Clinical relevance of interictal dysphoric disorder and its impact on quality of life in drug-resistant epilepsy

Antonio Bulbena Vilarrasa, Eila Monteagudo-Gimeno, J. Raduà-Castaño, L. Fortea-González, Teresa Boget-Llucià, M. Carreño-Martínez, A.J Donaire-Pedraza, Núria Bargalló, X. Setoain-Perego, J. Rumià-Arboix, Luís Pintor-Pérez

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: This study aims to assess the prevalence of Interictal Dysphoric Disorder (IDD) in drug-resistant epilepsy (DRE) and to describe its clinical and psychopathological profile, including personality, as well as its impact on quality of life (QOL). Method: A retrospective cross-sectional study from an Epilepsy Unit from January 2007 to December 2017. All patients were diagnosed with DRE. Patients underwent a battery of tests (HADS, SCL-90R, PDQ-4+, QOLIE-31) and a psychiatrist assessed the presence of Axis-I disorders and IDD. Statistical procedures were carried out using R-4.0.1 software. Results: A total of 282 patients were included. A statistically significant association was found between IDD and mood and anxiety disorders (p < 0.001 and p < 0.05 respectively), and between IDD and higher scores in all HADS and SCL-90-R items compared to subjects without IDD (p < 0.001). A statistically significant association was also found between IDD and obsessive–compulsive, borderline and depressive personality disorder (p < 0.05). Scores in all QOLIE-31 items except for ‘medication effects’ were significantly lower in subjects with IDD compared with subjects without IDD (p < 0.001). Conclusions: In DRE, IDD subjects show differences in the psychopathological profile and QOL scores compared to subjects without a diagnosis of IDD. An early diagnosis of IDD could facilitate prompt interventions which might positively impact QOL.

Original languageEnglish
Article number109253
Number of pages7
JournalEpilepsy and Behavior
Volume144
DOIs
Publication statusPublished - Jul 2023

Keywords

  • Drug-Resistant Epilepsy
  • Interictal Dysphoric Disorder
  • Psychopathology

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