INVESTIGADORES
D`ALESSIO Luciana
congresos y reuniones científicas
Título:
To what extent depressive mood influence on quality of life in people with drug resistant epilepsy. An Argentine study
Autor/es:
SCÉVOLA L, FERNANDEZ LIMA M, SARUDIANSKY M, ODDO S, KOCHEN S, D ALESSIO L.
Lugar:
Estambul
Reunión:
Congreso; 31st International Epilepsy Congress (IEC); 2015
Institución organizadora:
ILAE (International League Against Epilepsy)
Resumen:
Objective: The aim of this study was to determine if the quality of life (QofL) is differentially affected in patients with drug resistant epilepsy (DRE) with and without depression, in an epilepsy reference center of Buenos Aires, Argentina.Methods: Patients with DRE who were admitted to the monitoring video EEG unit during the period 2010-2013 underwent a standardized psychiatric assessment using (SCID I and BDI). QofL was evaluated using GAF (Global assessment of functioning) and QlesQ (Quality of life enjoyment and satisfaction questionnaire).Two groups were compared according to the presence of current affective disorders (depression) codified in axis I of DSM IV) and the lack of affective disorders (absence of depression and/or a psychiatric disorder de according DSM IV).Statistical tests used were student t test, ANOVA, Chi square test (χ2) and Pearson. SPSS for Windows was used. Results: Eighty one patients with DRE were included, 40 men (49.4%) y 41 women (50.6%). Forty four patients (54.32%) had depression criteria, and were compared with 37 (45.67%) patients without depression. No significant differences in age and sex were found between the groups. The total score of QofL was significantly lower in depression group (p0.005). The most affected areas were physical health (p0.039), mood (p0.01), leisure activities (p0.04), and social activities (p0.041). GAF did not show significant differences. Conclusion: Depression is the most frequent psychiatric co morbidity in epilepsy and this study showed a worst QofL in DRE patients with depression compared with DRE patients without depression. Therapeutic approach should be interdisciplinary (neurology, psychiatry, psychology) in people with DRE and should also address mood to improve QofL.
