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

Research output: Contribution to journalArticle

157 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)S1-S29
JournalEpilepsy and Behavior
Volume13
Issue numberSUPPL. 1
DOIs
StatePublished - Jul 1 2008

Fingerprint

Mood Disorders
Epilepsy
Consensus
Therapeutics
Depression
Depressive Disorder
Psychometrics
Morbidity
Mortality
Population

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Behavioral Neuroscience
  • Neurology

Cite this

Barry, J. J., Ettinger, A. B., Friel, P., Gilliam, F. G., Harden, C. L., Hermann, B., ... 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

Consensus statement : The evaluation and treatment of people with epilepsy and affective disorders. / Barry, John J.; Ettinger, Alan B.; Friel, Peggy; Gilliam, Frank G.; Harden, Cynthia L.; Hermann, Bruce; Kanner, Andres M.; Caplan, Rochelle; Plioplys, Sigita; Salpekar, Jay; Dunn, David; Austin, Joan; Jones, Jana.

In: Epilepsy and Behavior, Vol. 13, No. SUPPL. 1, 01.07.2008, p. S1-S29.

Research output: Contribution to journalArticle

Barry, JJ, Ettinger, AB, Friel, P, Gilliam, FG, Harden, CL, Hermann, B, Kanner, AM, 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, vol. 13, no. SUPPL. 1, pp. S1-S29. https://doi.org/10.1016/j.yebeh.2008.04.005
Barry JJ, Ettinger AB, Friel P, Gilliam FG, Harden CL, Hermann B et al. Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders. Epilepsy and Behavior. 2008 Jul 1;13(SUPPL. 1):S1-S29. https://doi.org/10.1016/j.yebeh.2008.04.005
Barry, John J. ; Ettinger, Alan B. ; Friel, Peggy ; Gilliam, Frank G. ; Harden, Cynthia L. ; Hermann, Bruce ; Kanner, Andres M. ; Caplan, Rochelle ; Plioplys, Sigita ; Salpekar, Jay ; Dunn, David ; Austin, Joan ; Jones, Jana. / Consensus statement : The evaluation and treatment of people with epilepsy and affective disorders. In: Epilepsy and Behavior. 2008 ; Vol. 13, No. SUPPL. 1. pp. S1-S29.
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