Friday, 16 January 2015

1 in 5 Adults With Epilepsy Also Has ADHD Symptoms: Study

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Experts say that controlling seizures may help alleviate other psychiatric symptoms


WebMD News from HealthDay

By Robert Preidt

HealthDay Reporter

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Nearly one in five adults with epilepsy also has symptoms of attention-deficit/hyperactivity disorder (ADHD), a new study finds.

Researchers surveyed almost 1,400 adult epilepsy patients across the United States. They found that more than 18 percent had significant ADHD symptoms. In comparison, about 4 percent of American adults in the general population have been diagnosed with ADHD, the researchers noted.

Compared to other epilepsy patients, those with ADHD symptoms were also nine times more likely to have depression, eight times more likely to have anxiety symptoms, suffered more seizures and were far less likely to be employed.

"Little was previously known about the prevalence of ADHD symptoms in adults with epilepsy, and the results were quite striking," study leader Dr. Alan Ettinger, director of the epilepsy center at Neurological Surgery, P.C. (NSPC) in Rockville Centre, N.Y., said in an NSPC news release.

"To my knowledge, this is the first time ADHD symptoms in adults with epilepsy have been described in the scientific literature. Yet, the presence of these symptoms may have severe implications for patients' quality of life, mood, anxiety, and functioning in both their social and work lives," he added.

The findings suggest that doctors may have to take a broader approach to treating some epilepsy patients to improve their family, school and work lives.

"Physicians who treat epilepsy often attribute depression, anxiety, reduced quality of life and psychosocial outcomes to the effects of seizures, antiepileptic therapies and underlying central nervous system conditions. Our findings suggest that ADHD may also be playing a significant role," said Ettinger, who is also a professor of clinical neurology at Albert Einstein College of Medicine in New York City.

Two experts in epilepsy care said the study is an important one.

"This study reaffirms what we've always said -- that patients with epilepsy have a high risk for attention-deficit disorder," said Dr. Steven Wolf, an associate professor of neurology at the Icahn School of Medicine at Mount Sinai in New York City. "We see this in our own clinical experience here," he added.



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