THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY

The prevalence of depression (D) in patients with epilepsy (PE) is quite high and 12-37% due to common neurobiological structural and morphological  and neurotransmitter  mechanisms underlying  these  diseases.  Depression  negatively affects the quality of life and control of seizures  in PE is ass...

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Main Authors: L. V. Lipatova, B. G. Butoma, T. V. Kapustina
Format: Article
Language:Russian
Published: IRBIS LLC 2016-12-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/296
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author L. V. Lipatova
B. G. Butoma
T. V. Kapustina
author_facet L. V. Lipatova
B. G. Butoma
T. V. Kapustina
author_sort L. V. Lipatova
collection DOAJ
description The prevalence of depression (D) in patients with epilepsy (PE) is quite high and 12-37% due to common neurobiological structural and morphological  and neurotransmitter  mechanisms underlying  these  diseases.  Depression  negatively affects the quality of life and control of seizures  in PE is associated  with a high risk of suicidality in PE, the disease is poorly diagnosed  the PE shall be appointed and rarely antidepressants  (AD) for the treatment  D in PE. Materials  and Methods. The aim of our prospective observational study with an active control was to evaluate the clinical efficacy and safety  of AD the second  generation – of escitalopram in the treatment  of depressive  disorders in 30 PE with D. The control group consisted  of 30 PE not receiving AD. Evaluation of the effectiveness of treatment in PE with D was carried out at three points (baseline, after 3 and 6 months  of treatment  AD) by depression  rating score using psychometric scales and scales assessing the overall clinical impression  of the gravity of the violations. Results.  In the PED group, treated with AD significantly decreased the values of D, there was a decrease in the severity and frequency of seizures, improvement  in the overall clinical impression,  while distinct trends in these indicators in the comparative group were note.Conclusion. Our findings confirm the need for early detection  of D in PE and destination AD with a harmonious profile of efficacy and safety.
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spelling doaj.art-e080d865b83841a79f2b4fcbb3dc04db2025-03-02T10:17:03ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882016-12-0183344410.17749/2077-8333.2016.8.3.034-044294THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSYL. V. Lipatova0B. G. Butoma1T. V. Kapustina2St. Petersburg V. M. Bekhterev Psychoneurological Research InstituteSt. Petersburg V. M. Bekhterev Psychoneurological Research InstituteSt. Petersburg V. M. Bekhterev Psychoneurological Research InstituteThe prevalence of depression (D) in patients with epilepsy (PE) is quite high and 12-37% due to common neurobiological structural and morphological  and neurotransmitter  mechanisms underlying  these  diseases.  Depression  negatively affects the quality of life and control of seizures  in PE is associated  with a high risk of suicidality in PE, the disease is poorly diagnosed  the PE shall be appointed and rarely antidepressants  (AD) for the treatment  D in PE. Materials  and Methods. The aim of our prospective observational study with an active control was to evaluate the clinical efficacy and safety  of AD the second  generation – of escitalopram in the treatment  of depressive  disorders in 30 PE with D. The control group consisted  of 30 PE not receiving AD. Evaluation of the effectiveness of treatment in PE with D was carried out at three points (baseline, after 3 and 6 months  of treatment  AD) by depression  rating score using psychometric scales and scales assessing the overall clinical impression  of the gravity of the violations. Results.  In the PED group, treated with AD significantly decreased the values of D, there was a decrease in the severity and frequency of seizures, improvement  in the overall clinical impression,  while distinct trends in these indicators in the comparative group were note.Conclusion. Our findings confirm the need for early detection  of D in PE and destination AD with a harmonious profile of efficacy and safety.https://www.epilepsia.su/jour/article/view/296epilepsydepressive disordersantidepressants
spellingShingle L. V. Lipatova
B. G. Butoma
T. V. Kapustina
THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY
Эпилепсия и пароксизмальные состояния
epilepsy
depressive disorders
antidepressants
title THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY
title_full THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY
title_fullStr THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY
title_full_unstemmed THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY
title_short THE CHOICE OF ANTIDEPRESSANTS FOR THE TREATMENT OF DEPRESSIVE DISORDERS ASSOCIATED WITH EPILEPSY
title_sort choice of antidepressants for the treatment of depressive disorders associated with epilepsy
topic epilepsy
depressive disorders
antidepressants
url https://www.epilepsia.su/jour/article/view/296
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