Psychiatric comorbidities in epilepsy

Identification and treatment

Irene García-Morales, P. D L P Mayor, Andres M Kanner

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Introduction: The relationship between epilepsy and psychiatric disorders, as well as their reciprocal influence, has been confirmed in several studies. The diagnosis of these psychiatric comorbidities becomes particularly complex, for clinical manifestations vary and patients may not fulfil the criteria of traditional diagnostic classifications. Results: Mood disorders are the more frequent conditions associated with epilepsy, followed by anxiety, attention-deficit, psychotic and personality disorders. Patients with focal epilepsies, and mainly those with temporal and frontal lobe epilepsy, have a greater incidence of depression, anxiety or psychosis, compared with the general population. For a longtime, patients and physicians tended to focus solely on the control of epileptic seizures, while disregarding the presence of comorbid psychiatric symptoms and disorders. Recognition of their negative impact in the life of patients with epilepsy in recent years has highlighted the need for their early identification with a careful psychiatric history or, at the least, to screen for the presence of psychiatric symptoms with objective scales. Furthermore, the identification of psychiatric symptoms plays an important role in the choice of antiepileptic drugs as some are known to have positive or negative psychotropic effects. Conclusion: An early diagnosis of comorbid psychiatric disorders and a multidisciplinary approach in the evaluation and management of these patients result in the selection of an optimal comprehensive treatment.

Original languageEnglish (US)
JournalNeurologist
Volume14
Issue number6 SUPPL. 1
DOIs
StatePublished - Nov 2008
Externally publishedYes

Fingerprint

Psychiatry
Comorbidity
Epilepsy
Psychotic Disorders
Therapeutics
Anxiety
Frontal Lobe Epilepsy
Partial Epilepsy
Temporal Lobe Epilepsy
Personality Disorders
Attention Deficit Disorder with Hyperactivity
Mood Disorders
Mental Disorders
Anticonvulsants
Early Diagnosis
Depression
Physicians
Incidence
Population

Keywords

  • Anxiety
  • Depression
  • Epilepsy
  • Psychiatric comorbidities
  • Psychosis

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Psychiatric comorbidities in epilepsy : Identification and treatment. / García-Morales, Irene; Mayor, P. D L P; Kanner, Andres M.

In: Neurologist, Vol. 14, No. 6 SUPPL. 1, 11.2008.

Research output: Contribution to journalArticle

García-Morales, Irene ; Mayor, P. D L P ; Kanner, Andres M. / Psychiatric comorbidities in epilepsy : Identification and treatment. In: Neurologist. 2008 ; Vol. 14, No. 6 SUPPL. 1.
@article{e28d2469545e4743814393bc8d9f4e40,
title = "Psychiatric comorbidities in epilepsy: Identification and treatment",
abstract = "Introduction: The relationship between epilepsy and psychiatric disorders, as well as their reciprocal influence, has been confirmed in several studies. The diagnosis of these psychiatric comorbidities becomes particularly complex, for clinical manifestations vary and patients may not fulfil the criteria of traditional diagnostic classifications. Results: Mood disorders are the more frequent conditions associated with epilepsy, followed by anxiety, attention-deficit, psychotic and personality disorders. Patients with focal epilepsies, and mainly those with temporal and frontal lobe epilepsy, have a greater incidence of depression, anxiety or psychosis, compared with the general population. For a longtime, patients and physicians tended to focus solely on the control of epileptic seizures, while disregarding the presence of comorbid psychiatric symptoms and disorders. Recognition of their negative impact in the life of patients with epilepsy in recent years has highlighted the need for their early identification with a careful psychiatric history or, at the least, to screen for the presence of psychiatric symptoms with objective scales. Furthermore, the identification of psychiatric symptoms plays an important role in the choice of antiepileptic drugs as some are known to have positive or negative psychotropic effects. Conclusion: An early diagnosis of comorbid psychiatric disorders and a multidisciplinary approach in the evaluation and management of these patients result in the selection of an optimal comprehensive treatment.",
keywords = "Anxiety, Depression, Epilepsy, Psychiatric comorbidities, Psychosis",
author = "Irene Garc{\'i}a-Morales and Mayor, {P. D L P} and Kanner, {Andres M}",
year = "2008",
month = "11",
doi = "10.1097/01.nrl.0000340788.07672.51",
language = "English (US)",
volume = "14",
journal = "Neurologist",
issn = "1074-7931",
publisher = "Lippincott Williams and Wilkins",
number = "6 SUPPL. 1",

