Obsessionality, obsessive–compulsive disorder, and temporal lobe epilepsy

We evaluated the prevalence of obsessive–compulsive disorder (OCD) in patients with temporal lobe epilepsy (TLE) and we investigated the hypothesis that obsessionality may represent a trait in TLE. Eighty-two consecutive patients with epilepsy, 62 with TLE and 20 with idiopathic generalized epilepsy...

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Bibliographic Details
Published in:Epilepsy & behavior 2005-11, Vol.7 (3), p.491-496
Main Authors: Monaco, Francesco, Cavanna, Andrea, Magli, Elena, Barbagli, Davide, Collimedaglia, Laura, Cantello, Roberto, Mula, Marco
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anticonvulsants - therapeutic use
Behavior
Electroencephalography
Epilepsy
Epilepsy, Generalized - complications
Epilepsy, Generalized - physiopathology
Epilepsy, Temporal Lobe - complications
Epilepsy, Temporal Lobe - psychology
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neuropsychological Tests
Obsessive Behavior - complications
Obsessive Behavior - psychology
Obsessive-Compulsive Disorder - complications
Obsessive-Compulsive Disorder - psychology
Obsessive–compulsive disorder
Psychiatric Status Rating Scales
Temporal lobe
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Summary:We evaluated the prevalence of obsessive–compulsive disorder (OCD) in patients with temporal lobe epilepsy (TLE) and we investigated the hypothesis that obsessionality may represent a trait in TLE. Eighty-two consecutive patients with epilepsy, 62 with TLE and 20 with idiopathic generalized epilepsy (IGE), and 82 matched healthy controls were evaluated using the SCID-IP, Y-BOCS, MMPI-2 (specifically the Psychasthenia and Obsessiveness scales), BDI, and STAI Y1 and Y2. Nine of the TLE patients, none of the IGE patients, and one of the controls had a diagnosis of OCD. Psychasthenia and Obsessiveness scores were significantly higher in the TLE than in the IGE and control groups. Patients with TLE and OCD differed significantly with respect to history of depression when compared with patients with TLE without OCD, whereas there were no differences in age at onset and duration of epilepsy, seizure pattern and frequency, MRI features, laterality of the EEG focus, antiepileptic drug therapy and combinations, and BDI scores.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2005.07.003