title: The impact of comorbid depression on health resource utilization in a community sample of people with epilepsy.
abstract: This study assessed the impact of comorbid depression on health care utilization and health care coverage by people with epilepsy in US communities using a postal survey questionnaire. People with untreated depression used significantly more health resources of all types assessed with and without adjustment for seizure type, seizure recency, and days with epilepsy symptoms. The number of visits to medical doctors and psychiatrists differed significantly among people with no (N = 443), mild to moderate (N = 58), and severe (N = 148) symptoms of depression who were not receiving antidepressant treatment (all P < 0.001). People with current symptoms treated with antidepressants had more medical visits than people with no current symptoms ( P=0.016 ). People with current symptoms but not treated for depression had more medical and psychiatric visits than people with no current symptoms (both P = 0.001). These data highlight the impact of comorbid depression on health care utilization by people with epilepsy.
authors.affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. joyce.cramer@yale.edu
authors.forename: Joyce A
authors.initials: JA
authors.lastname: Cramer
authors.forename: David
authors.initials: D
authors.lastname: Blum
authors.forename: Kristina
authors.initials: K
authors.lastname: Fanning
authors.forename: Michael
authors.initials: M
authors.lastname: Reed
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D015897:Comorbidity; D003863:Depression / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000523:psychology*; D004185:Disability Evaluation; D004827:Epilepsy / Q000150:complications* / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006295:Health Resources / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D012111:Residence Characteristics / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D016896:Treatment Outcome