A comparative study of obsessive-compulsive disorder and other psychiatric comorbidities in patients with temporal lobe epilepsy and idiopathic generalized epilepsy
EPILEPSY & BEHAVIOR, cilt.14, sa.4, ss.634-639, 2009 (SCI-Expanded)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 4
- Basım Tarihi: 2009
- Doi Numarası: 10.1016/j.yebeh.2009.01.016
- Dergi Adı: EPILEPSY & BEHAVIOR
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.634-639
- Anahtar Kelimeler: Epilepsy, Psychiatric comorbidity, Obsessive-compulsive disorder, Lateralization, Temporal lobe epilepsy, CEREBRAL-BLOOD-FLOW, COMPLEX PARTIAL SEIZURES, INTERICTAL BEHAVIOR, PREVALENCE, SCALE, DEPRESSION, SYMPTOMS, OBSESSIONALITY, PHENOMENOLOGY, POPULATION
- İstanbul Üniversitesi Adresli: Evet
Özet
Our aim was to assess the associations of temporal lobe epilepsy (TLE) and idiopathic generalized epilepsy (IGE) with comorbid psychiatric conditions, especially obsessive-compulsive disorder (OCD), in a comparative design. We evaluated 29 patients with TLE, 27 patients with ICE, and 30 healthy controls. The Structured Clinical Interview for DSM-IV (SCID), Yale-Brown Obsessive Compulsive Scale (Y-BOCS) Symptom Checklist, and Beck Depression Inventory (BDI) were administered. Among patients with TLE, 75.9%, and among patients with ICE, 48.1% had at least one Axis 1 psychiatric disorder. Clinically meaningful obsessive-compulsive symptoms (CM-OCS) were noted in 10 patients with TLE and in 3 patients with ICE, and this difference was statistically significant (P < 0.05). CM-OCS were present in 9 of 18 patients with left-sided TLE, but in only 1 of 11 patients with right-sided TLE. Higher comorbidity in TLE Suggests that involvement of the temporal lobe may play a role in the development of specific psychopathological syndromes. (C) 2009 Elsevier Inc. All rights reserved.