Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders

被引：159

作者：

Barry, John J. ^{[1
]}

Ettinger, Alan B. ^{[2
]}

Friel, Peggy ^{[3
]}

Gilliam, Frank G. ^{[4
]}

Harden, Cynthia L. ^{[5
]}

Hermann, Bruce ^{[6
]}

Kanner, Andres M. ^{[7
,8
]}

Caplan, Rochelle ^{[9
]}

Plioplys, Sigita ^{[10
]}

Salpekar, Jay ^{[11
]}

Dunn, David ^{[12
,13
]}

Austin, Joan ^{[12
,13
]}

Jones, Jana ^{[14
]}

机构：

[1] Stanford Univ, Med Ctr, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA

[2] Long Isl Jewish Med Ctr, Dept Neurol, New Hyde Pk, NY 11042 USA

[3] Swedish Neurosci Inst, Seattle, WA USA

[4] Columbia Univ, New York, NY USA

[5] Cornell Univ, Weil Med Coll, New York, NY 10021 USA

[6] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA

[7] Rush Univ, Med Ctr, Rush Epilepsy Ctr, Rush Med Coll,Dept Psychiat, Chicago, IL 60612 USA

[8] Rush Univ, Dept Neurol Sci, Chicago, IL 60612 USA

[9] Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Los Angeles, CA USA

[10] Childrens Mem Hosp, Dept Child & Adolescent Psychiat, Chicago, IL 60614 USA

[11] George Washington Univ, Childrens Natl Med Ctr, Sch Med, Ctr Neurosci & Behav Med, Washington, DC USA

[12] Indiana Univ, Sch Med, Dept Psychiat, Indianapolis, IN 46202 USA

[13] Indiana Univ, Sch Nursing, Indianapolis, IN 46202 USA

[14] Univ Wisconsin, Dept Neurol, Sch Med & Publ Hlth, Madison, WI 53706 USA

来源：

EPILEPSY & BEHAVIOR | 2008年 / 13卷

关键词：

depression; anxiety; bipolar disorder; postictal depression; ictal depression; interictal depression; suicidality; intractable epilepsy; temporal lobe epilepsy; antidepressants;

D O I：

10.1016/j.yebeh.2008.04.005

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Affective disorders in people with epilepsy (PWE) have become increasingly recognized as a primary factor in the morbidity and mortality of epilepsy. To improve the recognition and treatment of affective disorders in PWE, an expert panel comprising members from the Epilepsy Foundation's Mood Disorders Initiative have composed a Consensus Statement. This document focuses on depressive disorders in particular and reviews the appearance and treatment of the disorder in children, adolescents, and adults. Idiosyncratic aspects of the appearance of depression in this population, along with physiological and cognitive issues and barriers to treatment, are reviewed. Finally, a suggested approach to the diagnosis of affective disorders in PWE is presented in detail. This includes the use of psychometric tools for diagnosis and a stepwise algorithmic approach to treatment. Recommendations are based on the general depression literature as well as epilepsy-specific studies. It is hoped that this document will improve the overall detection and subsequent treatment of affective illnesses in PWE. (C) 2008 Elsevier Inc. All rights reserved.

引用

页码：S1 / S29

页数：29

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