Abréviations - Faculté de Médecine et de Pharmacie de Fès

Abstract
Usually we see in the psychiatric consultation patients with epilepsy for
psychological complaints. Often for an anxious or depressed disorders.
In other cases we take care of psychiatric patients with epilepsy.
Objectives: The aim of our work is to investigate the prevalence of psychiatric
comorbidity in a population of patients with epilepsy and to seek possible risk
factors for psychiatric disorders.
Methodology: We conducted a cross-sectional study near the epileptic consulting in
the department of neurology and psychiatry in the CHU Hassan II in Fez, using a
questionnaire and pre-established rating scales: the MINI (mini international
neuropsychiatric interview), Beck depression inventory, and Hamilton anxiety scale.
Results : sixty-four patients answered the inclusion criteria. The average age of our
patients is 27,5 years +/- 10,5. The sex ratio F/H is 1.9. More than half of our
patients are unmarried (75%). Only 19 % of patients have regular occupations.
The prevalence of psychiatric disorders in our study is 76,6%. Anxiety is found in
65,6 % of cases, whereas depression is rated at 60,9 % of cases in witch 20,30 % had
severe depression that must be treated, with predominance of female sex (71,8 %).
The 2 variables can be considered as risk factors for occurrence of psychiatric
comorbidity: the female sex (P=0,04) and absence of work ( P=0,05).
The psycho-familial and financial supports were not considered in our study as
protective factors against the occurrence of psychiatric disorders in epileptics.
Our study also demonstrated that epileptics have relationship difficulties with their
families (p = 0,02).
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