Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders

John J. Barry; Alan B. Ettinger; Peggy Friel; Frank G. Gilliam; Cynthia L. Harden; Bruce Hermann; Andres M. Kanner; Rochelle Caplan; Sigita Plioplys; Jay Salpekar; David Dunn; Joan Austin; Jana Jones

doi:10.1016/j.yebeh.2008.04.005

Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders

John J. Barry^*, Alan B. Ettinger, Peggy Friel, Frank G. Gilliam, Cynthia L. Harden, Bruce Hermann, Andres M. Kanner, Rochelle Caplan, Sigita Plioplys, Jay Salpekar, David Dunn, Joan Austin, Jana Jones

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

188 Scopus citations

Abstract

Affective disorders in people with epilepsy (PWE) have become increasingly recognized as a primary factor in the morbidity and mortality of epilepsy. To improve the recognition and treatment of affective disorders in PWE, an expert panel comprising members from the Epilepsy Foundation's Mood Disorders Initiative have composed a Consensus Statement. This document focuses on depressive disorders in particular and reviews the appearance and treatment of the disorder in children, adolescents, and adults. Idiosyncratic aspects of the appearance of depression in this population, along with physiological and cognitive issues and barriers to treatment, are reviewed. Finally, a suggested approach to the diagnosis of affective disorders in PWE is presented in detail. This includes the use of psychometric tools for diagnosis and a stepwise algorithmic approach to treatment. Recommendations are based on the general depression literature as well as epilepsy-specific studies. It is hoped that this document will improve the overall detection and subsequent treatment of affective illnesses in PWE.

Original language	English (US)
Pages (from-to)	S1-S29
Journal	Epilepsy and Behavior
Volume	13
Issue number	SUPPL. 1
DOIs	https://doi.org/10.1016/j.yebeh.2008.04.005
State	Published - Jul 2008

Funding

The Consensus Statement was developed by the Mood Disorder Advisory Group of the Epilepsy Foundation as part of its Mood Disorder Initiative. The Foundation expresses its deep appreciation to all advisory group members and experts who further contributed to the Consensus Statement. The Epilepsy Foundation also gratefully acknowledges the support of Cyberonics, Inc. for the Mood Disorder Initiative.

Keywords

Antidepressants
Anxiety
Bipolar disorder
Depression
Ictal depression
Interictal depression
Intractable epilepsy
Postictal depression
Suicidality
Temporal lobe epilepsy

ASJC Scopus subject areas

Clinical Neurology
Neurology
Behavioral Neuroscience

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.yebeh.2008.04.005

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Barry, J. J., Ettinger, A. B., Friel, P., Gilliam, F. G., Harden, C. L., Hermann, B., Kanner, A. M., Caplan, R., Plioplys, S., Salpekar, J., Dunn, D., Austin, J., & Jones, J. (2008). Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders. Epilepsy and Behavior, 13(SUPPL. 1), S1-S29. https://doi.org/10.1016/j.yebeh.2008.04.005

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abstract = "Affective disorders in people with epilepsy (PWE) have become increasingly recognized as a primary factor in the morbidity and mortality of epilepsy. To improve the recognition and treatment of affective disorders in PWE, an expert panel comprising members from the Epilepsy Foundation's Mood Disorders Initiative have composed a Consensus Statement. This document focuses on depressive disorders in particular and reviews the appearance and treatment of the disorder in children, adolescents, and adults. Idiosyncratic aspects of the appearance of depression in this population, along with physiological and cognitive issues and barriers to treatment, are reviewed. Finally, a suggested approach to the diagnosis of affective disorders in PWE is presented in detail. This includes the use of psychometric tools for diagnosis and a stepwise algorithmic approach to treatment. Recommendations are based on the general depression literature as well as epilepsy-specific studies. It is hoped that this document will improve the overall detection and subsequent treatment of affective illnesses in PWE.",

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note = "Funding Information: The Consensus Statement was developed by the Mood Disorder Advisory Group of the Epilepsy Foundation as part of its Mood Disorder Initiative. The Foundation expresses its deep appreciation to all advisory group members and experts who further contributed to the Consensus Statement. The Epilepsy Foundation also gratefully acknowledges the support of Cyberonics, Inc. for the Mood Disorder Initiative. ",

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AU - Salpekar, Jay

AU - Dunn, David

AU - Austin, Joan

AU - Jones, Jana

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N2 - Affective disorders in people with epilepsy (PWE) have become increasingly recognized as a primary factor in the morbidity and mortality of epilepsy. To improve the recognition and treatment of affective disorders in PWE, an expert panel comprising members from the Epilepsy Foundation's Mood Disorders Initiative have composed a Consensus Statement. This document focuses on depressive disorders in particular and reviews the appearance and treatment of the disorder in children, adolescents, and adults. Idiosyncratic aspects of the appearance of depression in this population, along with physiological and cognitive issues and barriers to treatment, are reviewed. Finally, a suggested approach to the diagnosis of affective disorders in PWE is presented in detail. This includes the use of psychometric tools for diagnosis and a stepwise algorithmic approach to treatment. Recommendations are based on the general depression literature as well as epilepsy-specific studies. It is hoped that this document will improve the overall detection and subsequent treatment of affective illnesses in PWE.

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Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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