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Depressive and Anxiety Symptoms Are Predictors of Seizure Recurrence in Adults With Newly Diagnosed Epilepsy

Bibliographic Data

ID15517604
AuthorsRui Zhong (0000-0003-1634-0248, Jilin University), Qingling Chen (0009-0008-0063-2952, Second Hospital of Tianjin Medical University), Xinyue Zhang (0009-0009-4555-8650, First Hospital of Jilin University), Nan Li (0009-0000-4562-451X, Jilin University), Weihong Lin (0000-0002-7738-3949, Jilin University, corresponding author)
Year2021
Volume12
Pages784737-784737
Publication date2021-11-24
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.784737
PMID34899438
OpenAlexW3216653815
LanguageEN
Citations received1
References cited30

Objective: To investigate whether emerging depressive and anxiety symptoms are predictors of seizure recurrence in a cohort of patients with newly diagnosed epilepsy (PWNDE) who did not have a history of psychiatric diagnosis. Methods: A cohort of 283 PWNDE were psychiatrically assessed before antiseizure medication (ASM) therapy and were followed for 12 months to assess seizure recurrence. The influence of depressive and anxiety symptoms score on seizure recurrence was assessed using univariate and multivariate binary logistic regression analysis. Receiver operating characteristic (ROC) curve analysis was utilized. Results: A total of 283 individuals were included in final analysis, and 115 patients (40.6%) experienced seizure recurrence during follow-up. In multivariate logistic regression analysis, NDDI-E and GAD-7 score were associated with an increased risk of seizure recurrence with an adjusted OR of 1.360 (CI: 1.176-1.572; P P = 0.041), respectively. Additionally, the adjusted OR and 95% CI of seizure recurrence for the "high NDDI-E score and high GAD-7 score" vs. "not high NDDI-E score and not high GAD-7 score" was 7.059 (3.521-14.149) ( P for trend Conclusion: We found that an emergence of new psychiatric symptoms including depressive and anxiety symptoms were predictors of seizure recurrence in adults with newly diagnosed epilepsy who did not have psychiatric history

Anxiety · Cohort · Depression (economics · Epilepsy · Logistic regression · Major depressive episode · Mood · Multivariate analysis · Psychiatry · Receiver operating characteristic · Univariate analysis · Epilepsy research and treatment · Medicine · Neuroscience and Neuropharmacology Research · Pharmacological Effects and Toxicity Studies · Psychology · Internal Medicine · Pediatrics

  • Risk analysis of depression among adult patients with epilepsy of different sex

    Open Access•Wang Guo, Yuxuan Li et al.•Frontiers in Psychiatry•2023

  • Large-scale brain networks and psychopathology

    Open Access•Vinod Menon•Trends in Cognitive Sciences•2011

  • Validation of the Generalized Anxiety Disorder-7 (GAD-7) among Chinese people with epilepsy

    Open Access•Xin Tong, Dongmei An et al.•Epilepsy Research•2016

  • A Brief Measure for Assessing Generalized Anxiety Disorder

    Robert L Spitzer, Carmen Pérez de los Ríos et al.•A.M.A. Archives of Internal…•2006

Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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