title: Depression and anxiety in a community sample with epilepsy in Brazil.
abstract: OBJECTIVE
  To estimate the frequency of depression/anxiety and to establish the social, epilepsy and psychiatric characteristics in individuals with epilepsy.
  
  
  METHODS
  A cross-sectional study was employed to evaluate 153 subjects with epilepsy who were identified in a previous community-based survey. First, a structured interview was conducted, followed by a psychiatric evaluation. Subjects with depression were compared to those without, and subjects with anxiety were compared to those without.
  
  
  RESULTS
  The prevalence of anxiety and depression was 39.4 and 24.4%, respectively. Both were associated with low schooling (OR 3.8, 95% CI 1.6 to 9.0 and OR 2.8, 95% CI 1.2 to 6.5 for depression and anxiety, respectively), lifetime suicidal thoughts (OR 4.4, 95% CI 1.9 to 10.3 and OR 3.6, 95% CI 1.7 to 7.7) and lifetime suicide attempts (OR 9.3, 95% CI 2.6 to 32.8 and OR 6.9, 95% CI 1.8 to 26.4).
  
  
  CONCLUSIONS
  The high rates of depression and anxiety reinforced the need for recognition and treatment of mental disorders in epilepsy.
authors.affiliation: Department of Medical Psychology and Psychiatry, Faculty of Medicine, University of Campinas, Campinas, SP, Brazil. sabrinas@fcm.unicamp.br
authors.forename: Sabrina
authors.initials: S
authors.lastname: Stefanello
authors.forename: Letícia
authors.initials: L
authors.lastname: Marín-Léon
authors.forename: Paula Teixeira
authors.initials: PT
authors.lastname: Fernandes
authors.forename: Li M
authors.initials: LM
authors.lastname: Li
authors.forename: Neury José
authors.initials: NJ
authors.lastname: Botega
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology*; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003625:Data Collection; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D004827:Epilepsy / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D012959:Socioeconomic Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult