Epilepsy and Intellectual Disability: Does Epilepsy Increase the Likelihood of Co-Morbid Psychopathology?

Autor/inn/en	Arshad, Saadia; Winterhalder, Robert; Underwood, Lisa; Kelesidi, Katerina; Chaplin, Eddie; Kravariti, Eugenia; Anagnostopoulos, Dimitrios; Bouras, Nick; McCarthy, Jane; Tsakanikos, Elias
Titel	Epilepsy and Intellectual Disability: Does Epilepsy Increase the Likelihood of Co-Morbid Psychopathology?
Quelle	In: Research in Developmental Disabilities: A Multidisciplinary Journal, 32 (2011) 1, S.353-357 (5 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0891-4222
DOI	10.1016/j.ridd.2010.10.013
Schlagwörter	Epilepsy; Mental Retardation; Schizophrenia; Mental Health; Psychopathology; Specialists; Anxiety Disorders; At Risk Persons; Mental Disorders; Symptoms (Individual Disorders); Comparative Analysis; Clinical Diagnosis; Place of Residence; Residential Care; Severity (of Disability); Personality + Suchen Sie Ihr Suchwort? Epilepsie; Geistige Behinderung; Schizophrenie; Psychohygiene; Psychopathologie; Risikogruppe; Mental illness; Geisteskrankheit; Psychiatrische Symptomatik; Wohnort; Schweregrad; Personalität
Abstract	Although epilepsy is particularly common among people with intellectual disability (ID) it remains unclear whether it is associated with an increased likelihood of co-morbid psychopathology. We therefore investigated rates of mental health problems and other clinical characteristics in patients with ID and epilepsy (N=156) as compared to patients with ID but no epilepsy (N=596). All participants were consecutive referrals to specialist mental heath services. Specialist clinicians agreed on the mental health diagnoses by applying ICD-10 clinical criteria using information gained from interviews with key informants and the patients. Bivariate and multivariate analyses showed that patients with epilepsy were more likely to live in residential housing and have severe ID in line with previous evidence. However, the presence of epilepsy was not associated with an increased likelihood of co-morbid psychopathology. On the contrary, rates of mental health problems, including schizophrenia spectrum, personality and anxiety disorders, were significantly lower among patients with epilepsy. The results are discussed in the context of mood-stabilizing and other psychotropic effects of anti-epileptic drugs in adults with ID and epilepsy, as well as possible diagnostic overshadowing. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10