Depresión en pacientes con epilepsia: Revisión sistemática de la literatura


Autoria(s): Urrego Otero, Johanna
Contribuinte(s)

Palacios Espinosa, Ximena

Data(s)

08/06/2016

Resumo

Esta revisión sistemática de la literatura tuvo como objetivo investigar sobre la depresión en personas con epilepsia en la última década (2005-2015), enfocándose en identificar en el paciente con epilepsia: características sociodemográficas, prevalencia de la depresión, tipos de intervención para el manejo de la depresión, factores asociados con la aparición y el mantenimiento de la depresión y por último, identificar las tendencias en investigación en el estudio de la depresión en pacientes con epilepsia. Se revisaron 103 artículos publicados entre 2005 y 2015 en bases de datos especializadas. Los resultados revelaron que la prevalencia de depresión en pacientes con epilepsia es diversa y oscila en un rango amplio entre 3 y 70 %, por otro lado, que las principales características sociodemográficas asociadas a la depresión está el ser mujer, tener un estado civil soltero y tener una edad comprendida entre los 25 y los 45 años. A esto se añade, que los tratamientos conformados por terapia psicológica y fármacos, son la mejor opción para garantizar la eficacia en los resultados del manejo de la depresión en los pacientes con epilepsia. Con respecto a los factores asociados a la aparición de la depresión en pacientes con epilepsia, se identificaron causas tanto neurobiológicas como psicosociales, asimismo los factores principales asociados al mantenimiento fueron una percepción de baja calidad de vida y una baja auto-eficacia. Y finalmente los tipos de investigación más comunes son de tipo aplicado, de carácter descriptivo, transversales y de medición cuantitativa.

This systematic literature review aimed to investigate depression in people with epilepsy in the last decade (2005-2015), focusing on identifying the epileptic patient sociodemographic characteristics, prevalence of depression, types of interventions for the management of depression, factors associated with the onset and maintenance of depression and finally the most common types of studies on the topic of depression in patients with epilepsy. One hundred three articles published between 2005 and 2015 in specialized databases were reviewed. On one hand, the results revealed that the prevalence of depression in patients with epilepsy is diverse and varies in a range between 3 and 70%, and on the other hand, the main sociodemographic characteristics associated with depression is being female, having a single marital status and being aged between 25 and 45 years. Additionally, it was found that treatments comprised of psychological therapy and drugs as the best option to ensure effectiveness in the results of management of depression in patients with epilepsy. With respect to the factors associated with the onset of depression in epileptic patients, both neurobiological and psychosocial causes were identified, and also the main factors associated with maintenance of depression were a perception of low quality of life and low self-efficacy. Finally the most common types of studies are applied type, descriptive, transversal and and using quantitative measurements

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http://repository.urosario.edu.co/handle/10336/12160

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spa

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Escuela de Medicina y Ciencias de la Salud

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info:eu-repo/semantics/restrictedAccess

Fonte

instname:Universidad del Rosario

reponame:Repositorio Institucional EdocUR

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Palavras-Chave #Psicología #150 #Psicología #Depresión #Epilepsia #Trastornos de adaptación #depression #epilepsy #interventions #research trends #prevalence #sociodemographic characteristics #maintenance factors #factors of appearance
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