Psychiatric comorbidity in juvenile myoclonic epilepsy

Epilepsia. 2006 Dec;47(12):2086-91. doi: 10.1111/j.1528-1167.2006.00828.x.

Abstract

Objective: To assess the prevalence of psychiatric disturbances among patients with juvenile myoclonic epilepsy (JME).

Methods: Forty-three patients with JME (22 female, 21 male, mean age 32.4+/-13, range 15-63) were assessed by means of the Structured Clinical Interviews for DSM-IV (SCID-I and SCID-II). Current and lifetime psychiatric diagnoses were assigned.

Results: Thirty-five percent of the JME patients suffered from one or more psychiatric disorders (Axis I and Axis II). Personality disorders were present in 23% and Axis I disorders in 19%. Altogether, 47% had a psychiatric disorder at any time of their life.

Conclusions: Psychiatric diagnoses are slightly higher than in representative community samples. The substantially increased number of personality disorders in JME patients might be attributed to frontal lobe deficits.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care
  • Austria / epidemiology
  • Comorbidity
  • Cross-Sectional Studies
  • Diagnostic and Statistical Manual of Mental Disorders
  • Epilepsy, Frontal Lobe / physiopathology
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Middle Aged
  • Myoclonic Epilepsy, Juvenile / epidemiology*
  • Myoclonic Epilepsy, Juvenile / physiopathology
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology
  • Personality Disorders / physiopathology
  • Psychiatric Status Rating Scales / statistics & numerical data