Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review

Epilepsy is a chronic neurological condition that is highly predisposed to a variety of mental health problems. This systematic literature review identified original research articles that reported the prevalence of psychiatric comorbidities based on clinical assessments amongst patients with epilep...

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Main Authors: Arun Murugan, S Geethanjali, M. R. Jeevapriya, G. Pavithra, OL Athira, K. Sathishkumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Preventive Medicine: Research & Reviews
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Online Access:https://journals.lww.com/10.4103/PMRR.PMRR_38_24
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author Arun Murugan
S Geethanjali
M. R. Jeevapriya
G. Pavithra
OL Athira
K. Sathishkumar
author_facet Arun Murugan
S Geethanjali
M. R. Jeevapriya
G. Pavithra
OL Athira
K. Sathishkumar
author_sort Arun Murugan
collection DOAJ
description Epilepsy is a chronic neurological condition that is highly predisposed to a variety of mental health problems. This systematic literature review identified original research articles that reported the prevalence of psychiatric comorbidities based on clinical assessments amongst patients with epilepsy (PWE). The included articles were published from 2000 to 2022 and focused on adults aged ≥18 years who had psychiatric diagnoses. The primary outcome was the prevalence of psychiatric comorbidities amongst PWE. A modified Newcastle–Ottawa Scale was used to assess the quality of the studies. Thirty-three articles were reviewed in full-text screening. Out of these, 15 articles that were consistent with the inclusion criteria were included in our systematic review. This protocol was registered in PROSPERO with registration ID CRD42023461739. General Anxiety Disorder and Major Depressive Disorder were the most common psychiatric comorbidities, with prevalence rates of 20.14% and 23.94%, respectively. Other reported comorbidities included post-traumatic stress disorder (8.3%), obsessive–compulsive disorder (2.9%), bipolar disorder (7.1%), psychosis (8.2%) and phobia (18.25%). These findings suggest that screening tools for depression and anxiety should be included as part of the training for epilepsy care.
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issn 2950-5828
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publishDate 2025-07-01
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series Preventive Medicine: Research & Reviews
spelling doaj-art-efe6e416febb4f80b67a03088953cdf82025-08-20T03:31:06ZengWolters Kluwer Medknow PublicationsPreventive Medicine: Research & Reviews2950-58282950-58362025-07-012417317710.4103/PMRR.PMRR_38_24Psychiatric Comorbidities in Adults with Epilepsy: A Systematic ReviewArun MuruganS GeethanjaliM. R. JeevapriyaG. PavithraOL AthiraK. SathishkumarEpilepsy is a chronic neurological condition that is highly predisposed to a variety of mental health problems. This systematic literature review identified original research articles that reported the prevalence of psychiatric comorbidities based on clinical assessments amongst patients with epilepsy (PWE). The included articles were published from 2000 to 2022 and focused on adults aged ≥18 years who had psychiatric diagnoses. The primary outcome was the prevalence of psychiatric comorbidities amongst PWE. A modified Newcastle–Ottawa Scale was used to assess the quality of the studies. Thirty-three articles were reviewed in full-text screening. Out of these, 15 articles that were consistent with the inclusion criteria were included in our systematic review. This protocol was registered in PROSPERO with registration ID CRD42023461739. General Anxiety Disorder and Major Depressive Disorder were the most common psychiatric comorbidities, with prevalence rates of 20.14% and 23.94%, respectively. Other reported comorbidities included post-traumatic stress disorder (8.3%), obsessive–compulsive disorder (2.9%), bipolar disorder (7.1%), psychosis (8.2%) and phobia (18.25%). These findings suggest that screening tools for depression and anxiety should be included as part of the training for epilepsy care.https://journals.lww.com/10.4103/PMRR.PMRR_38_24epilepsypsychiatric comorbiditiesprimary healthcaresystematic review
spellingShingle Arun Murugan
S Geethanjali
M. R. Jeevapriya
G. Pavithra
OL Athira
K. Sathishkumar
Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review
Preventive Medicine: Research & Reviews
epilepsy
psychiatric comorbidities
primary healthcare
systematic review
title Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review
title_full Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review
title_fullStr Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review
title_full_unstemmed Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review
title_short Psychiatric Comorbidities in Adults with Epilepsy: A Systematic Review
title_sort psychiatric comorbidities in adults with epilepsy a systematic review
topic epilepsy
psychiatric comorbidities
primary healthcare
systematic review
url https://journals.lww.com/10.4103/PMRR.PMRR_38_24
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AT gpavithra psychiatriccomorbiditiesinadultswithepilepsyasystematicreview
AT olathira psychiatriccomorbiditiesinadultswithepilepsyasystematicreview
AT ksathishkumar psychiatriccomorbiditiesinadultswithepilepsyasystematicreview