REVIEW PAPER
Co-existence of mental disorders in patients with epilepsy – literature review
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1
Student of Medical University of Lublin, Medical University, Lublin, Poland
3
First Military Clinical Hospital with Polyclinic, Lublin, Poland
Corresponding author
Maciej Kwieciński
Student of Medical University of Lublin, Medical University, Lublin, Poland
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Epilepsy has a significant impact on patients’ psychiatric condition. Epidemiological studies
have shown that comorbid psychiatric disorders can occur in about 20–40% of patients with epilepsy. The aim of th study is to raise awareness of how much neuropsychiatric comorbidity exists, and to expand knowledge about this problem.
Review methods:
The review was based on articles from the PubMed and Google Scholar databases, by searching terms: epilepsy; epilepsy comorbidity; epileptic syndromes, seizures, mental disorders, depression, suicide, neuro-developmental disorders, suicide attempt, self-injurious behaviour, quality of life.
Brief description of the state of knowledge:
Numerous studies conducted over the past years show an increase in the prevalence of mental disorders occurring in patients with epilepsy, compared to healthy people. Mental disorders can be part of an epileptic seizure, have a temporal relationship with them, or occur independently. Problems in the adult
population mainly involve depression and anxiety. Along with epilepsy, psychotic and personality disorders can co-occur. In the paediatric population, one of the most common problems reported by parents is attention deficit disorder, especially with ADHD. Furthermore, anxiety disorders and depression are at the forefront in adolescents. The correlation with suicide in epilepsy patients, both adults and minors, is significant, as suicide risk is up to 10 times higher, compared to the general population.
Summary:
Comorbidity of mental disorders in the course of epilepsy poses significant difficulties for both patients and clinicians. Thus, in the proper manage of those patients, it is important to possess a comprehensive knowledge about the prevalence of such phenomenon, as well as about the different complications and risks associated with it, including the possibility of suicide.
REFERENCES (37)
1.
Jeżowska-Jurczyk K, Kotas R, Jurczyk P, et al. Mental disorders in patients with epilepsy. Psychiatr Pol. 2020 Feb 29;54(1):51–68.
https://doi.org/10.12740/pp/93....
2.
Shershever AS, Boreiko VB. Mental disorders as an indication for surgical treatment of drug-resistant temporal lobe epilepsy. Prog Brain Res. 2022;272(1):125–141.
https://doi.org/10.1016/bs.pbr....
3.
Baroli G, Sanchez JR, Agostinelli E, et al. Polyamines: The possible missing link between mental disorders and epilepsy (Review). Int J Mol Med. 2020 Jan;45(1):3–9.
https://doi.org/10.3892/ijmm.2....
4.
Lu E, Pyatka N, Burant CJ, et al. Systematic Literature Review of Psychiatric Comorbidities in Adults with Epilepsy. J Clin Neurol. 2021 Apr;17(2):176–186.
https://doi.org/10.3988/jcn.20....
5.
Mesraoua B, Deleu D, Hassan AH, et al. Dramatic outcomes in epilepsy: depression, suicide, injuries, and mortality. Curr Med Res Opin. 2020 Sep;36(9):1473–1480.
https://doi.org/10.1080/030079....
6.
Verrotti A, Carrozzino D, Milioni M, et al. Epilepsy and its main psychiatric comorbidities in adults and children. J Neurol Sci. 2014 Aug 15;343(1–2):23–9.
https://doi.org/10.1016/j.jns.....
7.
Fazel S, Wolf A, Långström N, et al. Premature mortality in epilepsy and the role of psychiatric comorbidity: a total population study. The Lancet. 2013 Nov 16;382(9905):1646–54.
https://doi.org/10.1016/s0140-....
9.
Dias R, Bateman LM, Farias ST, et al. Depression in epilepsy is associated with lack of seizure control. Epilepsy & Behavior. 2010 Nov 1;19(3):445–7.
https://doi.org/10.1016/j.yebe....
10.
Druzhkova TA, Yakovlev AA, Rider FK, et al. Elevated Serum Cortisol Levels in Patients with Focal Epilepsy, Depression, and Comorbid Epilepsy and Depression. Int J Mol Sci. 2022 Sep 8;23(18):10414.
https://doi.org/10.3390/ijms23....
11.
Hingray C, McGonigal A, Kotwas I, et al. The Relationship Between Epilepsy and Anxiety Disorders. Curr Psychiatry Rep. 2019 Apr 29;21(6):40.
https://doi.org/10.1007/s11920....
12.
