Busca avançada
Ano de início
Entree
(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Concurrent mood and anxiety disorders are associated with pharmacoresistant seizures in patients with MTLE

Texto completo
Autor(es):
Nogueira, Mateus H. ; Yasuda, Clarissa L. ; Coan, Ana C. ; Kanner, Andres M. ; Cendes, Fernando
Número total de Autores: 5
Tipo de documento: Artigo Científico
Fonte: Epilepsia; v. 58, n. 7, p. 1268-1276, JUL 2017.
Citações Web of Science: 12
Resumo

ObjectiveTo investigate whether mood disorders (MD) and anxiety disorders (AD) are associated with seizure control in patients with mesial temporal lobe epilepsy (MTLE). We compared patients without any current psychiatric disorder, patients with current MD and/or AD, patients with subsyndromic depression episodes (SSDE) and anxiety episodes (SSAE), and patients with family psychiatric history. MethodsIn a cross-sectional study, we included 144 consecutive patients with MTLE (82 pharmacoresistant and 62 treatment-responsive patients). Every patient underwent a psychiatric evaluation including the Structured Clinical Interview for DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) Axis I (SCID-I), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), and Interictal Dysphoric Disorder Inventory (IDDI). Patients were divided into four groups: PsychNeg (G1, n = 61), current SSDE and SSAE (G2, n = 26), Current MD or AD (G3, n = 25), and current mixed MD/AD (G4, n = 32). ResultsAmong patients with pharmacoresistant MTLE, 68.3% (56/82) experienced symptoms of depression and/or anxiety (G2, G3, and G4) (odds ratio {[}OR] 2.8, 95% confidence interval {[}CI] 1.41-5.53, p < 0.01). Patients with mixed MD/AD (G4, n = 24/32) were more likely to have pharmacoresistant MTLE (OR 4.04, 95% CI 1.57-10.42, p < 0.01) than psychiatric asymptomatic patients (G1, n = 26/61), and their seizure frequency was significantly higher (p < 0.01). Positive family psychiatric history was more frequent in pharmacoresistant patients (n = 27/82, OR 2.28, 95% CI 1.02-5.05, p = 0.04). Finally, 31.6% of patients with MD and or AD were not receiving psychiatric treatment. SignificanceIdentification of comorbid MD/AD and of family psychiatric history is of the essence in patients with MTLE, as they appear to be associated with worse seizure control. (AU)

Processo FAPESP: 14/08765-9 - Transtornos psiquiátricos na epilepsia: uma perspectiva clínica, laboratorial e morfológica
Beneficiário:Mateus Henrique Nogueira
Linha de fomento: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
Processo FAPESP: 11/21818-6 - Transtornos de humor e de ansiedade na epilepsia: uma perspectiva clínica, laboratorial e morfológica
Beneficiário:Mateus Henrique Nogueira
Linha de fomento: Bolsas no Brasil - Doutorado