Depression and Anxiety in Patients with Epilepsy, With or Without Other Chronic Disorders

نویسندگان

1 Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran,

2 Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, USA

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چکیده

Background: Most people with epilepsy lead a normal emotional and cognitive life, however neurobehavioralproblems can be found in a large number of patients. This study evaluates the prevalence of depression andanxiety among patients with epilepsy and determines whether having other chronic somatic illnesses increasesthe prevalence.Methods: Adults with epilepsy were recruited in either the inpatient epilepsy monitoring unit or the OutpatientEpilepsy Clinic at Thomas Jefferson University in 2006. Patients anonymously filled out a questionnaire, includeddata about age, sex, education, having other chronic illnesses, and degree of seizure control. The Hospital Anxietyand Depression scale was used to define the presence or absence of anxiety and depression.Results: Two hundreds patients participated, with a mean age of 40.3±16 years. Nineteen (9.5%) patients haddepression and 49 (24.5%) had anxiety. Age, seizure control, and having other chronic illnesses did not have asignificant relationship with either depression or anxiety. Gender was significantly related to anxiety, with femalesdisplaying greater frequency of anxiety than males. Depression was inversely related to education.Conclusions: It is probable that people with higher education use more effective ways to psychologically andphysically adapt to their illness