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Vol. 53.
Pages 34-40 (January - June 2021)
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Vol. 53.
Pages 34-40 (January - June 2021)
Original article
Have mood disorders any influence over seizure control in patients with epilepsy?
¿Influyen los trastornos del ánimo en el control de crisis de pacientes con epilepsia?
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Alejandra Fumanal Doménech, Laia Grau López
Corresponding author
laiagrlo@yahoo.es

Corresponding author.
, Joaquín Broto, Marta Jiménez, Eva Chies Pérez, Olga Fagundez Garzón, Rosa M. López Castilla, Juan Luis Becerra Cuñat
Departamento de Neurociencias, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain
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Tables (5)
Table 1. Neurological disorder depression inventory in patients with epilepsy (NDDI). Adapted Spanish version.
Table 2. Generalized Anxiety Disorder [GAD-7]) scale. Adapted Spanish version.
Table 3. Socio-demographic and clinical characteristics of the subjects included in the study (n = 152).
Table 4. Univariate analysis. Seizure control-associated factors.
Table 5. Multivariate analysis. Factors associated independently with poorer seizure control.
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Abstract
Objectives

To study the prevalence of mood disorders in patients with epilepsy and their relationship with seizure control.

Methods

We conducted an observational and cross-sectional study of epileptic patients treated in our centre from January-2017 to June-2019. We classify patients into two groups according to crisis control: good control (≤1 crisis/month) and poor control (> 1 crisis/month) and we compare the demographic variables (age, sex, employment status and civil status), clinics (epilepsy type, crisis type, years of evolution of epilepsy), therapeutic (antiepileptic, antidepressant and anxiolytic drugs), presence of depression (NDDIE scale), anxiety (GAD7 scale) and quality of life (QOLIE10). The data was collected by doctors and nurses after informed consent was signed.

Results

152 patients participated, 53% were men with a mean age of 44 ± 11 years. Sixty-eight percent (n = 103) had good crisis control and 32% (n = 49) poor control. Thirty-six point six percent had depression (NDDIE > 15) and 42% anxiety (GAD > 10). Sixty percent of patients with depression and 54% with anxiety did not receive antidepressant and/or anxiolytic treatment. The factors associated with poor crisis control were the presence of depression (OR 2.3, P = .02) and a worse quality of life (OR 1.8, P = .01).

Conclusions

The presence of altered mood in patients with epilepsy is frequent. In our series, depression and a worse quality of life were related to worse crisis control.

Keywords:
Mood disorders
Epilepsy
Quality of life
Resumen
Objetivos

Estudiar la prevalencia de trastornos del ánimo en pacientes con epilepsia y su relación con el control de crisis.

Métodos

Se realizó un estudio observacional y transversal de pacientes epilépticos atendidos en nuestro centro desde enero-2017 a junio-2019. Se clasificó a los pacientes en dos grupos según el control de crisis: buen control (≤1 crisis/mes) y mal control (>1 crisis/mes) y se comparó entre ambos grupos las variables demográficas (edad, sexo, estado laboral y civil), clínicas (tipo epilepsia, tipo crisis, años evolución de epilepsia), terapéuticas (fármacos antiepilépticos, antidepresivos y ansiolíticos), presencia de depresión (escala NDDIE), ansiedad (escala GAD7) y calidad de vida (QOLIE10). Los datos fueron recogidos por médicos y enfermeras tras la firma del consentimiento informado.

Resultados

Participaron 152 pacientes, el 53% fueron varones con edad media de 44 ± 11 años. El 68% (n = 103) tenía buen control de crisis y el 32% (n = 49) mal control. El 37,6% tuvo depresión (NDDIE > 15) y el 42% ansiedad (GAD > 10). El 60% de los pacientes con depresión y el 54% con ansiedad no recibían tratamiento antidepresivo y/o ansiolítico. Los factores asociados a un mal control de crisis fueron la presencia de depresión (OR 2,3, P = ,02) y una peor calidad de vida (OR 1,8, P = ,01).

Conclusiones

La presencia de alteración del estado del ánimo en pacientes con epilepsia es frecuente. En nuestra serie, la depresión y una peor calidad de vida se relacionaron con peor control de crisis.

Palabras clave:
Alteración del estado de ánimo
Epilepsia
Calidad de vida

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