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Depression and anxiety disorders in pediatric epilepsy.
Epilepsia. 2005 May; 46(5):720-30.E

Abstract

PURPOSE

This study examined affective disorders, anxiety disorders, and suicidality in children with epilepsy and their association with seizure-related, cognitive, linguistic, family history, social competence, and demographic variables.

METHODS

A structured psychiatric interview, mood self-report scales, as well as cognitive and language testing were administered to 100 children with complex partial seizures (CPSs), 71 children with childhood absence epilepsy (CAE), and 93 normal children, aged 5 to 16 years. Parents provided behavioral information on each child through a structured psychiatric interview and behavior checklist.

RESULTS

Significantly more patients had affective and anxiety disorder diagnoses (33%) as well as suicidal ideation (20%) than did the normal group, but none had made a suicide attempt. Anxiety disorder was the most frequent diagnosis among the patients with a diagnosis of affective or anxiety disorders, and combined affective/anxiety and disruptive disorder diagnoses, in those with suicidal ideation. Only 33% received some form of mental health service. Age, verbal IQ, school problems, and seizure type were related to the presence of a diagnosis of affective or anxiety disorder, and duration of illness, to suicidal ideation.

CONCLUSIONS

These findings together with the high rate of unmet mental health underscore the importance of early detection and treatment of anxiety disorders and suicidal ideation children with CPSs and CAE.

Authors+Show Affiliations

Department of Psychiatry, University of California at Los Angeles, 90024, USA. rcaplan@ucla.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15857439

Citation

Caplan, Rochelle, et al. "Depression and Anxiety Disorders in Pediatric Epilepsy." Epilepsia, vol. 46, no. 5, 2005, pp. 720-30.
Caplan R, Siddarth P, Gurbani S, et al. Depression and anxiety disorders in pediatric epilepsy. Epilepsia. 2005;46(5):720-30.
Caplan, R., Siddarth, P., Gurbani, S., Hanson, R., Sankar, R., & Shields, W. D. (2005). Depression and anxiety disorders in pediatric epilepsy. Epilepsia, 46(5), 720-30.
Caplan R, et al. Depression and Anxiety Disorders in Pediatric Epilepsy. Epilepsia. 2005;46(5):720-30. PubMed PMID: 15857439.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Depression and anxiety disorders in pediatric epilepsy. AU - Caplan,Rochelle, AU - Siddarth,Prabha, AU - Gurbani,Suresh, AU - Hanson,Rebecca, AU - Sankar,Ramen, AU - Shields,W Donald, PY - 2005/4/29/pubmed PY - 2005/6/2/medline PY - 2005/4/29/entrez SP - 720 EP - 30 JF - Epilepsia JO - Epilepsia VL - 46 IS - 5 N2 - PURPOSE: This study examined affective disorders, anxiety disorders, and suicidality in children with epilepsy and their association with seizure-related, cognitive, linguistic, family history, social competence, and demographic variables. METHODS: A structured psychiatric interview, mood self-report scales, as well as cognitive and language testing were administered to 100 children with complex partial seizures (CPSs), 71 children with childhood absence epilepsy (CAE), and 93 normal children, aged 5 to 16 years. Parents provided behavioral information on each child through a structured psychiatric interview and behavior checklist. RESULTS: Significantly more patients had affective and anxiety disorder diagnoses (33%) as well as suicidal ideation (20%) than did the normal group, but none had made a suicide attempt. Anxiety disorder was the most frequent diagnosis among the patients with a diagnosis of affective or anxiety disorders, and combined affective/anxiety and disruptive disorder diagnoses, in those with suicidal ideation. Only 33% received some form of mental health service. Age, verbal IQ, school problems, and seizure type were related to the presence of a diagnosis of affective or anxiety disorder, and duration of illness, to suicidal ideation. CONCLUSIONS: These findings together with the high rate of unmet mental health underscore the importance of early detection and treatment of anxiety disorders and suicidal ideation children with CPSs and CAE. SN - 0013-9580 UR - https://www.unboundmedicine.com/medline/citation/15857439/Depression_and_anxiety_disorders_in_pediatric_epilepsy_ L2 - https://doi.org/10.1111/j.1528-1167.2005.43604.x DB - PRIME DP - Unbound Medicine ER -