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Subtypes of interictal depressive disorders according to ICD-10 in patients with epilepsy
Affiliations- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland
- Department of Psychiatry, Jagiellonian University Medical College, Cracow, Poland
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Abstract
The purpose of the study was to evaluate the frequency of interictal depressive symptoms and different subtypes of depressive disorders according to 10th revision of the International Classification of Diseases (ICD-10) criteria in patients with epilepsy and its association with the type of epilepsy.
Material and methods289 outpatients with epilepsy (169 females, 120 males) aged 18–82 years completed Beck Depression Inventory (BDI). Subjects who scored >11 in BDI were further evaluated by the psychiatrist according to the ICD-10 diagnostic criteria.
Results41.9% (121) of the 289 participants scored >11 in BDI. 104 (85.9%) patients who scored >11 in BDI had comorbid mental disorders according to ICD-10 criteria. The most common were organic mood disorders (F06.3 – 31.4%), depressive episode (F32 – 22.3%) and dysthymia (F34.1 – 9.1%) There were no differences in the prevalence of depression and subtypes of depression in patients with certain epilepsy types. Depression was diagnosed before entering the study in only one third of patients with final diagnosis of depression.
ConclusionsOur results confirm the prevailing view that interictal depression is common in epilepsy patients. Depression remains underrecognized and undertreated in patients with epilepsy.
Abstract
The purpose of the study was to evaluate the frequency of interictal depressive symptoms and different subtypes of depressive disorders according to 10th revision of the International Classification of Diseases (ICD-10) criteria in patients with epilepsy and its association with the type of epilepsy.
Material and methods289 outpatients with epilepsy (169 females, 120 males) aged 18–82 years completed Beck Depression Inventory (BDI). Subjects who scored >11 in BDI were further evaluated by the psychiatrist according to the ICD-10 diagnostic criteria.
Results41.9% (121) of the 289 participants scored >11 in BDI. 104 (85.9%) patients who scored >11 in BDI had comorbid mental disorders according to ICD-10 criteria. The most common were organic mood disorders (F06.3 – 31.4%), depressive episode (F32 – 22.3%) and dysthymia (F34.1 – 9.1%) There were no differences in the prevalence of depression and subtypes of depression in patients with certain epilepsy types. Depression was diagnosed before entering the study in only one third of patients with final diagnosis of depression.
ConclusionsOur results confirm the prevailing view that interictal depression is common in epilepsy patients. Depression remains underrecognized and undertreated in patients with epilepsy.
Keywords
Epilepsy, Interictal depression, International Classification of Diseases-10 criteria
About this articleTitle
Subtypes of interictal depressive disorders according to ICD-10 in patients with epilepsy
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
90-94
Page views
491
Article views/downloads
701
DOI
10.1016/j.pjnns.2015.01.008
Bibliographic record
Neurol Neurochir Pol 2015;49(2):90-94.
Keywords
Epilepsy
Interictal depression
International Classification of Diseases-10 criteria
Authors
Magdalena Bosak
Dominika Dudek
Marcin Siwek
Andrzej Szczudlik
