Evidence map›Paper›PMID 33681656›Full record

ArticleEpilepsia open2021

Managing depression and anxiety in people with epilepsy: A survey of epilepsy health professionals by the ILAE Psychology Task Force.

Milena Gandy, Avani C Modi, Janelle L Wagner, W Curt LaFrance, Markus Reuber, Venus Tang, Kette D Valente, Laura H Goldstein, Kirsten A Donald, Genevieve Rayner and 1 more

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 2% of its field
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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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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

11 authors at 11 institutions in 8 countries.

Milena GandyThe eCentreClinic, Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.ORCID https://orcid.org/0000-0003-2161-3298
Avani C ModiDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0002-7580-3751
Janelle L WagnerCollege of Nursing, Medical University of South Carolina, Charleston, SC, USA.
W Curt LaFranceDepartments of Psychiatry and Neurology, Rhode Island Hospital, Brown University, Providence, RI, USA.ORCID https://orcid.org/0000-0002-4901-3852
Markus ReuberAcademic Neurology Unit, Royal Hallamshire Hospital, University of Sheffield, Sheffield, UK.
Venus TangDepartment of Clinical Psychology, Prince of Wales Hospital, Hospital Authority, Sha Tin, Hong Kong.
Kette D ValenteDepartment of Psychiatry, Faculty of Medicine, University of Sao Paulo (HCFMUSP), Sao Paulo, Brazil.ORCID https://orcid.org/0000-0002-5008-0809
Laura H GoldsteinDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0001-9387-3035
Kirsten A DonaldDivision of Developmental Paediatrics, Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital and the Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Genevieve RaynerMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-0747-3877
Rosa MichaelisDepartment of Neurology, Gemeinschaftskrankenhaus Herdecke, University of Witten/Herdecke, Herdecke, Germany.
Brown University · USCincinnati Children's Hospital Medical Center · USHospital Authority · HKKing's College London · GBMacquarie University · AUMedical University of South Carolina · USRoyal Hallamshire Hospital · GBThe University of Melbourne · AUUniversidade de São Paulo · BRUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity of Cape Town · ZA

Funding

Medical Research Council MR/T002816/1
6 · The paper itself

Abstract

Objectives: The Psychology Task Force of the Medical Therapies Commission of the International League Against Epilepsy (ILAE) has been charged with taking steps to improve global mental health care for people with epilepsy. This study aimed to inform the direction and priorities of the Task Force by examining epilepsy healthcare providers' current practical experiences, barriers, and unmet needs around addressing depression and anxiety in their patients. Methods: A voluntary 27-item online survey was distributed via ILAE chapters and networks. It assessed practices in the areas of screening, referral, management, and psychological care for depression and anxiety. A total of 445 participants, from 67 countries (68% high income), commenced the survey, with 87% completing all components. Most respondents (80%) were either neurologists or epileptologists. Results: Less than half of respondents felt adequately resourced to manage depression and anxiety. There was a lack of consensus about which health professionals were responsible for screening and management of these comorbidities. About a third only assessed for depression and anxiety following spontaneous report and lack of time was a common barrier (>50%). Routine referrals to psychiatrists (>55%) and psychologists (>41%) were common, but approximately one third relied on watchful waiting. A lack of both trained mental health specialists (>55%) and standardized procedures (>38%) was common barriers to referral practices. The majority (>75%) of respondents' patients identified with depression or anxiety had previously accessed psychotropic medications or psychological treatments. However, multiple barriers to psychological treatments were endorsed, including accessibility difficulties (52%). Significance: The findings suggest that while the importance of managing depression and anxiety in patients with epilepsy is being recognized, there are ongoing barriers to effective mental health care. Key future directions include the need for updated protocols in this area and the integration of mental health professionals within epilepsy settings.

Indexed as

Global HealthMass ScreeningAdvisory CommitteesAnxietyDepressionEpilepsyHealth PersonnelHumansInternetLongitudinal StudiesMental Health ServicesNeurologistsSurveys and Questionnairesmental healthpsychiatric comorbiditypsychotherapyscreeningsuicidetreatment

Identifiers

PMID33681656
PMCPMC7918327
OpenAlexW3111588975

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.