Tegegne Minale Tareke, Mossie Tilahun Belete, Awoke Andargie Abate, Assaye Ashagre Molla, Gebrie Belete Temitm, Eshetu Desalegn Asmare
College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
College of Health Science, Nursing Department, Psychiatry Unit, Mekelle University, Mekelle, Ethiopia.
BMC Psychiatry. 2015 Sep 2;15:210. doi: 10.1186/s12888-015-0589-4.
Although depression and anxiety disorders are very common in people with epilepsy; there are no studies that assessed the magnitude and associated factors among epileptic people in Ethiopia. Therefore, this study determined prevalence and associated factors of depression and anxiety disorders in people with epilepsy.
An institution based cross-sectional study was conducted from April to May, 2013, among 423 people with epilepsy from the outpatient department of Amanuel Mental Specialized Hospital. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale. Logistic regression analysis was used to assess predictors of depression and anxiety.
The prevalence of anxiety and depression among epileptic people were 33.5 and 32.8%, respectively. Monthly income, frequency of seizure and side effects of anti convulsants were found to be significantly associated with both depression and anxiety. Being divorced/widowed was associated with anxiety while using poly-therapy of anti convulsants, perceived stigma, and inability to read or write were associated with depression.
The prevalence of co-morbid anxiety and depression was found to be high among people with epilepsy. Early identification of co-morbid depression and anxiety in people with epilepsy and managing epilepsy to become seizure free should be of great concern for health care providers.
尽管抑郁症和焦虑症在癫痫患者中非常常见，但在埃塞俄比亚，尚无研究评估癫痫患者中这些疾病的严重程度及相关因素。因此，本研究确定了癫痫患者中抑郁症和焦虑症的患病率及相关因素。
2013年4月至5月，在阿马努埃尔精神专科医院门诊部对423名癫痫患者进行了一项基于机构的横断面研究。使用医院焦虑抑郁量表评估抑郁和焦虑情况。采用逻辑回归分析评估抑郁和焦虑的预测因素。
癫痫患者中焦虑症和抑郁症的患病率分别为33.5%和32.8%。发现月收入、癫痫发作频率和抗惊厥药物的副作用与抑郁和焦虑均显著相关。离婚/丧偶与焦虑相关，而使用多种抗惊厥药物治疗、感知到的耻辱感以及无法读写与抑郁相关。
癫痫患者中焦虑和抑郁共病的患病率较高。医疗保健提供者应高度关注癫痫患者中共病抑郁和焦虑的早期识别以及控制癫痫发作。
