dc.creator | Villanueva, Vicente | es |
dc.creator | Artal, Jesús | es |
dc.creator | Cabeza-Álvarez, Clara-Isabel | es |
dc.creator | Campos, Dulce | es |
dc.creator | Castillo, Ascensión | es |
dc.creator | Flórez, Gerardo | es |
dc.creator | Gotor Sánchez-Luengo, Francisco | es |
dc.creator | Bobes, Julio | es |
dc.date.accessioned | 2023-06-13T12:48:48Z | |
dc.date.available | 2023-06-13T12:48:48Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Villanueva, V., Artal, J., Cabeza-Álvarez, C., Campos, D., Castillo, A., Flórez, G.,...,Bobes, J. (2023). Proposed recommendations for the management of depression in adults with epilepsy: an expert consensus. NEUROLOGY AND THERAPY, 12 (2), 479-503. https://doi.org/10.1007/s40120-023-00437-0. | |
dc.identifier.issn | 2193-8253 | es |
dc.identifier.uri | https://hdl.handle.net/11441/147168 | |
dc.description.abstract | Introduction: Experts agree that there is a need
for protocols to guide health professionals on
how to best manage psychiatric comorbidities
in patients with epilepsy (PWE). We aimed to
develop practical recommendations for key
issues in the management of depression in PWE.
Methods: This was a qualitative study conducted in four steps: (1) development of a
questionnaire on the management of depression in PWE to be answered; (2) literature review
and, if evidence from guidelines/consensus or
systematic reviews was available, drafting initial
recommendations; (3) a nominal group
methodology for reviewing initial recommendations and formulating new recommendations on those issues without available evidence; and
(4) drafting and approving the final recommendations. A scientific committee (one neurologist and one psychiatrist) was responsible
for the development of the project and its scientific integrity. The scientific committee
selected a panel of experts (nine neurologists
and nine psychiatrists with experience in this
field) to be involved in the nominal group
meetings and to formulate final
recommendations.
Results: Fifteen recommendations were formulated. Four on the screening and diagnosis:
screening and diagnosis of depression, evaluation of the risk of suicide, and diagnosis of
depression secondary to epilepsy; nine on the
management of depression: referral to a psychiatrist, selection of the antiseizure medication, change of antiseizure medication,
antidepressant treatment initiation, selection of
antidepressant, use of antidepressants during
pregnancy, use of psychotherapy, antidepressant treatment duration, and discontinuation of
antidepressant treatment; two on the follow-up:
duration of the follow-up under usual conditions, and follow-up of patients at risk of
suicide.
Conclusion: We provide recommendations
based on expert opinion consensus to help
healthcare professionals assess depression in
PWE. The detection and treatment of major
depressive disorders are key factors in improving epilepsy outcomes and avoiding suicide risk. | es |
dc.format | application/pdf | es |
dc.format.extent | 25 p. | es |
dc.language.iso | eng | es |
dc.publisher | Springer | es |
dc.relation.ispartof | NEUROLOGY AND THERAPY, 12 (2), 479-503. | |
dc.rights | Attribution-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | * |
dc.subject | Epilepsy | es |
dc.subject | Depression | es |
dc.subject | Suicide risk | es |
dc.subject | Diagnosis | es |
dc.subject | Treatment | es |
dc.subject | Expert consensus | es |
dc.title | Proposed recommendations for the management of depression in adults with epilepsy: an expert consensus | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Pisquiatría | es |
dc.relation.publisherversion | https://link.springer.com/article/10.1007/s40120-023-00437-0 | es |
dc.identifier.doi | 10.1007/s40120-023-00437-0 | es |
dc.journaltitle | NEUROLOGY AND THERAPY | es |
dc.publication.volumen | 12 | es |
dc.publication.issue | 2 | es |
dc.publication.initialPage | 479 | es |
dc.publication.endPage | 503 | es |