SciELO - Scientific Electronic Library Online

 
vol.51 issue3Prevalence of headache as a symptom in the urban area of Salvador, Bahia, BrazilSpacial differences in the mortality by cerebrovascular disease as underlying and as associated cause of death, Salvador - Brazil author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.51 no.3 São Paulo Sept. 1993

http://dx.doi.org/10.1590/S0004-282X1993000300003 

Epilepsy and anxiety

 

Epilepsia e ansiedade

 

 

Marly de AlbuquerqueI; Carlos José Reis de CamposII

IM.D., M.Sc, Epilepsy Section BPM. Escola Paulista de Medicina (EPM), Epilepsy Section
IIM.D., M.Sc, Ph.D., Associated Professor of Clinical Neurology EPM, Chief of Epilepsy Section EPM. Master Thesis

 

 


SUMMARY

We have analyzed 155 subjects with STAI (State-Trait Anxiety Inventory): 75 epileptic patients and 80 normal subjects used as a control group. A higher trait-anxiety score (chronic anxiety) than that of controls was found for the epileptic group. For the epileptic group higher levels of the A-trait occurred in patients with EEG abnormalities with left temporal localization. We have also observed that the shorter the epilepsy lasts (less than two years), the higher the trait-anxiety levels. Convulsions and awareness loss during epileptic seizures do not modify state and trait-anxiety scores.

Key words: (anxiety, epilepsy, anxiety-inventory, state-anxiety, trait-anxiety.


RESUMO

Foram avaliados os níveis de ansiedade em 155 indivíduos pelo IDATE (Inventário de Ansiedade Traço-Estado). O grupo de estudo constou de 75 pacientes epilépticos matriculados no Setor de Investigação e Tratamento das Epilepsias da Disciplina de Neurologia da Escola Paulista de Medicina. O grupo controle foi constituído de 80 indivíduos normais. Foram observados maiores níveis de ansiedade crônica (Ansiedade-Traço) em epilépticos que em controles não epilépticos. Esses níveis foram tanto maiores quanto menor a duração das epilepsias. Em toda a população epiléptica estudada, os níveis mais altos de ansiedade crônica ocorreram em pacientes com anormalidade do EEG de localização temporal esquerda. A perda ou não da consciência não interferiu nos níveis de ansiedade aguda (Ansiedade-Estado) ou crônica.

Palavras-chave: epilepsia, ansiedade, inventário de ansiedade tnaço-estado.


 

 

Full text available only in PDF format.

Texto completo disponível apenas em PDF.

 

 

REFERENCES

1. Bettz TA. Depression, anxiety and epilepsy. In Reynolds EH, Trimble MR: Epilepsy and psychiatry. Edinburgh: Churchill Livingstone, 1981, p 60-71.         [ Links ]

2. Bettz TA, Psychiatry and epilepsy, part 1. In Laidlaw J, Richens A; A textbook of epilepsy. Edinburgh: Churchill Livingstone, 1982, p 227-270.         [ Links ]

3. Bettz TA. Neuropsychiatry. In Laidlaw J, Richens A, Oxley J. A textbook of epilepsy. Edinburgh: Churchill Livingstone, 1988, p 358-385.         [ Links ]

4. Biaggio AMB, Natalicio L. Manual para o inventário de ansiedade traço-estado IDATE. São Paulo: Centro Editor de Psicologia Aplicada, 1979.         [ Links ]

5. Camfield PR, Gates R, Ronen G, Camfield C, Ferguson A, MacDonald GW. Comparison of cognitive ability, personality profile and school success in epileptic children with pure versus right left temporal lobe EEIG foci. Ann Neurol 1984, 15:122-126.         [ Links ]

6. Comission on Classification and Terminology of the International League Against Epilepsy. Proposal for classification of epilepsies and epileptic syndromes. Epilepsia 1985, 26:268-278.         [ Links ]

7. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia 1989, 30:389-399.         [ Links ]

8. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised clinical and electroencephalographic classification of seizures. Epilepsia 1989, 22:489-501.         [ Links ]

9. Corda MG, Biggio G. Stress and GABAergic transmission: biochemical and behavioral studies. In Biggio G, Costa E: GABAergic transmission and anxiety. New York: Raven Press, 1986.         [ Links ]

