Psychiatric comorbid disorders and impulsivity in patients with drug-resistant temporal and extra-temporal focal epilepsies

Epilepsy Behav. 2024 Oct:159:109970. doi: 10.1016/j.yebeh.2024.109970. Epub 2024 Aug 8.

Abstract

Purpose: To analyze patients with drug-resistant focal epilepsy from temporal (TLE) and extra-temporal origin (ETE) and to compare the prevalence of psychiatric comorbid disorders and impulsivity between them and a control group.

Methods: Consecutively studied patients with TLE and ETE confirmed with Video-EEG were included. Standardized psychiatric assessment was conducted using the Structured Clinical Interview for Axis I and II diagnosis of DSM-IV (SCID I-II), the Barrat-11 scale for impulsivity, and Beck inventory for depression. Parametric and nonparametric tests were performed.

Results: Seventy-three patients with temporal lobe epilepsy (TLE), 21 extra-temporal epilepsy (ETE) and 58 healthy control subjects were included. Both groups of patients showed a high frequency of Axis I comorbid psychiatric disorders: Depression was the most frequent disorder followed by Anxiety Disorders. Furthermore, Axis II (Personality disorders) were also diagnosed, similarly in both groups of patients (p > 0.05). In addition, both TLE and ETE groups presented higher impulsivity scores compared with the control group (p < 0.01). ETE showed a tendency to a higher impulsivity in the motor factor (p = 0.05). Among patients with TLE, a left laterality of the epileptogenic zone, and the presence of comorbid psychiatric disorders (depression), were found as independent factors associated with higher impulsivity (p < 0.05).

Conclusion: Comorbid depression associated with higher impulsivity are important issues to consider in behavioral and clinical evaluation of patients with drug-resistant focal epilepsies, with the aim to set up a prompt treatment.

Keywords: Depression; Left epileptogenic zone; Personality disorders; Psychiatric disorders; Seizures.

MeSH terms

  • Adult
  • Comorbidity*
  • Drug Resistant Epilepsy* / epidemiology
  • Drug Resistant Epilepsy* / psychology
  • Electroencephalography
  • Epilepsies, Partial* / complications
  • Epilepsies, Partial* / epidemiology
  • Epilepsies, Partial* / psychology
  • Epilepsy, Temporal Lobe / complications
  • Epilepsy, Temporal Lobe / epidemiology
  • Epilepsy, Temporal Lobe / psychology
  • Female
  • Humans
  • Impulsive Behavior* / physiology
  • Male
  • Mental Disorders* / epidemiology
  • Mental Disorders* / psychology
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Young Adult