Depression and Anxiety in Caregivers of Patients with Psychogenic Non Epileptic Seizures
Abstract number :
3.258
Submission category :
6. Cormorbidity (Somatic and Psychiatric)
Year :
2021
Submission ID :
1825493
Source :
www.aesnet.org
Presentation date :
12/6/2021 12:00:00 PM
Published date :
Nov 22, 2021, 06:44 AM
Authors :
Ioannis Karakis, MD, PhD, MSc - Emory University School of Medicine; Diane Teagarden, NP - Emory University School of Medicine; Hannah Villarreal, NP - Emory University School of Medicine; Latasha Evans, NP - Emory University School of Medicine; Matthew Morton, MD - Emory University School of Medicine; Nicholas Janocko, MD - Emory University School of Medicine; Olivia Groover, MD - Emory University School of Medicine; Kelsey Hewitt, PhD - Emory University School of Medicine; Michele Price, LCSW - Emory University School of Medicine; David Loring, PhD - Emory University School of Medicine; Daniel Drane, PhD - Emory University School of Medicine; Konstantinos Tsamakis, MD, MSc, PhD - King's College London
Rationale: Contrary to patients, the psychological impact of psychogenic non epileptic seizures (PNES) to caregivers has not been adequately investigated. This study aimed to evaluate the prevalence and determinants of mood disorders in caregivers of patients with PNES.
Methods: Patients with PNES and their caregivers completed surveys about demographic, disease-related and psychosocial characteristics. Prevalence and determinants of mood disorders were evaluated using the Beck Depression and Anxiety Inventories scores as dependent variables and the patient and caregiver characteristics as independent variables.
Results: Twenty-eight patients (76% female, mean age 37 years) and their caregivers (61% female, mean age 43 years) were recruited. A mood disorder was present in 96% of patients (96% depression, 92% anxiety) and 59% of caregivers (52% depression, 50% anxiety). Specifically, 31% of the patients manifested mild depression, 14% moderate depression and 7% severe depression. Similarly, 14% of caregivers manifested mild depression, 29% moderate depression and 7% severe depression. Patient and caregiver depression levels strongly correlated (r=0.73, p< 0.0001). In the univariate analysis, the presence of mood disorder in the caregiver was associated with male patient gender (p=0.02), patient depression level (p=0.002), caregiver being a parent or sibling (p=0.02) and caregiver burden (p=0.0009).
Cormorbidity (Somatic and Psychiatric)