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• W4298325635 abstract "Una de cada 3 personas con epilepsia (PCE) presentará un trastorno psiquiátrico en el curso de su vida, siendo los trastornos de ánimo y ansiedad los más frecuentes. A pesar de su alta prevalencia e impacto significativo en las vidas de las PCE permanecen subdiagnosticados y, por ende, subtratados. Identificar síntomas de ansiedad y depresión en la consulta neurológica de PCE y realizar una intervención terapéutica con un posterior control de los síntomas. Diseño observacional retrospectivo en el que se evaluaron en al menos 2 oportunidades a 127 PCE durante un período de 2 años. Se administraron escalas (NDDI-E, GAD-7 y el ítem C del MINI) en búsqueda de síntomas de depresión, ansiedad y suicidalidad. De las 127 personas evaluadas en al menos 2 ocasiones, 77 tenían escalas positivas para depresión y/o ansiedad (61%) en la primera evaluación. Veintinueve recibieron antidepresivos (38%), 16 fueron tratados con psicoterapia (21%), 25 fueron derivados a psiquiatría (32%), en 10 se rotó fármaco anticrisis (13%) y 15 no tuvieron intervención alguna (19%). De los 77, 28 (36%) mejoraron en el control posterior. De las 50 personas que inicialmente habían tenido escalas negativas, en el segundo control 13 resultaron positivas. Este estudio intenta demostrar la importancia de identificar síntomas de ansiedad y depresión y realizar una intervención. Es fundamental incluir la historia y síntomas psiquiátricos como parte del manejo integral de las PCE dada la prevalencia de los mismos y, a su vez, su manifiesto carácter fluctuante. One out of 3 people with epilepsy (PWE) will present with psychiatric disorders throughout their lives; mood and anxiety disorders are the most common among them. Despite the high frequency and the significant impact of psychiatric comorbidities in the lives of PWE, they remain underdiagnosed and undertreated. We identified symptoms of anxiety and depression during routine neurological visits in PWE and made a therapeutic intervention (psychotherapy or use of psychotropic drugs) with subsequent symptom control. A retrospective study of 127 PWE who were examined at least twice in a two-year period. Several scales (NDDI-E, GAD-7 and MINI's item C) were administered in order to detect symptoms of depression, anxiety, and suicidality. Of the 127 PWE who were examined at least in two occasions, 77 (61%) had positive results for depression and/or anxiety in the first examination, 29 (38%) received antidepressant agents, 16 (21%) were treated with psychotherapy, 25 (32%) were referred to psychiatric consultation, 10 (13%) were changed the antiseizure medication, and 15 (19%) received no intervention. Of the 77, 28 (36%) improved in the subsequent examination. Out of the 50 PWE who had initially had negative results in the scales, 13 (26%) were positive in the second assessment. This study attempts to prove the importance of identifying symptoms of anxiety and depression and make an intervention. It is essential to include history of psychiatric diseases and psychiatric symptoms within the overall management of PWE, given the prevalence of these symptoms and their apparent fluctuating nature." @default.
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• W4298325635 date "2022-10-01" @default.
• W4298325635 modified "2023-09-25" @default.
• W4298325635 title "La depresión que no miramos en epilepsia" @default.
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• W4298325635 doi "https://doi.org/10.1016/j.neuarg.2022.08.003" @default.
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