Evidence map›Paper›PMID 28464309›Full record

ReviewEpilepsia2017

Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal.

Anne T Berg, Hamada H Altalib, Orrin Devinsky

Abstract readReview
In one paragraph

Review in Epilepsia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Psychiatric Comorbidities in Pediatric Epilepsy.Current psychiatry reports · 2020
    Pooled it
  3. Ketogenic diet for the treatment of pediatric epilepsy: review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
  4. Trial
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  20. Do psychotropic drugs cause seizures?Epilepsy & behavior reports · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Anne T BergAnn & Robert H Lurie Children's Hospital of Chicago, Northwestern-Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Hamada H AltalibYale University School of Medicine, New Haven, Connecticut, U.S.A.
Orrin DevinskyNew York University School of Medicine, New York, New York, U.S.A.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Long-term outcomes of childhood-onset epilepsyR37NS031146 · NINDS · NORTHERN ILLINOIS UNIVERSITY · PI BERG, ANNE T. · 2007 to 2013
$7.1M
Development and validation of empirical models of the neuronal population activity underlying non-invasive human brain measurementsR01MH111417 · NIMH · UNIVERSITY MEDICAL CENTER UTRECHT · PI DEVINSKY, ORRIN, DIJKHUIZEN, RICK M · 2016 to 2020
$4.4M
Brain rhythms-assisted memory enhancementR01MH107396 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUZSAKI, GYORGY, DEVINSKY, ORRIN · 2015 to 2019
$3.3M
NeuroGrid: a scalable system for large-scale recording of action potentials from the brain surfaceU01NS099705 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUZSAKI, GYORGY, DEVINSKY, ORRIN · 2016 to 2018
$3.0M
The Neuropathology of SUDEP : The central autonomic network, Serotonin and adenosineU01NS090415 · NINDS · UNIVERSITY COLLEGE LONDON · PI BOLDRINI, MAURA, DEVINSKY, ORRIN · 2014 to 2018
$2.0M
NCATS NIH HHS UL1 TR001422NIMH NIH HHS R01 MH107396NIMH NIH HHS R01 MH111417NINDS NIH HHS R37 NS031146NINDS NIH HHS U01 NS090415NINDS NIH HHS U01 NS099705
6 · The paper itself

Abstract

Psychiatric and behavioral disorders are important aspects of epilepsy and have received increasing attention in the last several years. The literature upon which most of the field relies contains some biases that must be carefully examined and resolved in future studies. First, in the pediatric epilepsy literature, many reports find that children with epilepsy have high levels of behavioral and psychiatric disorders when compared to appropriate controls. Most of these studies rely on parent-proxy completed instruments to assess these behavioral endpoints. Parents' reports are not objective but reflect parents' reactions and emotions. Increasing evidence suggests inherent biases in proxy reports and highlights the need to assess children directly. Second, periictal phenomena may be mischaracterized as underlying mood disorders. Third, many studies report elevated levels of psychiatric morbidity before and after the diagnosis of epilepsy, suggesting an inherent relation between the two types of disorders. Psychogenic nonepileptic seizures, while widely recognized as posing a diagnostic dilemma in the clinic, may account for some of these research findings. Diagnostic errors between epilepsy and psychogenic nonepileptic seizures need careful consideration when evaluating studies demonstrating associations between psychiatric disorders and epilepsy or poorer seizure control in association with psychiatric disorders in people who have epilepsy. Mental health concerns are important for everyone. An accurate, undistorted understanding of the relation between mental health disorders and epilepsy is essential to ensure appropriate therapy and to avoid unnecessary and potentially harmful treatments and common misconceptions.

Indexed as

BiasChildChild Behavior DisordersComorbidityDiagnosis, DifferentialEpidemiologic Research DesignEpilepsyHumansMental DisordersMood DisordersSomatoform DisordersBiasDiagnostic errorsMood disordersProxy reportPsychogenic nonepileptic seizures

Identifiers

PMID28464309
PMCPMC5498258

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.