Children with epilepsy (CWE) and the relevance of psychiatric comorbidities

Alex Hegarty, Yulia Furlong, Simon Williams, Wai Chen

Research output: Contribution to journalArticle

Abstract

In children with epilepsy (CWE), psychiatric comorbidities are common and play a crucial role in clinical outcome. Detection and management of psychiatric comorbidities can improve clinical outcome and quality of life – independent of seizure control itself. The risk for psychopathology in a CWE is significantly higher than in those of other chronic medical conditions, e.g. diabetes and asthma; their co-occurrence risk is now considered arising from bidirectional causes or common pathogenic mechanisms interacting with psychosocial risk factors - rather than overlapping discrete disorders. This article provides an overview on the detection and management of psychiatric comorbidities - including depression, anxiety, psychotic symptoms, autism spectrum disorders/traits and attention deficit hyperactivity disorder. The relevance of anti-NMDA antibody encephalitis in relation to seizure is also discussed,. We highlight the importance of ‘diagnostic overshadowing’, atypical medication responses and atypical psychiatric presentations; and how their recognition forms an integral part of the specialized expertise in managing CWE.
Original languageEnglish
JournalJournal of Paediatric and Child Health
Publication statusSubmitted - Aug 2019

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Psychiatry
Comorbidity
Epilepsy
Seizures
Encephalitis
N-Methylaspartate
Attention Deficit Disorder with Hyperactivity
Psychopathology
Anti-Idiotypic Antibodies
Asthma
Anxiety
Quality of Life
Depression
Psychology

Cite this

Hegarty, A., Furlong, Y., Williams, S., & Chen, W. (2019). Children with epilepsy (CWE) and the relevance of psychiatric comorbidities. Manuscript submitted for publication.
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Children with epilepsy (CWE) and the relevance of psychiatric comorbidities. / Hegarty, Alex; Furlong, Yulia; Williams, Simon; Chen, Wai.

In: Journal of Paediatric and Child Health, 08.2019.

Research output: Contribution to journalArticle

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