Abstract: This study interprets the 2024 consensus of the International League Against Epilepsy（ILAE）on the diagnosis and treatment of anxiety and depression in children and adolescents with epilepsy，and compares it with other international guidelines.By analyzing the differences in screening methods，diagnostic tools，treatment principles，and long-term management strategies，the study proposes a clinical diagnosis and management protocol. The findings indicate that anxiety and depression in children with epilepsy are often overlooked，emphasizing the critical importance of early identification and intervention.The study also discusses the necessity for family involvement and multidisciplinary management，highlighting the key role of combining psychotherapy with pharmacotherapy in improving patient outcomes.

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摘要： 癫痫患儿的焦虑和（或）抑郁障碍常被忽视，早期识别和干预至关重要。文章对2024年国际抗癫痫联盟（ILAE）关于癫痫儿童与青少年焦虑和（或）抑郁障碍的诊治共识进行解读，并对比其他国际指南建议，通过分析这些指南在筛查、诊断工具、治疗原则以及长期管理等方面的异同，提出适用于中国的临床诊治管理方案。文章还探讨了家庭干预和多学科整合管理的必要性，强调心理治疗与药物治疗的结合对于改善患儿预后的关键作用。

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