Home⇛The PCMC Journal⇛vol. 16 no. 1 (2020)

Anxiety and Depression in Adolescents with Epilepsy at Philippine Children’s Medical Center

Pearl Joy Sendaydiego | Ellaine Romano | Cristina Urbi | Joy Malinit

Discipline: medicine by specialism

 

Abstract:

OBJECTIVE: Epilepsy is a chronic neurologic disorder complicated by neurobehavioral comorbidities which adversely affect quality of life. The study determined the prevalence of anxiety and/or depression in adolescents with epilepsy and the association of these disorders with sociodemographic variables and seizure-related factors in the Philippines. METHODOLOGY: Patients who fulfilled the inclusion and exclusion criteria were screened using the Hospital Anxiety and Depression Scale (HADS)/ Hospital Anxiety and Depression Scale-Pilipino (HADS-P).Epilepsy-related and sociodemographic variables in association with anxiety and depression were determined and analyzed. RESULTS: A total of 145 adolescent patients were included in the study. There was a 17.4% prevalence of anxiety and 3.4% prevalence of depression according to the screening tool.There was no significant factor associated with occurrence of anxiety. Psychiatric illness in the first degree relative, frequent seizures at onset, no anti-epileptic drug use and monotherapy at the time of study were associated with depression. Presence of anxiety also increased the odds of having depression. CONCLUSIONS: Affective disorders are common in adolescents with epilepsy and factors related to their occurrence must be anticipated. Hence, the need to screen the patients for psychiatric symptoms early and regularly.



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