Depression and poor sleep: neglected prevalent issues among adult epileptic patients

IF 1.5 Q3 PSYCHIATRY Middle East Current Psychiatry Pub Date : 2024-01-22 DOI:10.1186/s43045-024-00391-z
Sabah E. Fathy, Amany M. AbdAllah, Hala Ahmed El-Maghawry, Lamis Ibrahim Ali, Rania Y. Helal
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Abstract

Psychiatric comorbidities, and sleep disorders, are prevalent in adults with epilepsy (AWE). Good control of epilepsy can help AWE lead a normal fruitful life and incorporate in daily activities as others. This study aims to assess the frequency, risk factors of depression, and poor sleep quality among patients with epilepsy and examine their relation with epilepsy control. This cross-sectional study was accomplished during the period from January to October 2023 involving 179 AWE. All were exposed to complete history taking: stressing on personal data, evaluation of medication adherence using the modified Morisky scale, sleep quality using the Pittsburgh Sleep Quality Index, and depressive symptoms evaluated by the Zagazig Depression Scale. Depression was reported in 22.2% of studied patients; while 44.4% had poorer epilepsy control. Poor sleep quality was reported in 35.2% of epilepsy patients and was associated with non-adherence and poor seizure control. Depression increased the risk of poor control by about 16-folds. Non-adherence was associated with depression and poor sleep quality and was one of the predictors of poor epilepsy control. Depression and poor sleep quality can impair the outcome of PWE and also there is a strong association between depression and poor sleep quality among PWE and both impair seizure control.
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抑郁和睡眠质量差:成年癫痫患者中被忽视的普遍问题
成人癫痫患者(AWE)普遍存在精神并发症和睡眠障碍。良好的癫痫控制可以帮助成年癫痫患者过上正常而富有成效的生活,并像其他人一样参与日常活动。本研究旨在评估癫痫患者患抑郁症的频率、风险因素和睡眠质量差的情况,并研究它们与癫痫控制的关系。这项横断面研究是在 2023 年 1 月至 10 月期间完成的,共涉及 179 名亚博app客服生。所有亚博app客服生均接受了完整的病史采集:强调个人数据,使用改良莫里斯基量表评估服药依从性,使用匹兹堡睡眠质量指数评估睡眠质量,使用扎加齐格抑郁量表评估抑郁症状。22.2%的研究对象患有抑郁症,44.4%的研究对象癫痫控制较差。据报告,35.2%的癫痫患者睡眠质量不佳,这与不坚持治疗和癫痫发作控制不佳有关。抑郁症使癫痫控制不佳的风险增加了约 16 倍。不坚持治疗与抑郁和睡眠质量差有关,也是癫痫控制不佳的预测因素之一。抑郁和睡眠质量差会影响病患的治疗效果,而且抑郁和睡眠质量差与病患的癫痫发作控制也有密切关系。
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来源期刊
Middle East Current Psychiatry
Middle East Current Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
3.00
自引率
0.00%
发文量
89
审稿时长
9 weeks
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