Rates of DSM-IV mood, anxiety disorders, and suicidality in Australian adult epilepsy outpatients

A comparison of well-controlled versus refractory epilepsy

Milena Gandy*, Louise Sharpe, Kathryn Nicholson Perry, Laurie Miller, Zoe Thayer, Janet Boserio, Armin Mohamed

*Corresponding author for this work

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Despite recent research into the impact of seizure control on mood disorders in epilepsy, it is often assumed that rates of psychiatric disorders are higher in people with refractory rather than well-controlled epilepsy. We assessed the point prevalence of mood and anxiety disorders and suicide risk using the Mini International Neuropsychiatric Interview (MINI) in a consecutive sample of epilepsy outpatients from a tertiary referral center. One hundred and thirty patients, whose epilepsy was categorized as well-controlled versus drug-treatment-refractory epilepsy (69; 53% well-controlled epilepsy) were recruited. High rates of mood disorders (n = 34; 26%), anxiety disorders (n = 37; 29%) and suicide risk (n = 43; 33%) were found. However, there was no difference in rates of disorders or suicide risk for those with refractory versus well-controlled epilepsy. These results underscore the importance of assessment and management of psychopathology in all people with epilepsy, regardless of their seizure control.

Original languageEnglish
Pages (from-to)29-35
Number of pages7
JournalEpilepsy and Behavior
Volume26
Issue number1
DOIs
Publication statusPublished - Jan 2013
Externally publishedYes

Keywords

  • Anxiety
  • Comorbidity
  • Depression
  • Prevalence
  • Psychiatric
  • Seizures
  • Suicidality

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