Epileptik hastalarda psikiyatrik komorbidite olarak depresyon ve agorafobinin araştırılması

Amaç: Epileptik hastalarda psikiyatrik komorbiditeler oldukça sıktır. Çalışmamız epilepsi vakalarında depresyon, anksiyete, sosyal fobi, agorafobi araştırmak için tasarlanmıştır. Materyal ve Metodlar: Toplam 150 epileptik hasta ve 70 kontrol çalışmaya rastgele kaydedildi. Gruplara Beck depresyon envanteri (BDI), Liebowitz sosyal fobi ölçeği (LSPS) ve Panik agorafobi ölçeği (PAS) uygulandı. Bulgular: Hastaların ortalama yaşı 34 ± 10yıl, erkek-kadın oranı 56/94, kontrol grubunun yaş ortalaması 33 ± 10 yıl, erkek-kadın sayısı 29/41 idi. Hastaların % 44.7’sinde hastalık süresi 10 yıldan fazlaydı ve % 60.67'si monoterapi almaktaydı. Hasta grubunda BDI 15.18 ± 12.25, kontrol grubunda 10.87 ± 9.06 bulunmuştur (p = 0.0038). LSPS açısından gruplar arasında istatistiksel olarak anlamlı farklılık saptanmamıştır. Gruplar PAS'a göre değerlendirildiğinde, hastaların % 29.33'ünde, kontrol grubunun % 24'ünde agorafobi bulguları saptanmıştır (p = 0.002). Agorafobi oranı hasta grubunda kadınlarda% 84 olarak bulunmuştur. Sonuç: Depresyon ve agorafobi epileptik hastalarda kontrol grubuna göre daha sık görülmüştür ve kadınlarda agorafobi oranı daha yüksek saptanmıştır.

Investigation of depression and agoraphobia as psychiatric comorbidity in epileptic patients

Aim: Psychiatric comorbidity in epileptic patients is quite frequent. Our study was designed to investigate depression, anxiety, social phobia, agoraphobia in cases of epilepsy. Materials and Methods: A total of 150 epileptic patients and 70 controls were ran-domly enrolled to study. Beck depression inventory (BDI), Liebowitz social phobia scale (LSPS) and Panic agoraphobia scale (PAS) were applied to groups. Results: The mean age of the patients was 34±10 years, the number of male-female was 56/94, whereas the control group’s mean age was 33±10 years, number of male-female was 29/41. The duration of disease was more than 10 years in 44.7% of pa-tients and 60.67% was treated with monotherapy. In the patient group, BDI was found to be 15.18 ± 12.25 and 10.87 ± 9.06 in the control group (p = 0.0038). There was no statistically significant difference between the groups in terms of LSPS. When the groups were evaluated according to PAS, agoraphobia findings were found in 29.33% of the patients and 24% of the control group (p = 0.002). The rate of agoraphobia was found to be 84% in females in the patient group. Conclusion: Depression and agoraphobia were more common in epileptic patients than in the control group, and the rate of agoraphobia was higher in women.

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