Interictal dysphoric disorder: a frequent psychiatric comorbidity among patients with epilepsy who were followed in two tertiary centers

Arquivos de Neuro-Psiquiatria

Pedro Paulo Gomes Do Nascimento¹  Carlos Henrique Oliva¹  Clelia Maria Ribeiro Franco¹  Lennon Mazetto¹  Alberto S. Yamashiro¹  Gerardo Maria De Araujo Filho¹  Elza Marcia Targas Yacubian¹ 

关键词: epilepsy;    interictal dysphoric disorder;    psychiatric disorders;    epilepsia;    transtorno disforico interictal;    transtornos psiquiatricos;   

DOI  :  10.1590/0004-282X20130165

来源: SciELO

【 摘 要 】

Psychiatric disorders are frequent among patients with epilepsy. Data in the literature have shown a heterogeneous clinical presentation of psychiatric disorders in patients with epilepsy. Interictal dysphoric disorder could be a specific psychiatric comorbidity associated with epilepsy, primarily in patients treated in tertiary centers.Objective The present study aimed to determine the prevalence of interictal dysphoric disorder among patients with epilepsy who were followed in two tertiary epilepsy services in Brazil. Method Sixty-five patients with epilepsy completed the Portuguese version of the Interictal Dysphoric Disorder Inventory. Results Thirty-three (50.7%) patients fulfilled the diagnostic criteria for interictal dysphoric disorder, although all participants answered positively to having at least one key symptom. Conclusion The high rate of patients with epilepsy who fulfilled the diagnosis of interictal dysphoric disorder confirms an association between epilepsy and psychiatric disorders. However, there is clearly a need to improve diagnostic tools to allow better differentiation between interictal dysphoric disorder and other psychiatric disorders.

【 授权许可】

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