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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
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Standardized Screening for Depression in Pediatric Epilepsy.

Erin Fecske, Paul Glasier, Lines M Vargas Collado

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |September 25, 2019
    PubMed
    Summary

    A new screening tool, the Neurological Disorders Depression Inventory-Epilepsy-Youth (NDDI-E-Y), effectively identified depression in 15% of pediatric epilepsy patients. This highlights the need for routine depression screening in youth with epilepsy.

    Keywords:
    Epilepsydepressionpediatric epilepsyquality improvement

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    Area of Science:

    • Pediatric Neurology
    • Clinical Psychology
    • Quality Improvement Science

    Background:

    • Depression frequently co-occurs with epilepsy in youth, often remaining undiagnosed.
    • Under-recognition of depression in pediatric epilepsy patients can negatively impact quality of life and seizure management.
    • Effective screening tools are crucial for timely identification and intervention.

    Purpose of the Study:

    • To implement and evaluate the effectiveness of the Neurological Disorders Depression Inventory-Epilepsy-Youth (NDDI-E-Y) for depression screening in a pediatric epilepsy clinic.
    • To assess the feasibility and impact of standardized depression screening in youth aged 12-17 with epilepsy.
    • To improve the recognition and management of depression in this vulnerable population.

    Main Methods:

    • A pre-post quality improvement study design was employed.
    • The NDDI-E-Y tool was administered to youth (12-17 years) diagnosed with epilepsy.
    • Positive screens (scores > 32) triggered social work evaluation and mental health resource referrals; educational materials were provided.

    Main Results:

    • Out of 176 evaluated patients, 112 completed the NDDI-E-Y.
    • A significant 15% (n=17) of patients screened positive for depression risk.
    • The screening process identified a notable prevalence of depression in the study cohort.

    Conclusions:

    • Standardized depression screening using the NDDI-E-Y is feasible and recommended in outpatient pediatric epilepsy settings.
    • Early identification of depression through routine screening can lead to timely interventions, potentially improving patient outcomes.
    • Addressing depression is essential for comprehensive epilepsy management in youth.