Ertan D, Hubert-Jacquot C, Maillard L, et al. Anticipatory anxiety of epileptic seizures: An overlooked dimension linked to trauma history. Seizure. 2021 Feb 1;85:64–9.
https://doi.org/10.1016/j.seiz....
13.
Clancy MJ, Clarke MC, Connor DJ, et al. The prevalence of psychosis in epilepsy; a systematic review and meta-analysis. BMC Psychiatry 2014 Mar 13;14(1):1–9.
https://doi.org/10.1186/1471-2....
15.
Braatz V, Martins Custodio H, Leu C, et al. Postictal Psychosis in Epilepsy: A Clinicogenetic Study. Ann Neurol. 2021 Sep;90(3):464–476.
https://doi.org/10.1002/ana.26....
17.
Abraham N, Buvanaswari P, Rathakrishnan R, et al. A Meta-Analysis of the Rates of Suicide Ideation, Attempts and Deaths in People with Epilepsy. Int J Environ Res Public Health. 2019 Apr 24;16(8):1451.
https://doi.org/10.3390/ijerph....
18.
Kim SJ, Kim HJ, Jeon JY, et al. Clinical factors associated with suicide risk independent of depression in persons with epilepsy. Seizure. 2020 Aug 1;80:86–91.
https://doi.org/10.1016/j.seiz....
19.
Malhi P, Annam A, Singhi P. Psychopathology and Quality of Life in Children with Epilepsy: A Cross-Sectional Study. Indian J Pediatr. 2021 Jul;88(7):712–714.
https://doi.org/10.1007/s12098....
20.
Walker NM, Jackson DC, Dabbs K, et al. Is lower IQ in children with epilepsy due to lower parental IQ? A controlled comparison study. Dev Med Child Neurol. 2013 Mar;55(3):278–82.
https://doi.org/10.1111/dmcn.1....
21.
Puka K, Smith ML, Widjaja E. The impact of family factors on IQ in pediatric medically refractory epilepsy. Neuropsychology. 2017 Feb 1;31(2):129–36.
https://doi.org/10.1037/neu000....
22.
Ono KE, Bearden DJ, Lee SM, et al. Interventions for ADHD in children & adolescents with epilepsy: A review and decision tree to guide clinicians. Epilepsy Behav. 2022 Oct;135:108872.
https://doi.org/10.1016/j.yebe....
23.
Reilly C, Atkinson P, Memon A, et al. Autism, ADHD and parent-reported behavioural difficulties in young children with epilepsy. Seizure. 2019 Oct 1;71:233–9.
https://doi.org/10.1016/j.seiz....
24.
Strasser L, Downes M, Kung J, et al. Prevalence and risk factors for autism spectrum disorder in epilepsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2018 Jan;60(1):19–29.
https://doi.org/10.1111/dmcn.1....
25.
Socanski D, Aurlien D, Herigstad A, et al. Epilepsy in a large cohort of children diagnosed with attention deficit/hyperactivity disorders (ADHD). Seizure. 2013 Oct 1;22(8):651–5.
https://doi.org/10.1016/j.seiz....
26.
Leeman-Markowski BA, Adams J, Martin SP, et al. Methylphenidate for attention problems in epilepsy patients: Safety and efficacy. Epilepsy Behav. 2021 Feb 1;115.
https://doi.org/10.1016/j.yebe....
27.
Downs J, Giust J, Dunn DW. Considerations for ADHD in the child with epilepsy and the child with migraine. Expert Rev Neurother. 2017 Sep;17(9):861–869.
https://doi.org/10.1080/147371....
29.
Shanmuganathan H, Kumar R, Lal DV, et al. Assessment of behavioural problems in preschool and school going children with epilepsy. AIMS Neurosci. 2022 Jun 1;9(2):277–287.
https://doi.org/10.3934/neuros....
33.
Lopez-Castroman J, Jaussent I, Pastre M, et al. Severity features of suicide attempters with epilepsy. J Psychiatr Res. 2022 Oct 1;154:44–9.
https://doi.org/10.1016/j.jpsy....
35.
Miniksar DY, Kılıç B, Kılıç M, et al. Evaluation of suicide probability in children and adolescents with epilepsy. Pediatr Int. 2022 Jan;64(1):e15130.
https://doi.org/10.1111/ped.15....
37.
Klein P, Devinsky O, French J, et al. Suicidality Risk of Newer Antiseizure Medications: A Meta-analysis. JAMA Neurol. 2021 Sep 1;78(9):1118–1127.
https://doi.org/10.1001/jamane....