<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_joepi-2016-0005_s_001"><h3>Introduction</h3><p>People with epilepsy (PWE) have a higher risk of developing depression and anxiety than people without epilepsy. However, understanding and management of that issue remain under-recognized.</p></sec><sec id="j_joepi-2016-0005_s_002"><h3>Aim</h3><p>To emphesize: a) the relationship between depression, anxiety, and epilepsy, and b) to suggest practical strategies for their identification by clinicians.</p></sec><sec id="j_joepi-2016-0005_s_003"><h3>Methods</h3><p>The current literatures was reviewed investigating the impact of depression and anxiety in PWE and those examining the validity of simple screening tools for the detection of depression and anxiety.</p></sec><sec id="j_joepi-2016-0005_s_004"><h3>Review</h3><p>Approximately one quarter of PWE have been known to be suffered from depression. The frequency of depression and anxiety was closely related to poor seizure control. Depression and anxiety have been reported to have a bidirectional relationship with epilepsy. The higher degree of depression and anxiety was more likely to elicit the suicidal ideation and attempt, adverse events and poor compliance of antiepileptic drugs, poor surgical outcome, and eventually, poor quality of life. Furthermore, depression and anxiety were closely associated with perceived stigma, obsessive-compulsive symptom, aggression, fatigue, and perceived stress.</p></sec><sec id="j_joepi-2016-0005_s_005"><h3>Conclusions</h3><p>Clinicians who take care of PWE in a busy clinical setting should identify their psychiatric problems by brief screening tools and treat them instantly to minimize their negative impacts.</p></sec></abstract>

IntroductionPeople with epilepsy (PWE) have a higher risk of developing depression and anxiety than people without epilepsy. However, understanding and management of that issue remain under-recognized.AimTo emphesize: a) the relationship between depression, anxiety, and epilepsy, and b) to suggest practical strategies for their identification by clinicians.MethodsThe current literatures was reviewed investigating the impact of depression and anxiety in PWE and those examining the validity of simple screening tools for the detection of depression and anxiety.ReviewApproximately one quarter of PWE have been known to be suffered from depression. The frequency of depression and anxiety was closely related to poor seizure control. Depression and anxiety have been reported to have a bidirectional relationship with epilepsy. The higher degree of depression and anxiety was more likely to elicit the suicidal ideation and attempt, adverse events and poor compliance of antiepileptic drugs, poor surgical outcome, and eventually, poor quality of life. Furthermore, depression and anxiety were closely associated with perceived stigma, obsessive-compulsive symptom, aggression, fatigue, and perceived stress.ConclusionsClinicians who take care of PWE in a busy clinical setting should identify their psychiatric problems by brief screening tools and treat them instantly to minimize their negative impacts.

Depression and anxiety in people with epilepsy: Why should we identify?

Journal of Epileptology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Depression and anxiety in people with epilepsy: Why should we identify?"}

IntroductionPeople with epilepsy (PWE) have a higher risk of developing depression and anxiety than people without epilepsy. However, understanding and...

Depression and anxiety in people with epilepsy: Why should we identify?

Published Online: Jun 07, 2016

Page range: 57 - 62

Received: Feb 05, 2016

Accepted: Jun 06, 2016

DOI: https://doi.org/10.21307/joepi-2016-0005

Keywords
epilepsy, depression, anxiety, impact, screening

© 2016 Sung-Pa Park; et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Depression and anxiety in people with epilepsy: Why should we identify?

Published Online: Jun 07, 2016

Page range: 57 - 62

Received: Feb 05, 2016

Accepted: Jun 06, 2016

DOI: https://doi.org/10.21307/joepi-2016-0005

Keywordsepilepsy, depression, anxiety, impact, screening

© 2016 Sung-Pa Park; et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
epilepsy, depression, anxiety, impact, screening