10. Fariello RG. Biochemical approaches to seizures mechanisms: the GABA and glutamate systems. In Poster RJ, Morselli PL. London: Butterworths, 1985, p 1-19.         [ Links ]

11. Gardner CR. Recent developments in 5HT-related pharmacology of animal models of anxiety. Pharmacol Biochem Behav 1986, 24:1479-1485.         [ Links ]

12. Haefely W. Antagonists of benzodiazepines: functional aspects. Adv Biochem Psycho-pharmacol 1983, 38:73-93.         [ Links ]

13. Haefely W. Benzodiazepine interactions with GABA receptors. Neurose Lett 1984, 47: 201-206.         [ Links ]

14. Haefely W, Pole P. Electrophysiological studies on the interaction of anxiolytic drugs with GABAergic mechanisms. In Enna SJ, Yamamura HI, Mallick JB. Anxiolytics: neurochemical, behavioral and clinical perspective. New York: Raven Press, 1983.         [ Links ]

15. Hollander M, Wolfe DA. Nonparametric statistical methods. New York: John Wiley & Sons, 1973.         [ Links ]

16. Humble M. Aetiology and mechanisms of anxiety disorders. Acta Psychiat Scand 1987, 76:15-30.         [ Links ]

17. Ing LP. The use of relaxation training and a conditioned stimulus in the elimination of epileptic seizures in a child: a case study. J Behav Ther Exp Psychiat 1976, 7:39-42.         [ Links ]

18. Mattson RH, Heninger GR, Gallagher BB, Glaser GH. Psychophysiologic precipitates of seizures in epileptics. Neurology 1970, 20:407-411.         [ Links ]

19. Milgran NA, Zucker M. Congruent stress-preventing factors and anxiety in a long-term stress situation. J Human Stress 1985, 11:184-189.         [ Links ]

20. Pazzaglia P, D'Alessandro R, Lozito A, Lugaresi E. Classification of partial epilepsies according to the symptomatology of seizures: practical value and prognosis implications. Epilepsia 1982, 23:343-350.         [ Links ]

21. Pond DA. The schizophrenia-like psychoses of epilepsy: discussion. Proc R Soc Med 1962, 55:311-323.         [ Links ]

22. Pritchard PB, Lombroso CT, Mclntyre M. Psychological complications of temporal lobe epilepsy. Neurology 1980, 30:227-232.         [ Links ]

23. Reynolds EH. Chronic antiepileptic toxicity: a review. Epilepsia 1975, 16:319-362.         [ Links ]

24. Robertson MM, Trimble MR, Townsend HRA. Phenomenology of depression in epilepsy. Epilepsia 1987, 28:364-372.         [ Links ]

25. Scott DF. Psychiatric aspects of epilepsy: review article. Br J Psychiat 1978, 132:417-430.         [ Links ]

26. Siegel S. Nonparametric statistics for the behavioral sciences. New York: McGraw-Hill, 1956.         [ Links ]

27. Spielberger CD, Gorsuch RL, Luchene RE. Manual for the state-trait anxiety inventory (self-evaluation questionnaire). Palo Alto: Consulting Psychologists Press, 1970.         [ Links ]

28. Temkin NR, Davis GR. Stress as a risk for seizures among adults with epilepsy. Epilepsia 1984, 25:450-456.         [ Links ]

29. Trimble MR. Anticonvulsant drugs: mood and cognitive funcion. In Epilepsy, behavior and cognitive function. Chichester: John Wiley & Sons, 1988, p 135-143.         [ Links ]

30. Trimble MR. Psychiatric and psychological aspects of epilepsy. In Porter RJ, Morselli PL: The epilepsies. London: Butterworths, 1985, p 322-356.         [ Links ]

31. Zlutinick S, Mayville W, Moffat S. Behavioral control of seizure disorders: the interruption of chained behavior. In Katz RC, Slutinick S: Behavior therapy and care. New York: Pergamon Press, 1975, p 317-336.         [ Links ]

 

 

Aceite: 20-janeiro-1993.

 

 

Dr. Carlos José Reis de Campos — Setor de Investigação e Tratamento das Epilepsias, Disciplina de Neurologia, Escola Paulista de Medicina - Rua Botucatu 740 - 04023-900 São Paulo SP - Briasil.

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License