Stress, epilepsy, and psychiatric comorbidity: How can animal models inform the clinic?
Abstract
Psychiatric complaints afflict many patients with epilepsy, and these contribute significantly to the impaired quality of life experienced by sufferers of this common group of neurological conditions. Psychiatric disorders in epilepsy patients are under-diagnosed and under-treated. Moreover, evidence suggests that the psychiatric disorders may act as risk factors for some types of epilepsy and exacerbate disease progression in established cases, promoting the case for a bidirectional relationship between epilepsy and psychopathology. While cause and effect relationships can be difficult to establish in human studies, appropriate animal models provide valuable tools with which to study the interactions between epilepsy and stress-related disorders. Indeed, many epilepsy models exhibit behavioral phenotypes which are reflective of psychiatric disorders, and, conversely, stressful environments appear to promote a vulnerability to developing epilepsy. This review summarizes this research area, exploring the behavioral phenotypes in animal models of epilepsy and then examining the influence of stressful environments on susceptibility to seizures and epilepsy. The ultimate goal of this line of research is to be able to translate these findings to humans. Understanding the relationships between epilepsy and associated psychiatric disorders will facilitate effective treatment of mood disorders in epilepsy, inform about the pathophysiology of each individually, and potentially open up novel therapeutic disease-modifying strategies for patients with epilepsy.
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Both population-based and experimental studies in human and animal models have demonstrated a robust relationship between seizures and psychiatric disorders.
“Both population-based and experimental studies in human and animal models have demonstrated a robust relationship between seizures and psychiatric disorders.”
From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [13]
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Repeatedly stressed rats have enhanced vulnerability to amygdala kindling epileptogenesis
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Self-citationStress, glucocorticoids and absences in a genetic epilepsy model
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Fear Conditioning Is Impaired in Systemic Kainic Acid and Amygdala‐stimulation Models of Epilepsy
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Effects of water immersion stress on convulsions induced by pentylenetetrazol
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The effect of adrenalectomy on the circadian variation in the rate of kindled seizure development
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Electrophysiological insights into the enduring effects of early life stress on the brain
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Self-citationSusceptibility of Mice to Audiogenic Seizures Is Increased by Handling Their Dams During Gestation
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Bouilleret, V., Cardamone, L., Liu, C., Koe, A. S., Fang, K., Williams, J. P., Myers, D. E., O'Brien, T. J., & Jones, N. C. (2011) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.22669 · Cited by 17 · see citing works
Self-citationJones, N. C., O'Brien, T. J., & Powell, K. L. (2011) · Neuroscience Letters · doi:10.1016/j.neulet.2011.02.039 · Cited by 14 · see citing works
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Stress within the postseizure time window inhibits seizure recurrence
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Social conflict situations in rats differentially affect the development of amygdala kindling
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- Authors
- Jones, N. C., & O'Brien, T. J.
- Affiliations
- The Royal Melbourne Hospital (AU)
- Corresponding author
- Jones, Nigel C.
- Venue
- Epilepsy & Behavior
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 26
- Issue
- 3
- Pages
- 363-369
- ISSN
- 1525-5050 (ISSN-L)
- OpenAlex
- W2086067719
- Cited by
- 44
- References
- 126
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 1 · 2019: 2 · 2018: 7 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 5 · 2013: 1 · 2012: 1
- FWCI
- 0.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Epilepsy & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmacological Effects and Toxicity Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- epilepsy, psychiatric comorbidity, stress, animal models of epilepsy, behavioral phenotypes, mood disorders, seizure susceptibility, disease-modifying therapy, quality of life
- MeSH terms
- Animals, Mental Disorders, Disease Models, Animal, Epilepsy, Humans, Stress, Psychological, Comorbidity
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