The impact of comorbid depression on health resource utilization in a community sample of people with epilepsy

Joyce A. Cramer, David Blum, Kristina Fanning, Michael Reed, Joyce Cramer, Patricia Dean, Alan Ettinger, Patricia Gibson, Frank Gilliam, Cynthia Harden, Andrew Kanner, Patricia Shafer

Research output: Contribution to journalArticle

130 Scopus citations

Abstract

This study assessed the impact of comorbid depression on health care utilization and health care coverage by people with epilepsy in US communities using a postal survey questionnaire. People with untreated depression used significantly more health resources of all types assessed with and without adjustment for seizure type, seizure recency, and days with epilepsy symptoms. The number of visits to medical doctors and psychiatrists differed significantly among people with no (N=443), mild to moderate (N=58), and severe (N=148) symptoms of depression who were not receiving antidepressant treatment (all P<0.001). People with current symptoms treated with antidepressants had more medical visits than people with no current symptoms (P=0.016). People with current symptoms but not treated for depression had more medical and psychiatric visits than people with no current symptoms (both P<0.001). These data highlight the impact of comorbid depression on health care utilization by people with epilepsy.

Original languageEnglish (US)
Pages (from-to)337-342
Number of pages6
JournalEpilepsy and Behavior
Volume5
Issue number3
DOIs
StatePublished - Jun 2004

Keywords

  • Depression
  • Epilepsy
  • Health resources

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

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    Cramer, J. A., Blum, D., Fanning, K., Reed, M., Cramer, J., Dean, P., Ettinger, A., Gibson, P., Gilliam, F., Harden, C., Kanner, A., & Shafer, P. (2004). The impact of comorbid depression on health resource utilization in a community sample of people with epilepsy. Epilepsy and Behavior, 5(3), 337-342. https://doi.org/10.1016/j.yebeh.2004.01.010