Psychiatric Comorbidities in Epileptic Patients: The Role of Age, Gender and Duration of Epilepsy in North of Iran

Document Type : Original Article

Authors

1 Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

2 Student Research Committee, Babol University of Medical Sciences, Babol, Iran

3 Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

4 Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol Iran

5 1. Pre-hospital Emergency organization and Medical Service Center, Babol University of Medical Science, Babol, Iran 2. Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran

Abstract

Introduction: Psychiatric disorders in epileptic patients have an important role on the clinical approach and therapeutic options that are often neglected and treated poorly. The present study aimed to determine the role of psychiatric comorbidity in epileptic patients of Babol, north of Iran.
Method: This descriptive-analytical study was conducted in 2017 with a simple random sampling method on patients with epilepsy who admitted to the neurology department of Ayatollah Rouhani Hospital of Babol. The demographic checklist and SCL90 questionnaire were used. The Chi-square, T-test, Mann-Whitney, Pearson correlation coefficient and test-retest were used in SPSS V18 and P Results: Among the 150 examined patients, 88 (58.7%) were female and 63(42%) had epilepsy more than 10 years. The most common psychiatric disorder among epileptic patients was depression (68 patients = 45.3%) and anxiety (65 patients = 43.3%) patients. Also, the lowest prevalence was related to paranoid ideation and psychotic disorders. There was a significant relationship between age with somatic disorders (P=0.02) and phobia (P=0.01).
Conclusion: Anxiety and depression were the most common symptoms in epileptic patients. With an increase in age, the frequency of somatic disorders and phobias was significantly increased.

Keywords

References

Reference
1.   Beghi E, Hesdorffer D. Prevalence of epilepsy—an unknown quantity. J Epilepsia. 2014;55(7):963-7.
2.   Ngugi AK, Kariuki S, Bottomley C, Kleinschmidt I, Sander J, Newton C. Incidence of epilepsy: a systematic review and meta-analysis. J Neurology. 2011;77(10):1005-12.
3.   Meinardi H, Scott R, Reis R. On Behalf Of The Ilae Commission on the Developing World JS. The treatment gap in epilepsy: the current situation and ways forward. J Epilepsia. 2001;42(1):136-49.
4.   Winkler AS, Mayer M, Schnaitmann S, Ombay M, Mathias B, Schmutzhard E, et al. Belief systems of epilepsy and attitudes toward people living with epilepsy in a rural community of northern Tanzania. J Epilepsy Behavior. 2010;19(4):596-601.
5.   Mbuba CK, Ngugi AK, Fegan G, Ibinda F, Muchohi SN, Nyundo C, et al. Risk factors associated with the epilepsy treatment gap in Kilifi, Kenya: a cross-sectional study. J The Lancet Neurology. 2012;11(8):688-96.
6.   Wiebe S, Eliasziw M, Bellhouse DR, Fallahay C. Burden of epilepsy: the Ontario health survey. J Canadian Journal of Neurological Sciences. 1999;26(4):263-70.
7.   Doganavsargil-Baysal O, Cinemre B, Senol Y, Barcin E, Gokmen Z. Epilepsy and stigmatization in Turkey. J Epilepsy Behavior. 2017;73:100-5.
8.   Sedighi B, Seifaddini R, Iranmanesh F, Mehr Alhasani Y. Antiepileptic drugs and mental health status of patients with epilepsy. Iranian Journal of Pharmacology and Therapeutics 2014;12(2):66-0.
9.   Rasolabadi M, Rasouli-Ghahfarkhi SM, Ardalan M, Kalhor MM, Seidi J, Gharib A. Epilepsy research in Iran: A scientometric analysis of publications output during 2000-2014. J Acta Informatica Medica. 2015;23(6):374.
10. Mensah SA, Beavis JM, Thapar AK, Kerr M. The presence and clinical implications of depression in a community population of adults with epilepsy. J Epilepsy Behavior. 2006;8(1):213-9.
11. Stefanello S, Marín-Leon L, Fernandes PT, Li LM, Botega NJ. Depression and anxiety in a community sample with epilepsy in Brazil. J Arquivos de neuro-psiquiatria. 2011;69(2B):342-8.
12. Derogatis LR, Melisaratos N. The brief symptom inventory: an introductory report. J Psychological medicine. 1983;13(3):595-605.
13. Rai D, Kerr MP, McManus S, Jordanova V, Lewis G, Brugha TS. Epilepsy and psychiatric comorbidity: a nationally representative population‐based study. J Epilepsia. 2012;53(6):1095-103.
14. Ertekin BA, Kulaksızoglu IB, Ertekin E, Gurses C, Bebek N, Gokyigit A, et al. A comparative study of obsessive–compulsive disorder and other psychiatric comorbidities in patients with temporal lobe epilepsy and idiopathic generalized epilepsy. J Epilepsy Behavior. 2009;14(4):634-9.
15. Phabphal K, Sattawatcharawanich S, Sathirapunya P, Limapichart K. Anxiety and depression in Thai epileptic patients. J Medical journal of the Medical Association of Thailand. 2007;90(10):2010.
16. KUTLU A, Gokce G, Buyukburgaz U, Selekler M. Self-esteem, social phobia and depression status in patients with epilepsy. J Noro Psikiyatri Arsivi. 2013;50(4):320.
17. Kobau R, Gilliam F, Thurman DJ. Prevalence of self‐reported epilepsy or seizure disorder and its associations with self‐reported depression and anxiety: results from the 2004 Healthstyles Survey. J Epilepsia. 2006;47(11):1915-21.
International Journal of Behavioral Sciences
Volume 13, Issue 2
August 2019
Pages 62-67

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