While it is often stated that psychiatric co-morbidity in PWE is under-recognized and under-treated, little research has directly examined this assertion. The aims of this study were to understand the rates of confirmed diagnosis and treatment of depression and anxiety in people with epilepsy (PWE). Two samples were recruited: a hospital sample of 106 adult outpatients with epilepsy who underwent a structured psychiatric diagnostic interview and a community sample of 273 PWE who completed validated measures of depression and anxiety symptoms online. In the hospital sample, fewer participants who met criteria for an anxiety disorder had received a prior diagnosis compared to those with a depressive disorder (36% vs 67%). In the community sample, the rates of known diagnosis were comparable (65% vs. 69%). Approximately, one-third of PWE with an anxiety disorder (or clinically significant symptoms) were receiving current treatment compared to approximately half of those with depression. These findings confirm the high rates of psychiatric co-morbidity in PWE and indicate that a large proportion of anxiety diagnoses, in particular, are undetected and not receiving either pharmacological or psychological support. Future work is needed to improve the detection and management of psychiatric co-morbidity in PWE, especially for anxiety disorders.

中文翻译：

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在医院和社区成人癫痫样本中发现和治疗焦虑和抑郁的频率如何？

虽然人们经常说 PWE 中的精神病合并症未被充分认识和治疗，但很少有研究直接检验这一说法。本研究的目的是了解癫痫 (PWE) 患者抑郁和焦虑的确诊诊断率和治疗率。招募了两个样本：106 名接受结构化精神诊断访谈的成年癫痫门诊患者的医院样本和 273 名 PWE 的社区样本，他们完成了在线抑郁和焦虑症状的验证测量。在医院样本中，与患有抑郁症的参与者相比，符合焦虑症标准的参与者较少接受过先前的诊断（36% 对 67%）。在社区样本中，已知诊断率相当（65% 对 69%）。大约，三分之一患有焦虑症（或临床显着症状）的 PWE 正在接受当前治疗，而抑郁症患者中约有一半正在接受治疗。这些发现证实了 PWE 中精神疾病的高发病率，并表明很大比例的焦虑症诊断，尤其是未被发现并且没有得到药物或心理支持。未来的工作需要改进 PWE 中精神共病的检测和管理，特别是对于焦虑症。未被发现且未接受药物或心理支持。未来的工作需要改进 PWE 中精神共病的检测和管理，特别是对于焦虑症。未被发现且未接受药物或心理支持。未来的工作需要改进 PWE 中精神共病的检测和管理，特别是对于焦虑症。