}

TY - JOUR

T1 - Psychiatric comorbidities in epilepsy

T2 - Identification and treatment

AU - García-Morales, Irene

AU - Mayor, P. D L P

AU - Kanner, Andres M

PY - 2008/11

Y1 - 2008/11

N2 - Introduction: The relationship between epilepsy and psychiatric disorders, as well as their reciprocal influence, has been confirmed in several studies. The diagnosis of these psychiatric comorbidities becomes particularly complex, for clinical manifestations vary and patients may not fulfil the criteria of traditional diagnostic classifications. Results: Mood disorders are the more frequent conditions associated with epilepsy, followed by anxiety, attention-deficit, psychotic and personality disorders. Patients with focal epilepsies, and mainly those with temporal and frontal lobe epilepsy, have a greater incidence of depression, anxiety or psychosis, compared with the general population. For a longtime, patients and physicians tended to focus solely on the control of epileptic seizures, while disregarding the presence of comorbid psychiatric symptoms and disorders. Recognition of their negative impact in the life of patients with epilepsy in recent years has highlighted the need for their early identification with a careful psychiatric history or, at the least, to screen for the presence of psychiatric symptoms with objective scales. Furthermore, the identification of psychiatric symptoms plays an important role in the choice of antiepileptic drugs as some are known to have positive or negative psychotropic effects. Conclusion: An early diagnosis of comorbid psychiatric disorders and a multidisciplinary approach in the evaluation and management of these patients result in the selection of an optimal comprehensive treatment.

AB - Introduction: The relationship between epilepsy and psychiatric disorders, as well as their reciprocal influence, has been confirmed in several studies. The diagnosis of these psychiatric comorbidities becomes particularly complex, for clinical manifestations vary and patients may not fulfil the criteria of traditional diagnostic classifications. Results: Mood disorders are the more frequent conditions associated with epilepsy, followed by anxiety, attention-deficit, psychotic and personality disorders. Patients with focal epilepsies, and mainly those with temporal and frontal lobe epilepsy, have a greater incidence of depression, anxiety or psychosis, compared with the general population. For a longtime, patients and physicians tended to focus solely on the control of epileptic seizures, while disregarding the presence of comorbid psychiatric symptoms and disorders. Recognition of their negative impact in the life of patients with epilepsy in recent years has highlighted the need for their early identification with a careful psychiatric history or, at the least, to screen for the presence of psychiatric symptoms with objective scales. Furthermore, the identification of psychiatric symptoms plays an important role in the choice of antiepileptic drugs as some are known to have positive or negative psychotropic effects. Conclusion: An early diagnosis of comorbid psychiatric disorders and a multidisciplinary approach in the evaluation and management of these patients result in the selection of an optimal comprehensive treatment.

KW - Anxiety

KW - Depression

KW - Epilepsy

KW - Psychiatric comorbidities

KW - Psychosis

UR - http://www.scopus.com/inward/record.url?scp=57649129547&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57649129547&partnerID=8YFLogxK

U2 - 10.1097/01.nrl.0000340788.07672.51

DO - 10.1097/01.nrl.0000340788.07672.51

M3 - Article

VL - 14

JO - Neurologist

JF - Neurologist

SN - 1074-7931

IS - 6 SUPPL. 1

ER -