Anxiety is common and independently associated with clinical features of epilepsy.
Anxiety is common and independently associated with clinical features of epilepsy.
复制标题
DOI：
10.1016/j.yebeh.2018.05.024
复制
发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Hamberger MJ
中科院分区：
文献类型：
--
作者：
Munger Clary HM;Snively BM;Hamberger MJ
To assess for independent association of anxiety symptoms with epilepsy localization and other epilepsy-related and demographic factors in a large tertiary care adult epilepsy population. Among 540 adults, anxiety was measured by the Symptom Checklist 90-R (SCL-90R) anxiety subscale, and detailed demographics, epilepsy localization and depression scores (SCL-90R) were collected. High anxiety was defined by SCL-90R anxiety T-score ≥60. Stepwise multiple logistic regression was carried out to assess for independent association of high anxiety scores with demographic and clinical factors. High anxiety symptoms were present in 46.1% of participants (N=250). Focal or unknown epilepsy type and depression scores were independently associated with high anxiety (adjusted odds ratios (OR) 2.89 (95% CI 1.33-6.29, p=0.007) and 2.12 (95% CI 1.83-2.45, p<0.001), respectively; depression odds per 5-point increase in scale). Among the focal epilepsy subpopulation, mesial temporal sclerosis was also independently associated with high anxiety, with adjusted OR 2.12 (95% CI 1.11-4.04, p=0.023). Lower education, non-Caucasian race/ethnicity, Spanish native language, prior head trauma, antiseizure drug polytherapy, and left focus or bilateral foci (in focal epilepsy) were associated with high anxiety in simple logistic regression, but these associations were not independent. A total of 46 individuals (18.4% of those with high anxiety) scored high for anxiety but not depression. Only 26% of those with high anxiety symptoms were taking a potentially anxiolytic medication. Anxiety symptoms, often without concomitant depression, were highly prevalent in this epilepsy sample and independently associated with focal/unknown epilepsy and mesial temporal sclerosis. These results strongly support the value of screening specifically for anxiety in the epilepsy clinic, to direct patients to appropriate treatment.
登录
查看更多内容
DOI：
10.1016/s0140-6736(13)60899-5
发表时间：
2013-11-16
期刊：
Lancet (London, England)
影响因子：
--
作者：
Fazel S;Wolf A;Långström N;Newton CR;Lichtenstein P
通讯作者：
Lichtenstein P
影响因子：
5.6
作者：
Kwan, Patrick;Yu, Evelyn;Mychaskiw, Marko A.
通讯作者：
Mychaskiw, Marko A.
影响因子：
9.9
作者：
Fountain, Nathan B.;Van Ness, Paul G.;Stecker, Mona
通讯作者：
Stecker, Mona
影响因子：
4.7
作者：
Gandy, Milena;Sharpe, Louise;Mohamed, Armin
通讯作者：
Mohamed, Armin
影响因子：
5.4
作者：
Bjelland, Ingvar;Krokstad, Steinar;Tambs, K.
通讯作者：
Tambs, K.