Cited by 1,113Epilepsy research and treatmentMental Health Treatment and AccessPharmacological Effects and Toxicity Studies

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Psychiatric comorbidity in epilepsy: a population-based analysis

Tellez‐Zenteno, Jose F., Patten, Scott B., Jetté, Nathalie, Williams, Jeanne, Wiebe, Samuel·2007·Epilepsia

DOI 10.1111/j.1528-1167.2007.01222.x

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Abstract

PURPOSE: The estimated prevalence of mental health disorders in those with epilepsy in the general population varies owing to differences in study methods and heterogeneity of epilepsy syndromes. We assessed the population-based prevalence of various psychiatric conditions associated with epilepsy using a large Canadian national population health survey. METHODS: The Canadian Community Health Survey (CCHS 1.2) was used to explore numerous aspects of mental health in persons with epilepsy in the community compared with those without epilepsy. The CCHS includes administration of the World Mental Health Composite International Diagnostic Interview to a sample of 36,984 subjects. Age-specific prevalence of mental health conditions in epilepsy was assessed using logistic regression. RESULTS: The prevalence of epilepsy was 0.6%. Individuals with epilepsy were more likely than individuals without epilepsy to report lifetime anxiety disorders or suicidal thoughts with odds ratio of 2.4 (95% CI = 1.5-3.8) and 2.2 (1.4-3.3), respectively. In the crude analysis, the odds of lifetime major depression or panic disorder/agoraphobia were not greater in those with epilepsy than those without epilepsy, but the association with lifetime major depression became significant after adjustment for covariates. CONCLUSIONS: In the community, epilepsy is associated with an increased prevalence of mental health disorders compared with the general population. Epilepsy is also associated with a higher prevalence of suicidal ideation. Understanding the psychiatric correlates of epilepsy is important to adequately manage this patient population.

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Authors: Tellez‐Zenteno, J. F., Patten, S. B., Jetté, N., Williams, J., & Wiebe, S.
Affiliations: University of Calgary (CA)
Corresponding author: Wiebe, Samuel
ORCID: Patten, Scott B.
Jetté, Nathalie
Williams, Jeanne
Wiebe, Samuel
Venue: Epilepsia
Publisher: Wiley
Published: 2007-10-05
Volume: 48
Issue: 12
Pages: 2336-2344
ISSN: 0013-9580 (ISSN-L)
1528-1167
DOI: 10.1111/j.1528-1167.2007.01222.x
OpenAlex: W2086056052
Cited by: 1,113
References: 42
Citations by year: 2026: 36 · 2025: 45 · 2024: 71 · 2023: 56 · 2022: 65 · 2021: 88 · 2020: 83 · 2019: 81 · 2018: 64 · 2017: 66 · 2016: 70 · 2015: 68 · 2014: 71 · 2013: 50 · 2012: 60
FWCI: 17.72
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Epilepsia (publishedVersion)
PubMed (publishedVersion)
Funders: M.S.I. Foundation
Topics: Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmacological Effects and Toxicity Studies
Keywords: epilepsy, psychiatric comorbidity, mental illness, anxiety disorders, suicidal ideation, major depressive disorder, panic disorder, agoraphobia, prevalence, community-dwelling patients, Canadian Community Health Survey
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Mental Disorders, Canada, Child, Data Collection, Major Depressive Disorder, Epilepsy, Female, Health Surveys, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Suicide, Comorbidity, Prevalence, Logistic Models, Odds Ratio, Diagnosis, Dual (Psychiatry), Substance-Related Disorders

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Psychiatric comorbidity in epilepsy: a population-based analysis

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