220701 A systematic review of the predictors of depression among people with epilepsy: Placing correlates in an ecological perspective

Monday, November 8, 2010 : 5:15 PM - 5:30 PM

Elizabeth Reisinger Walker, MAT, MPH , Behavioral Sciences and Health Education, Emory University, Rollins School of Public Health, Atlanta, GA
Amanda Garcia-Williams, MPH , Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA
Nancy Thompson, PhD, MPH , Department of Behavioral Sciences and Health Education, Emory University, Rollins School of Public Health, Atlanta, GA
Colleen DiIorio, PhD, RN , Rollins School of Public Health, Department of Behavioral Science and Health Education, Emory University, Atlanta, GA
Depression is a common among people with chronic conditions, particularly among people with epilepsy (PWE). Depression negatively affects functioning, quality of life, and the ability to perform self-management behaviors necessary for controlling epilepsy. Researchers have examined various combinations of predictors of depression among PWE, including individual, seizure-related, and psychosocial factors. Ecological models, which delineate the personal and environmental factors that may influence health, can be useful in classifying and describing the predictors of depression in PWE. A systematic review was conducted, utilizing an ecological framework, to further examine the extent to which different factors have been investigated, the impact of these factors on depression in PWE, and the quality of the research. Preliminary analysis indicates that individual factors include employment status and income, seizure-related variables include seizure frequency, and psychosocial factors include social support and stigma. In general, psychosocial factors were examined less frequently and mixed results emerged for some variables. While the burgeoning literature on epilepsy and depression has begun to elucidate the relationships between the two conditions, differences in the combinations and measurement of variables examined and the prevalence of cross-sectional studies hinders the formation of a comprehensive model. This review, however, highlights the multiple levels of factors associated with depression in PWE and offers suggestions for future research and interventions.

Learning Areas:
Social and behavioral sciences

Learning Objectives:
1) Describe three factors that are associated with depression in people with epilepsy. 2) Describe three methodological strengths and/or weaknesses in the depression and epilepsy literature.

Keywords: Depression, Chronic Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a research assistant on projects relating to epilepsy and depression. This research will be part of my doctoral dissertation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.