国际医药卫生导报2016，Vol.22Issue(15)：2248-2251,2265,5.DOI:10.3760/cma.j.issn.1007-1245.2016.15.012
儿童个性特征测定在心因性非癫痫性发作鉴别诊断中的应用
Validity of the assessment of personality disorders for the diagnosis of psychogenic non-epileptic seizures
杨延萍 1凌如娟 1马杰1
作者信息
- 1. 510120 广州市妇女儿童医疗中心儿童保健科
- 折叠
摘要
Abstract
Objective To examine the ability of the assessment of personality to differentiate patients with psychogenic non-epileptic seizures (PNES) from normal controls (NC) and epileptic seizures (ES).Methods Patients were recruited from mental health department of our center.In all,106 children with PNES and 138 children with EP completed questionnaires including Eysenck Personality Questionnaire (EPQ) and Piers-Harris Children's Self-concept Scale (PHCSS).Both questionnaires were also completed by 139 healthy volunteers from children health care clinic.The results of three groups were compared to determine the diagnostic accuracy of the assessment of personality.Results Subjects with PNES reported significantly greater degree of personality abnormality than ES and NC,such as lower anxiety (6.34±2.58),gregarious (6.06±2.64),happiness and satisfaction (4.60±2.34) subscale of HPCSS,and higher TP (59.23±8.22) and TN (56.16±8.27) of EPQ (all P＜0.05).The anxiety subscale of HPCSS showed a sensitivity of 74.1％,a specificity of 72.6％,and an area under the curve (AUC) of 0.825 for diagnosing PNES from NC.TP subscale of EPQ showed a sensitivity of 52.8％,a specificity of 97.1％,and an AUC of 0.789 for diagnosing PNES from ES.Conclusions Maladaptive personality is common in children with PNES.Greater attention should be paid to personality disorders in the differentiation of PNES and ES,and the provision of effective treatment.关键词
心因性非癫痫性发作/癫痫/艾森克个性问卷/Piers-Harris儿童自我意识量表Key words
Psychogenic non-epileptic seizures/Epilepsy/Eysenck Personality Questionnaire/Piers-Harris Children's Self-concept Scale引用本文复制引用
杨延萍,凌如娟,马杰..儿童个性特征测定在心因性非癫痫性发作鉴别诊断中的应用[J].国际医药卫生导报,2016,22(15):2248-2251,2265,5.
