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Comorbidity between neurological illness and psychiatric disorders

机译：神经系统疾病和精神疾病之间的合并症

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Psychiatric disorders are common in many neurological disorders, including epilepsy, migraine, Alzheimer's disease, Parkinson's disease, essential tremor, and stroke. These comorbidities increase disease burden and may complicate the treatment of the combined disorders. Initial studies of the comorbidity of psychiatric and neurological disorders were cross-sectional, and time order of the associations was impossible to elucidate. More recent work has clarified time associations between psychiatric disorders and neurological disorders, particularly in epilepsy and stroke where epidemiological evidence suggests that there is a bidirectional relationship. This article takes an epidemiological approach to understanding these relationships and focuses mostly on epilepsy. Although, these relationships are understood in many neurological disorders, routine screening for psychiatric disorders in neurological disorders is infrequent, mostly due to the lack of partnerships between psychiatrists and neurologists and the paucity of neuropsychiatrists. Much more needs to be done to improve the detection and treatment of patients affected by neurological and psychiatric disorders. Understanding the scope of this overlap may inspire collaborations to improve the lives of people affected by both disorders.
机译：精神疾病在许多神经系统疾病中都很常见，包括癫痫，偏头痛，阿尔茨海默氏病，帕金森氏病，原发性震颤和中风。这些合并症增加了疾病负担，并使合并的疾病的治疗复杂化。对精神和神经系统疾病合并症的初步研究是横断面的，并且无法阐明关联的时间顺序。最近的工作澄清了精神疾病和神经系统疾病之间的时间关联，尤其是在流行病学证据表明存在双向关系的癫痫和中风中。本文采用流行病学方法来理解这些关系，并且主要关注癫痫病。尽管在许多神经系统疾病中都可以理解这些关系，但很少对神经系统疾病中的精神疾病进行常规筛查，这主要是由于精神科医生与神经科医生之间缺乏合作关系以及神经精神科医生的匮乏。需要做更多的工作来改善对受神经和精神疾病影响的患者的检测和治疗。了解这种重叠的范围可能会激发协作，以改善受这两种疾病影响的人们的生活。

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