Depression and Anxiety Disorders in Pediatric Epilepsy
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‐repor...
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| Veröffentlicht in: | Epilepsia (Copenhagen) 2005-05, Vol.46 (5), p.720-730 |
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| creator | Caplan, Rochelle Siddarth, Prabha Gurbani, Suresh Hanson, Rebecca Sankar, Ramen Shields, W. Donald |
| description | 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. |
| doi_str_mv | 10.1111/j.1528-1167.2005.43604.x |
| format | Article |
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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.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2005.43604.x</identifier><identifier>PMID: 15857439</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>350 Main Street , Malden , MA 02148 , USA and 9600 Garsington Road , Oxford , OX4 2XG , England: Blackwell Science Inc</publisher><subject>Absence epilepsy ; Adolescent ; Age Factors ; Age of Onset ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Anxiety ; Anxiety Disorders - diagnosis ; Anxiety Disorders - epidemiology ; Anxiety Disorders - psychology ; Attention Deficit and Disruptive Behavior Disorders - diagnosis ; Attention Deficit and Disruptive Behavior Disorders - epidemiology ; Biological and medical sciences ; Child ; Child, Preschool ; Comorbidity ; Complex partial seizure disorder ; Depression ; Depressive Disorder - diagnosis ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Epilepsy, Absence - diagnosis ; Epilepsy, Absence - epidemiology ; Epilepsy, Absence - psychology ; Epilepsy, Complex Partial - diagnosis ; Epilepsy, Complex Partial - epidemiology ; Epilepsy, Complex Partial - psychology ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Language Tests ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Neurosurgery ; Personality Inventory ; Pharmacology. Drug treatments ; Psychiatric Status Rating Scales ; Skull, brain, vascular surgery ; Suicide ; Suicide - psychology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surveys and Questionnaires ; Wechsler Scales</subject><ispartof>Epilepsia (Copenhagen), 2005-05, Vol.46 (5), p.720-730</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4774-9ab4056d618b73dcc742be5878dce058bd15a06e3c084abd0e5ebd1435a5db993</citedby><cites>FETCH-LOGICAL-c4774-9ab4056d618b73dcc742be5878dce058bd15a06e3c084abd0e5ebd1435a5db993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1528-1167.2005.43604.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1167.2005.43604.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16820665$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15857439$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caplan, Rochelle</creatorcontrib><creatorcontrib>Siddarth, Prabha</creatorcontrib><creatorcontrib>Gurbani, Suresh</creatorcontrib><creatorcontrib>Hanson, Rebecca</creatorcontrib><creatorcontrib>Sankar, Ramen</creatorcontrib><creatorcontrib>Shields, W. Donald</creatorcontrib><title>Depression and Anxiety Disorders in Pediatric Epilepsy</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>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.</description><subject>Absence epilepsy</subject><subject>Adolescent</subject><subject>Age Factors</subject><subject>Age of Onset</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - psychology</subject><subject>Attention Deficit and Disruptive Behavior Disorders - diagnosis</subject><subject>Attention Deficit and Disruptive Behavior Disorders - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Complex partial seizure disorder</subject><subject>Depression</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Epilepsy, Absence - diagnosis</subject><subject>Epilepsy, Absence - epidemiology</subject><subject>Epilepsy, Absence - psychology</subject><subject>Epilepsy, Complex Partial - diagnosis</subject><subject>Epilepsy, Complex Partial - epidemiology</subject><subject>Epilepsy, Complex Partial - psychology</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Language Tests</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Neurosurgery</subject><subject>Personality Inventory</subject><subject>Pharmacology. Drug treatments</subject><subject>Psychiatric Status Rating Scales</subject><subject>Skull, brain, vascular surgery</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surveys and Questionnaires</subject><subject>Wechsler