-occurrence is not fully known due to methodological difficulties of collecting and comparing the data. However, it is clear that early diagnosis and treatment of the mental comorbidities in epilepsy improves the quality of life. Affective disorders and anxiety disorders in children frequently co-occur with epilepsy and at this point it is not possible to unequivocally determine their incidence, risk factors or to describe their clinical picture. The data published on this subject is often contradictory due to the challenges of study design and overlapping multi-factorial pathomechanisms. Every child with epilepsy should be under the care of a multidisciplinary team consisting of a neurologist, psychologist, psychiatrist and a social worker. This approach allows faster diagnosis of mental disorders co-occurring with epilepsy.

Key words: epilepsy, children, adolescence, affective disorders, depression, anxiety


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