Review: Depression in epilepsy: mechanisms and therapeutic approach

In patients with epilepsy, mood disorders represent a frequent psychiatric comorbidity but they often remain unrecognized and untreated. However, comorbid depression may have a major impact on the quality of life of patients with epilepsy, sometimes even more than the seizures. Among the potential n...

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Main Authors: Marco Mula, Bettina Schmitz
Format: Article
Language:English
Published: SAGE Publishing 2009-09-01
Series:Therapeutic Advances in Neurological Disorders
Online Access:https://doi.org/10.1177/1756285609337340
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author Marco Mula
Bettina Schmitz
author_facet Marco Mula
Bettina Schmitz
author_sort Marco Mula
collection DOAJ
description In patients with epilepsy, mood disorders represent a frequent psychiatric comorbidity but they often remain unrecognized and untreated. However, comorbid depression may have a major impact on the quality of life of patients with epilepsy, sometimes even more than the seizures. Among the potential neurobiological and psychosocial determinants, epilepsy-related variables (age at onset of seizures, temporal lobe epilepsy and frequency of seizures) and the antiepileptic drug treatment have been associated with depression. Nonetheless, data on treatment strategies are still limited with a lack of controlled trials on the use of antidepressant drugs. Moreover, the issue of psychotropic drug treatment of depression in epilepsy is interlinked with that of worsening seizures. This paper is aimed at discussing all these subjects in the light of current literature on the neurobiology of depression in epilepsy.
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spelling doaj.art-2e7fcec83f424417ac0099061a089d1e2022-12-22T03:50:29ZengSAGE PublishingTherapeutic Advances in Neurological Disorders1756-28562009-09-01210.1177/1756285609337340Review: Depression in epilepsy: mechanisms and therapeutic approachMarco MulaBettina SchmitzIn patients with epilepsy, mood disorders represent a frequent psychiatric comorbidity but they often remain unrecognized and untreated. However, comorbid depression may have a major impact on the quality of life of patients with epilepsy, sometimes even more than the seizures. Among the potential neurobiological and psychosocial determinants, epilepsy-related variables (age at onset of seizures, temporal lobe epilepsy and frequency of seizures) and the antiepileptic drug treatment have been associated with depression. Nonetheless, data on treatment strategies are still limited with a lack of controlled trials on the use of antidepressant drugs. Moreover, the issue of psychotropic drug treatment of depression in epilepsy is interlinked with that of worsening seizures. This paper is aimed at discussing all these subjects in the light of current literature on the neurobiology of depression in epilepsy.https://doi.org/10.1177/1756285609337340
spellingShingle Marco Mula
Bettina Schmitz
Review: Depression in epilepsy: mechanisms and therapeutic approach
Therapeutic Advances in Neurological Disorders
title Review: Depression in epilepsy: mechanisms and therapeutic approach
title_full Review: Depression in epilepsy: mechanisms and therapeutic approach
title_fullStr Review: Depression in epilepsy: mechanisms and therapeutic approach
title_full_unstemmed Review: Depression in epilepsy: mechanisms and therapeutic approach
title_short Review: Depression in epilepsy: mechanisms and therapeutic approach
title_sort review depression in epilepsy mechanisms and therapeutic approach
url https://doi.org/10.1177/1756285609337340
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