fa ارزیابی اختلالات شخصیتی در بیماران مبتلا به صرع ایدیوپاتیک مراجعه کننده به کلینیک صرع بیمارستان رسول اکرم روان‌پزشکی Psychiatry پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm -0.05pt 0pt 0cm text-align: justify line-height: normal text-indent: 0.05pt unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% tab-stops: 0cm" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">زمینه و هدف:</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> شیوع اختلالات روانپزشکی و رفتاری در بیماران مبتلا به صرع مزمن بالا بوده و اختلالات شخصیت در مطالعات مختلف در این بیماران بین 4 تا 38% گزارش شده است. وجود اختلالات شخصیت در بیماران مصروع می تواند منجر به اختلال در عملکرد، رعایت دستورات درمانی اعم از دارویی و غیردارویی و سازگاری با بیماری و سایر استرس ها شود که همگی در کنترل حملات صرع نقش دارند و بدیهی است تشخیص و درمان آن سبب کمک به درمان می</span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">‌</span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">شود. هدف از این مطالعه ارزیابی ویژگی های شخصیتی بیماران مصروع به وسیله </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">MCMI III</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> و بررسی رابطه آن با متغییرهای مرتبط با صرع بود.</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm -0.05pt 0pt 0cm text-align: justify line-height: normal text-indent: 0.05pt unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% tab-stops: 0cm" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">روش کار: </span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">بیمارانی مبتلا به صرع که در طول 10 ماه به درمانگاه صرع بیمارستان رسول اکرم (ص) مراجعه کردند وارد مطالعه شدند. گردآوری اطلاعات مرتبط با حملات صرع به وسیله روانپزشک و با استفاده از اطلاعات کلینیکی در دسترس مثل پرونده، شرح حال، معاینات، مشاهدات بالینی و </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">EEG</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> انجام گرفت و ویژگیهای شخصیتی به وسیله پرسشنامه </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">MCMI III</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> به دست آمد.</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm -0.05pt 0pt 0cm text-align: justify line-height: normal text-indent: 0.05pt unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% tab-stops: 0cm" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">یافته‌ها:</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> شایع ترین اختلال شخصیت اختلال شخصیت افسرده (%19) بود و در مجموع %36 بیماران حداقل به یک نوع اختلال شخصیت مبتلا بودند. وضعیت شغلی-تحصیلی در بیماران مبتلا به اختلالات شخصیت بدتر بود. خصوصیات مرتبط با صرع ارتباط معنی داری با ابتلا به اختلالات شخصیت نداشتند.</span></p><p class="MsoNormal" style="margin: 0cm -0.05pt 0pt 0cm text-align: justify line-height: normal text-indent: 0.05pt unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% tab-stops: 0cm" dir="rtl"><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><font face="Times New Roman" size="3"> </font><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">نتیجه گیری: </span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">اختلالات شخصیت در بیماران مبتلا به صرع شایع و نیازمند توجه است.</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><o:p /></span></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><o:p /></span></p><p class="MsoNormal" style="margin: 0cm -0.05pt 0pt 0cm text-align: justify line-height: normal text-indent: 0.05pt unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% tab-stops: 0cm" dir="rtl"><font face="Times New Roman" size="3"> </font></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal text-justify: kashida text-kashida: 0%"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Background</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">: Psychiatric disorders and behavioral disturbance are prevalent in epileptic patients and in previous studies the reported rates of personality disorders range from 4% to 38%. Comorbidity of personality disorders in epileptic patients could cause dysfunction, poor compliance, maladjustment and other psychological distresses which are important in the treatment of epilepsy, therefore the diagnosis and treatment of personality disorders could be helpful in management of epilepsy. The aim of this study was assessment of personality disorders in epileptic patients.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal text-justify: kashida text-kashida: 0%"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Methods</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">: The samples were recruited from epilepsy clinic of Rasoul Akram Hospital. Characteristics of epilepsy were collected by reviewing the files and assessments such as EEG and interviewing with patients. Personality disorders were assessed by MCMI III.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal text-justify: kashida text-kashida: 0%"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Results</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">: the most prevalent personality disorder was depressive personality and 36% of the patients had at least one personality disorder. The socio-economic status in patients with personality disorder was poorer, but characteristics of epilepsy had no significant relationship with comorbidity of personality disorders.<o:p /></span></p><font size="3"><font face="Times New Roman"> <b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-fareast-font-family: "Times New Roman" mso-fareast-theme-font: minor-fareast mso-ansi-language: EN-US mso-fareast-language: EN-US">Conclusion</span></b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-fareast-font-family: "Times New Roman" mso-fareast-theme-font: minor-fareast mso-ansi-language: EN-US mso-fareast-language: EN-US">: Personality disorders in epileptic patients are prevalent and require attention</span></font></font> اختلال شخصیت, صرع, بیماری Personality disorder, Epilepsy, Disease 10 17 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1644&slc_lang=fa&sid=1 Atefeh Ghanabri Jolfaei عاطفه قنبری جلفایی 3900319475328460028322 3900319475328460028322 Yes Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران Mehdi Nasr Esfahani مهدی نصراصفهانی 3900319475328460028323 3900319475328460028323 No Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران Zahra Mirblock Jalali زهرا میربلوک جلالی 3900319475328460028324 3900319475328460028324 No Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران Shama Tamannai شیما تمنایی 3900319475328460028325 3900319475328460028325 No Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران