社会心理因素和癫痫治疗可能对癫痫患者及其家庭的健康相关生活质量(Health-related quality of life,HRQOL)产生显著影响,临床上广泛关注心理评估和治疗在改善 HRQOL 和癫痫共病中的作用。因此,国际抗癫痫联盟(ILAE)委托心理工作组,基于其最近对癫痫患者心理治疗的 Cochrane 回顾证据的评估,制定了相关临床建议。近期关于癫痫患者心理治疗随机对照试验的 Cochrane 回顾是本文的主要证据来源。为提供具有实用意义的指导,我们根据美国神经病学学会证据水平系统以及推荐分级、评估、开发和评价系统对研究设计进行评级。本文是儿童和成人心理学家、神经病学家、精神病学家和神经精神病学家进行国际合作的顶点。ILAE 执行委员会审查并批准了这一进程和结论。心理干预的最强证据被确定为最常见的心理健康问题,包括抑郁症、神经认知障碍和药物依从性。针对提高 HRQOL 和依从性以及减少共病症状(焦虑、抑郁)的心理干预应纳入癫痫综合护理中。一系列的心理策略(如认知行为疗法和正念疗法)为提升癫痫患者生活质量带来希望,也给癫痫临床工作者提供了治疗癫痫共病、应对挑战的临床建议。
Citation: RosaMichaelis, VenusTang, Laura HGoldstein, 肖英凤 译, 童馨 慕洁 审. 国际抗癫痫联盟心理工作组循证建议:成人和儿童癫痫患者的心理治疗. Journal of Epilepsy, 2019, 5(4): 297-311. doi: 10.7507/2096-0247.20190051 Copy
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