Cargando…

Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy

OBJECTIVES: To investigate psychiatric disorders, adverse social aspects and quality of life in men with epilepsy during partner’s pregnancy. METHOD: We used data from the Norwegian Mother and Child Cohort Study, including 76,335 men with pregnant partners. Men with epilepsy were compared to men wit...

Descripción completa

Detalles Bibliográficos
Autores principales: Reiter, Simone Frizell, Veiby, Gyri, Bjørk, Marte Helene, Engelsen, Bernt A., Daltveit, Anne-Kjersti, Gilhus, Nils Erik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670115/
https://www.ncbi.nlm.nih.gov/pubmed/26637130
http://dx.doi.org/10.1371/journal.pone.0144159
_version_ 1782404217419333632
author Reiter, Simone Frizell
Veiby, Gyri
Bjørk, Marte Helene
Engelsen, Bernt A.
Daltveit, Anne-Kjersti
Gilhus, Nils Erik
author_facet Reiter, Simone Frizell
Veiby, Gyri
Bjørk, Marte Helene
Engelsen, Bernt A.
Daltveit, Anne-Kjersti
Gilhus, Nils Erik
author_sort Reiter, Simone Frizell
collection PubMed
description OBJECTIVES: To investigate psychiatric disorders, adverse social aspects and quality of life in men with epilepsy during partner’s pregnancy. METHOD: We used data from the Norwegian Mother and Child Cohort Study, including 76,335 men with pregnant partners. Men with epilepsy were compared to men without epilepsy, and to men with non-neurological chronic diseases. RESULTS: Expecting fathers in 658 pregnancies (mean age 31.8 years) reported a history of epilepsy, 36.9% using antiepileptic drugs (AEDs) at the onset of pregnancy. Symptoms of anxiety or depression were increased in epilepsy (7.0% and 3.9%, respectively) vs. non-epilepsy (4.6% and 2.5%, respectively, p = 0.004 and 0.023), and so were new onset symptoms of depression (2.0% vs. 1.0%, p < 0.031) and anxiety (4.3% vs. 2.3%, p = 0.023). Low self-esteem (2.5%) and low satisfaction with life (1.7%) were more frequent among fathers with epilepsy compared to fathers without epilepsy (1.3% and 0.7%, respectively, p = 0.01 and 0.010). Adverse social aspects and life events were associated with epilepsy vs. both reference groups. Self-reported diagnoses of ADHD (2.2%) and bipolar disorder (1.8%) were more common in epilepsy vs. non-epilepsy (0.4% and 0.3%, respectively, p = 0.002 and 0.003) and non-neurological chronic disorders (0.5% and 0.5%, respectively, p = 0.004 and 0.018). A screening tool for ADHD symptoms revealed a higher rate compared to self-reported ADHD (9.5% vs. 2.2%, p < 0.001). CONCLUSION: Expecting fathers with epilepsy are at high risk of depression and anxiety, adverse socioeconomic aspects, low self-esteem, and low satisfaction with life. Focus on mental health in fathers with epilepsy during and after pregnancy is important. The use of screening tools can be particularly useful to identify those at risk.
format Online
Article
Text
id pubmed-4670115
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-46701152015-12-10 Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy Reiter, Simone Frizell Veiby, Gyri Bjørk, Marte Helene Engelsen, Bernt A. Daltveit, Anne-Kjersti Gilhus, Nils Erik PLoS One Research Article OBJECTIVES: To investigate psychiatric disorders, adverse social aspects and quality of life in men with epilepsy during partner’s pregnancy. METHOD: We used data from the Norwegian Mother and Child Cohort Study, including 76,335 men with pregnant partners. Men with epilepsy were compared to men without epilepsy, and to men with non-neurological chronic diseases. RESULTS: Expecting fathers in 658 pregnancies (mean age 31.8 years) reported a history of epilepsy, 36.9% using antiepileptic drugs (AEDs) at the onset of pregnancy. Symptoms of anxiety or depression were increased in epilepsy (7.0% and 3.9%, respectively) vs. non-epilepsy (4.6% and 2.5%, respectively, p = 0.004 and 0.023), and so were new onset symptoms of depression (2.0% vs. 1.0%, p < 0.031) and anxiety (4.3% vs. 2.3%, p = 0.023). Low self-esteem (2.5%) and low satisfaction with life (1.7%) were more frequent among fathers with epilepsy compared to fathers without epilepsy (1.3% and 0.7%, respectively, p = 0.01 and 0.010). Adverse social aspects and life events were associated with epilepsy vs. both reference groups. Self-reported diagnoses of ADHD (2.2%) and bipolar disorder (1.8%) were more common in epilepsy vs. non-epilepsy (0.4% and 0.3%, respectively, p = 0.002 and 0.003) and non-neurological chronic disorders (0.5% and 0.5%, respectively, p = 0.004 and 0.018). A screening tool for ADHD symptoms revealed a higher rate compared to self-reported ADHD (9.5% vs. 2.2%, p < 0.001). CONCLUSION: Expecting fathers with epilepsy are at high risk of depression and anxiety, adverse socioeconomic aspects, low self-esteem, and low satisfaction with life. Focus on mental health in fathers with epilepsy during and after pregnancy is important. The use of screening tools can be particularly useful to identify those at risk. Public Library of Science 2015-12-04 /pmc/articles/PMC4670115/ /pubmed/26637130 http://dx.doi.org/10.1371/journal.pone.0144159 Text en © 2015 Reiter et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Reiter, Simone Frizell
Veiby, Gyri
Bjørk, Marte Helene
Engelsen, Bernt A.
Daltveit, Anne-Kjersti
Gilhus, Nils Erik
Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy
title Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy
title_full Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy
title_fullStr Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy
title_full_unstemmed Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy
title_short Psychiatric Comorbidity, Social Aspects and Quality of Life in a Population-Based Cohort of Expecting Fathers with Epilepsy
title_sort psychiatric comorbidity, social aspects and quality of life in a population-based cohort of expecting fathers with epilepsy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670115/
https://www.ncbi.nlm.nih.gov/pubmed/26637130
http://dx.doi.org/10.1371/journal.pone.0144159
work_keys_str_mv AT reitersimonefrizell psychiatriccomorbiditysocialaspectsandqualityoflifeinapopulationbasedcohortofexpectingfatherswithepilepsy
AT veibygyri psychiatriccomorbiditysocialaspectsandqualityoflifeinapopulationbasedcohortofexpectingfatherswithepilepsy
AT bjørkmartehelene psychiatriccomorbiditysocialaspectsandqualityoflifeinapopulationbasedcohortofexpectingfatherswithepilepsy
AT engelsenbernta psychiatriccomorbiditysocialaspectsandqualityoflifeinapopulationbasedcohortofexpectingfatherswithepilepsy
AT daltveitannekjersti psychiatriccomorbiditysocialaspectsandqualityoflifeinapopulationbasedcohortofexpectingfatherswithepilepsy
AT gilhusnilserik psychiatriccomorbiditysocialaspectsandqualityoflifeinapopulationbasedcohortofexpectingfatherswithepilepsy