Psychiatric Comorbidities in People With Epilepsy

Marco Mula, Andres M. Kanner, Nathalie Jetté, Josemir W. Sander

Research output: Contribution to journalReview articlepeer-review

122 Scopus citations

Abstract

Purpose of Review To review the latest evidence concerning the epidemiology, clinical implications, and management of psychiatric disorders in epilepsy. Recent Findings People with epilepsy have a 2-5 times increased risk of developing any psychiatric disorder, and 1 in 3 patients with epilepsy have a lifetime psychiatric diagnosis. Psychiatric comorbidities represent a poor prognostic marker as they have been associated with a poor response to treatment (drugs and surgery), increased morbidity, and mortality. Validated screening instruments are available for mood and anxiety disorders in adults as well as attention-deficit hyperactivity disorder in children with epilepsy. Summary All patients with epilepsy should be routinely screened for psychiatric disorder at the onset and at least once a year. Patients with epilepsy and their relatives should be informed of the risk of mental health problems and the implications.

Original languageEnglish
Pages (from-to)E112-E120
JournalNeurology: Clinical Practice
Volume11
Issue number2
DOIs
StatePublished - 1 Apr 2021

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