Scales</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtPwzAMgCMEgvH4C6gXuLU4y7MXpIkNmDQJDnCO0sSTMnVtSTax_Xs6NrErvtiyPyfWR0hGoaB9PCwKKoY6p1SqYgggCs4k8GJzQgZ_g1MyAKAsL4WGC3KZ0gIAlFTsnFxQoYXirBwQOcYuYkqhbTLb-GzUbAKuttk4pDZ6jCkLTfaOPthVDC6bdKHGLm2vydnc1glvDvmKfD5PPp5e89nby_RpNMsdV4rnpa04COkl1ZVi3jnFhxUKrbR3CEJXngoLEpkDzW3lAQX2Pc6EFb4qS3ZF7vfvdrH9WmNamWVIDuvaNtiuk5FKaS1B9aDegy62KUWcmy6GpY1bQ8HsnJmF2akxOzVm58z8OjObfvX28Me6WqI_Lh4k9cDdAbDJ2XoebeNCOnJSD0FK0XOPe-67l7T99wFm8j79LdkPUb6HCQ</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Caplan, Rochelle</creator><creator>Siddarth, Prabha</creator><creator>Gurbani, Suresh</creator><creator>Hanson, Rebecca</creator><creator>Sankar, Ramen</creator><creator>Shields, W. Donald</creator><general>Blackwell Science Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200505</creationdate><title>Depression and Anxiety Disorders in Pediatric Epilepsy</title><author>Caplan, Rochelle ; Siddarth, Prabha ; Gurbani, Suresh ; Hanson, Rebecca ; Sankar, Ramen ; Shields, W. Donald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4774-9ab4056d618b73dcc742be5878dce058bd15a06e3c084abd0e5ebd1435a5db993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Absence epilepsy</topic><topic>Adolescent</topic><topic>Age Factors</topic><topic>Age of Onset</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Anxiety Disorders - psychology</topic><topic>Attention Deficit and Disruptive Behavior Disorders - diagnosis</topic><topic>Attention Deficit and Disruptive Behavior Disorders - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Complex partial seizure disorder</topic><topic>Depression</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Epilepsy, Absence - diagnosis</topic><topic>Epilepsy, Absence - epidemiology</topic><topic>Epilepsy, Absence - psychology</topic><topic>Epilepsy, Complex Partial - diagnosis</topic><topic>Epilepsy, Complex Partial - epidemiology</topic><topic>Epilepsy, Complex Partial - psychology</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Language Tests</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Neurosurgery</topic><topic>Personality Inventory</topic><topic>Pharmacology. Drug treatments</topic><topic>Psychiatric Status Rating Scales</topic><topic>Skull, brain, vascular surgery</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surveys and Questionnaires</topic><topic>Wechsler Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caplan, Rochelle</creatorcontrib><creatorcontrib>Siddarth, Prabha</creatorcontrib><creatorcontrib>Gurbani, Suresh</creatorcontrib><creatorcontrib>Hanson, Rebecca</creatorcontrib><creatorcontrib>Sankar, Ramen</creatorcontrib><creatorcontrib>Shields, W. 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Donald</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression and Anxiety Disorders in Pediatric Epilepsy</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2005-05</date><risdate>2005</risdate><volume>46</volume><issue>5</issue><spage>720</spage><epage>730</epage><pages>720-730</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><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.</abstract><cop>350 Main Street , Malden , MA 02148 , USA and 9600 Garsington Road , Oxford , OX4 2XG , England</cop><pub>Blackwell Science Inc</pub><pmid>15857439</pmid><doi>10.1111/j.1528-1167.2005.43604.x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Absence epilepsy Adolescent Age Factors Age of Onset Anticonvulsants. Antiepileptics. Antiparkinson agents Anxiety Anxiety Disorders - diagnosis Anxiety Disorders - epidemiology Anxiety Disorders - psychology Attention Deficit and Disruptive Behavior Disorders - diagnosis Attention Deficit and Disruptive Behavior Disorders - epidemiology Biological and medical sciences Child Child, Preschool Comorbidity Complex partial seizure disorder Depression Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - psychology Epilepsy, Absence - diagnosis Epilepsy, Absence - epidemiology Epilepsy, Absence - psychology Epilepsy, Complex Partial - diagnosis Epilepsy, Complex Partial - epidemiology Epilepsy, Complex Partial - psychology Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Language Tests Male Medical sciences Nervous system (semeiology, syndromes) Neurology Neuropharmacology Neurosurgery Personality Inventory Pharmacology. Drug treatments Psychiatric Status Rating Scales Skull, brain, vascular surgery Suicide Suicide - psychology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surveys and Questionnaires Wechsler Scales |
| title | Depression and Anxiety Disorders in Pediatric Epilepsy |
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