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Related Experiment Videos

Anxiety in epilepsy--based on two case reports.

Brigitta Baran1, Márta Farkas, Péter Rajna

  • 1Semmelweis Egyetem, Altalános Orvosi Kar, Pszichiátriai és Pszichoterápiás Klinika, Budapest. baran@psych.sote.hu

Ideggyogyaszati Szemle
|December 31, 2002
PubMed
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Psychosomatic disorders and illnesses: a blind spot of medicine

Orvosi hetilap·2021

Psychopathological symptoms, including anxiety, affect most epilepsy patients and can worsen quality of life. Treating anxiety alongside epilepsy may break a destructive cycle, improving patient outcomes.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Psychopathological symptoms are prevalent in epilepsy patients, often overlooked and untreated.
  • Anxiety is a common interictal symptom negatively impacting quality of life more than seizures.

Observation:

  • Chronic epilepsy may trigger seizure-suppressing mechanisms that paradoxically foster interictal psychopathology.
  • Interictal anxiety can have an epileptogenic effect, potentially creating a vicious cycle with epilepsy.

Findings:

  • Two case reports illustrate the destructive cycle between epilepsy and anxiety.
  • Prioritizing anxiety treatment in chronic epilepsy patients with increased seizure frequency is recommended.
  • A combination of antiepileptic drugs and anxiety reduction (pharmacological or psychotherapeutic) shows effectiveness.

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Implications:

  • Further research is needed to identify high-risk groups and conditions linking anxiety and epilepsy.
  • Periictal anxiety may be a risk factor for developing interictal anxiety in epilepsy patients.