CAJ | 학술논문

近年来人们日益认识到癫(Ep)合并情感性精神障碍的重要性，但多数研究集中于抑郁症。然而，Ep伴发焦虑障碍十分普遍，文献报道焦虑障碍的患病率达11%~46%。有研究表明，Ep和焦虑具有双向联系，且可能有共同的病理生理基础。焦虑严重影响Ep患者的生活质量，放大抗癫药物的不良反应。尽管如此，临床上常忽略对焦虑症状的筛查。Ep患者的焦虑症状可分为仅出现于Ep发作前、中和后(围Ep发作期)的焦虑，类似原发性焦虑障碍的焦虑症，或与Ep本身或其治疗有关的焦虑。对Ep焦虑症状的治疗包括：更有效的控制Ep发作治疗围Ep发作期的焦虑，而大多数形式的焦虑发作以认知行为治疗或药物治疗为主。
근년래인문일익인식도전(Ep)합병정감성정신장애적중요성，단다수연구집중우억욱증。연이，Ep반발초필장애십분보편，문헌보도초필장애적환병솔체11%~46%。유연구표명，Ep화초필구유쌍향련계，차가능유공동적병리생리기출。초필엄중영향Ep환자적생활질량，방대항전약물적불량반응。진관여차，림상상상홀략대초필증상적사사。Ep환자적초필증상가분위부출현우Ep발작전、중화후(위Ep발작기)적초필，유사원발성초필장애적초필증，혹여Ep본신혹기치료유관적초필。대Ep초필증상적치료포괄：경유효적공제Ep발작치료위Ep발작기적초필，이대다수형식적초필발작이인지행위치료혹약물치료위주。
Although the importance of the psychiatric comorbidities of epilepsy has been increasingly recognized in recent years, most attention has been focused on depression. However, combined anxiety in epilepsy is affecting 11%~46%of epileptic patients in reports. Recent evidences suggested a bidirectional association of anxiety and epilepsy, with possible common pathophysiology underlying them. Anxiety greatly affects the quality of life in people with epilepsy and enlarges the adverse effects of antiepileptic drugs. Despite this importance, screening for anxiety symptoms is virtually never performed. A variety of anxiety symptoms are observed in epilepsy, including symptoms exclusively around seizures (peri-ictal anxiety), symptoms resembling primary anxiety disorders, and anxiety directly related to epilepsy or its treatment. Therapeutic approaches include better seizure control for peri-ictal anxiety and cognitive behavioral therapy or pharmacotherapy for most forms of inter-ictal anxiety.