中文摘要：

目的 探讨成人癫痫患者社会功能缺陷的特点及其影响因素。方法 对79例成人癫痫患者（癫痫组）和54名性别、年龄、学历、工作匹配的正常成人（对照组）进行社会功能缺陷筛选量表（SDSS）评分。比较两组人群之间的差异。应用多元逐步回归分析影响SDSS评分的因素。结果 癫痫组SDSS评分明显高于对照组（P〈0.05）,且其中婚姻职能、社会性退缩、家庭外的社会活动、家庭职能、个人生活自理、对外界的兴趣和关心、责任心和计划性各项得分均显著高于对照组（均P〈0.05）。在单因素分析中,学历、工作、发病年龄、病程、发作频率、发作类型均为SDSS评分的影响因素（均P〈0.05）;多元逐步回归分析显示,工作、发作频率、发作类型分别为SDSS评分的重要影响因素（均P〈0.05）。结论 成人癫痫患者的社会功能存在缺陷,受工作、发作频率、发作类型的显著影响,应当引起关注。

英文摘要：

Objective To observe the characteristics of the social function disability and its affecting factors in adult patients with epilepsy. Methods Social function disability screening scale （SDSS） was used to assess the social function in 79 adult patients with epilepsy （epilepsy group） and 54 controls of healthy volunteers with gender, age, education and work matched （control group）. Differences between two group were compared and the affecting factors of SDSS scores were analyzed by multiple stepwise regression analysis. Results The SDSS score of epilepsy group was significantly higher than that in control group （ P 〈 0. 05 ）. And the items scores of epilepsy group as marriage function, social withdrawal, social activities outside of family, family functions, personal care, interest and concern to the outside world, the sense of responsibility and planning were significantly higher than those in control group （all P〈 0. 05）. The single factor analysis showed that the education, job, age of onset, course of the disesease, seizure attack frequency and seizure types were affecting factors of SDSS scores （ all P 〈 0. 05 ）. Multiple stepwise regression analysis showed the job, seizure attack frequency and seizure types were significant affecting factors of SDSS scores （ all P 〈 0. 05）. Conclusions The social function disability is existed in adults patients with epilepsy, and significantly affected by the job, seizure attack frequency and seizure types. It must be attentioned.