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Rivista di Pediatria, Neonatologia, Medicina dell’Adolescenza
e Neuropsichiatria Infantile
Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,532
Minerva Pediatrica 2017 Apr 20
Copyright © 2017 EDIZIONI MINERVA MEDICA
Pediatric epilepsy and psychiatric comorbidity: preliminary observational data from a prospective study
Michela GATTA 1, 2 ✉, Alessia RAFFAGNATO 2, Stefania MANNARINI 3, Laura BALOTTIN 3, Irene TOLDO 2, Marilena VECCHI 2, Clementina BONIVER 2
1 Childhood Adolescence and Family Unit, ULSS 16, University of Padua, Padua, Italy; 2 Department of Woman’s and Child’s Health, University of Padua, Padua, Italy; 3 Interdepartmental Center for Family Research, Department of Philosophy, Education and Applied Psychology, University of Padua, Padua, Italy
BACKGROUND: Several studies have confirmed psychiatric comorbidity and a worse quality of life in children with epilepsy, but the clinical assessment and monitoring of these patients often pays insufficient attention to their psychological aspects alongside their neurological issues. The present study aims to describe the distribution of psychopathologies and their clinical evolution over 18 months in a sample of children followed up since the onset of their epilepsy.
METHODS: After being diagnosed with epilepsy, 49 subjects (age 4-18y) were followed up with psychiatric and psychological assessments based on the use of dimensional and categorical psychometric tools.
RESULTS: Baseline data (T0) showed a high psychiatric comorbidity in epileptic children, with a prevalence of anxious-depressive disorders and attention deficit hyperactivity disorder (ADHD). Specifically, generalized epilepsy, antiepileptic drug intake and more frequent seizures were associated with externalizing problems, while focal epilepsy was linked with anxiety disorders. The follow-up at 18 months revealed that about 90% of patients had achieved a reduction in the frequency and duration of their seizures, but their psychopathological assessment remained virtually unchanged. The patients’ psychological issues had warranted psychotherapy in 43% of cases.
CONCLUSIONS: When children or adolescents are diagnosed with epilepsy, their psychopathological profile should be investigated and monitored over time. Psychotherapy and/or psychopharmacological treatments should be offered to pediatric patients with epilepsy who suffer from emotional-behavioral disorders.
KEY WORDS: Epilepsy - Psychiatric comorbidity – Child - Adolescent