TY - JOUR PY - 2007// TI - Prospective case-control study of interictal depression and suicidal ideation in Nigerians with epilepsy JO - Nigerian postgraduate medical journal A1 - Okubadejo, N. U. A1 - Danesi, M. A. A1 - Aina, O. F. A1 - Ojini, F. I. A1 - Adeyemi, J. D. A1 - Olorunshola, D. A. SP - 204 EP - 208 VL - 14 IS - 3 N2 - BACKGROUND: Co-morbid depression and suicidal ideation in people with epilepsy (PWE) in developing countries are under-recognised, and so may be consequently undertreated. This study was designed to determine the frequency and clinical correlates of interictal depression and suicidal ideation in PWE. PATIENTS AND METHODS: Using a prospective design, we evaluated 96 PWE and two groups of controls (103 age- and sex-matched population controls and 13 persons with DSM - IV diagnosis of major depression (controls with depression - CWD) without epilepsy. Depression was assessed using Zung Self-rating depression scale (scores =40 indicating depression). RESULTS: Depression was more prevalent in PWE (25/96 i.e. 26.0%) than normal controls (10/103 i.e. 9.7%) (P = 0.004). Suicidal ideation scores were similar for depressed PWE and depressed normal controls (1.7 +/-1.0 v. 1.5 +/- 1.0; P>0.05), but significantly higher in CWD (2.61.3; P=0.04). Among PWE, mean duration of epilepsy (years) was the only variable significantly related to depression (i.e. 12.7 8.8 in depressed PWE v. 8.3 6.6 in non-depressed PWE (P=0.01). CONCLUSION: Depressive symptomatology is a frequent co-morbidity in our tertiary care population of PWE. However, suicidal ideation is less common in contrast to persons with major depression.

Language: en

LA - en SN - 1117-1936 UR - http://dx.doi.org/ ID - ref1 ER -