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Social cognition in epilepsy: State of the art and perspectives.
Revue Neurologique ( IF 3 ) Pub Date : 2020-05-14 , DOI: 10.1016/j.neurol.2020.02.010
H Mirabel 1 , V Guinet 2 , V Voltzenlogel 3 , S Pradier 4 , S Hennion 5
Affiliation  

Introduction

The neuropsychology of epilepsy has been a major area of study for almost a century and cognitive impairments are an integral part of the new definition of epilepsy. Among such impairments, social cognition (SC) dysfunctions are of relatively recent interest. SC abilities refer to the body of knowledge and processes involved in establishing satisfying and appropriate social interactions. In particular, they allow the recognition of emotions in others, emotional experiences which are suitably adapted to social situations, and the ability to infer mental states in oneself and others.

Methods

An overeview was conducted of the available data within the literature, with the objective of presenting the SC disorders associated with certain types of epilepsy and the possible risk factors already explored i.e., localisation of epileptic focus, age of onset/duration of the disease, and effects of treatments including surgery. Studies investigating the potential repercussions of these disorders on patients’ daily life have also been included.

Results

Social cognition disorders are an integral part of the cognitive disorders traditionally described in epilepsy. Indeed, a growing number of studies highlight the increased prevalence of SC disorders in various domains, and some patients appear to be more at risk than others. These disorders could be a major determining factor in the deterioration of patients’ quality of life (QOL), particularly patients’ support and social integration. This highlights the importance of assessing and managing these disorders in patients with epilepsy (PWE). Perspectives in the field of research and clinical practice are also evoked, such as exploring the links between disruptions in SC abilities and treatments, or developing specific tools for assessment and rehabilitation within the context of epilepsy.



中文翻译:

癫痫病的社会认知:最新技术和观点。

介绍

癫痫的神经心理学一直是近一个世纪研究的主要领域,而认知障碍是癫痫新定义的组成部分。在这些障碍中,社交认知(SC)功能障碍是最近才引起关注的。SC能力是指建立令人满意的和适当的社会互动所涉及的知识和过程。特别是,它们允许识别他人的情绪,适合于社会情况的情绪体验,以及推断自己和他人心理状态的能力。

方法

对文献中的可用数据进行了概述,目的是介绍与某些类型的癫痫相关的SC障碍以及已经探讨过的可能的危险因素,例如,癫痫病灶的定位,疾病的发作/持续时间以及包括手术在内的治疗效果。还包括了研究这些疾病对患者日常生活的潜在影响的研究。

结果

社会认知障碍是癫痫病传统上描述的认知障碍的组成部分。确实,越来越多的研究突显了在各个领域中SC疾病的患病率增加,并且一些患者似乎比其他患者更有风险。这些疾病可能是导致患者生活质量(QOL)下降的主要决定因素,尤其是患者的支持和社会融合。这突出了评估和治疗癫痫患者(PWE)的这些疾病的重要性。还引起了研究和临床实践领域的观点,例如探索SC能力和治疗之间的联系,或开发用于癫痫评估和康复的特定工具。

更新日期:2020-05-14
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