Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives

Giangennaro Coppola,1 Francesca Felicia Operto,1 Sara Matricardi,2 Alberto Verrotti3 1Child and Adolescent Neuropsychiatry, Department of Medicine, Surgery, and Odontoiatry, University of Salerno, Salerno, Italy; 2Department of Pediatric Neurology, Ospedali Riuniti, Ancona, Italy; 3Department of Ped...

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Autores principales:	Coppola G, Operto FF, Matricardi S, Verrotti A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	depression adolescents monitoring management epilepsy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/1400996ba2944419869ff998fdf7e1c6
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spelling	oai:doaj.org-article:1400996ba2944419869ff998fdf7e1c62021-12-02T05:18:12ZMonitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives1178-2021https://doaj.org/article/1400996ba2944419869ff998fdf7e1c62019-09-01T00:00:00Zhttps://www.dovepress.com/monitoring-and-managing-depression-in-adolescents-with-epilepsy-curren-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Giangennaro Coppola,1 Francesca Felicia Operto,1 Sara Matricardi,2 Alberto Verrotti3 1Child and Adolescent Neuropsychiatry, Department of Medicine, Surgery, and Odontoiatry, University of Salerno, Salerno, Italy; 2Department of Pediatric Neurology, Ospedali Riuniti, Ancona, Italy; 3Department of Pediatrics, University of L’Aquila, L’Aquila, ItalyCorrespondence: Giangennaro CoppolaChild and Adolescent Neuropsychiatry, Department of Medicine, Surgery and Odontoiatry, University of Salerno, Largo d’Ippocrate, 1, Salerno 84100, ItalyTel/Fax +39 089672578Email gcoppola@unisa.itAbstract: Epilepsy is associated with a significantly increased risk of developing depressive disorder during adolescence. On the other hand, depression is highly detected in adolescents with epilepsy. These findings highlight the importance of early identification and proper management of comorbid depression in adolescent age. The prevalence of depressive disorders in adolescents with epilepsy ranges between 8 and 35% and is higher than the general population of the same age. The relationship between epilepsy and depression is complex and potentially bidirectional, thereby suggesting a common underlying pathophysiology. Furthermore, failure to detect and treat depressive disorder mostly in adolescence could lead to several negative implications such as an increased risk of suicidal ideation or behavior and poor quality of life. A number of methods are available to detect depressive disorder, such as psychiatric or psychological assessments, structured or semi-structured interviews, and self-report screening tools. Thus, physicians should be able to regularly screen depressive symptoms in youths with epilepsy. Recently, the NDDI-E-.Y inventory has been developed from the adult NDDI-E, and has been validated in many countries. NDDI-E-Y has showed reliable validity, being a brief screening tool (12 items) that can be easily included in routine epilepsy care. The first step to be considered for the management of depressive disorder in adolescents with epilepsy is to consider potential reversible causes of anxiety and depression (i.e., a new AEDs; seizure control). Secondly, great attention has to be given to the education of the child/adolescent and his/her family, trying to improve knowledge about epilepsy as well as to decrease parental stress and improving the child’s sense of competence. Pharmacological treatment should also be considered in adolescents diagnosed with depression.Keywords: depression, adolescents, monitoring, management, epilepsyCoppola GOperto FFMatricardi SVerrotti ADove Medical PressarticledepressionadolescentsmonitoringmanagementepilepsyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 2773-2780 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	depression adolescents monitoring management epilepsy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	depression adolescents monitoring management epilepsy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Coppola G Operto FF Matricardi S Verrotti A Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives
description	Giangennaro Coppola,1 Francesca Felicia Operto,1 Sara Matricardi,2 Alberto Verrotti3 1Child and Adolescent Neuropsychiatry, Department of Medicine, Surgery, and Odontoiatry, University of Salerno, Salerno, Italy; 2Department of Pediatric Neurology, Ospedali Riuniti, Ancona, Italy; 3Department of Pediatrics, University of L’Aquila, L’Aquila, ItalyCorrespondence: Giangennaro CoppolaChild and Adolescent Neuropsychiatry, Department of Medicine, Surgery and Odontoiatry, University of Salerno, Largo d’Ippocrate, 1, Salerno 84100, ItalyTel/Fax +39 089672578Email gcoppola@unisa.itAbstract: Epilepsy is associated with a significantly increased risk of developing depressive disorder during adolescence. On the other hand, depression is highly detected in adolescents with epilepsy. These findings highlight the importance of early identification and proper management of comorbid depression in adolescent age. The prevalence of depressive disorders in adolescents with epilepsy ranges between 8 and 35% and is higher than the general population of the same age. The relationship between epilepsy and depression is complex and potentially bidirectional, thereby suggesting a common underlying pathophysiology. Furthermore, failure to detect and treat depressive disorder mostly in adolescence could lead to several negative implications such as an increased risk of suicidal ideation or behavior and poor quality of life. A number of methods are available to detect depressive disorder, such as psychiatric or psychological assessments, structured or semi-structured interviews, and self-report screening tools. Thus, physicians should be able to regularly screen depressive symptoms in youths with epilepsy. Recently, the NDDI-E-.Y inventory has been developed from the adult NDDI-E, and has been validated in many countries. NDDI-E-Y has showed reliable validity, being a brief screening tool (12 items) that can be easily included in routine epilepsy care. The first step to be considered for the management of depressive disorder in adolescents with epilepsy is to consider potential reversible causes of anxiety and depression (i.e., a new AEDs; seizure control). Secondly, great attention has to be given to the education of the child/adolescent and his/her family, trying to improve knowledge about epilepsy as well as to decrease parental stress and improving the child’s sense of competence. Pharmacological treatment should also be considered in adolescents diagnosed with depression.Keywords: depression, adolescents, monitoring, management, epilepsy
format	article
author	Coppola G Operto FF Matricardi S Verrotti A
author_facet	Coppola G Operto FF Matricardi S Verrotti A
author_sort	Coppola G
title	Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives
title_short	Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives
title_full	Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives
title_fullStr	Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives
title_full_unstemmed	Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives
title_sort	monitoring and managing depression in adolescents with epilepsy: current perspectives
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/1400996ba2944419869ff998fdf7e1c6
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Monitoring And Managing Depression In Adolescents With Epilepsy: Current Perspectives

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