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Title: Educational needs of epileptologists regarding psychiatric comorbidities of the epilepsies: a descriptive quantitative survey
Austin Authors: Mula, Marco;Cavalheiro, Esper;Guekht, Alla;Kanner, Andres M;Lee, Hyang Woon;Ozkara, Cigdem;Thomson, Alfredo;Wilson, Sarah J;Task Force on Education of the ILAE Commission on Neuropsychiatry
Affiliation: Atkinson Morley Regional Neuroscience Centre, St George's University Hospitals NHS Foundation Trust, London, United Kingdom
Department of Neuropsychiatry, South West London & St George's Mental Health Trust, London, United Kingdom
Institute of Medical and Biomedical Sciences, St George's University of London, United Kingdom
Department of Neurology and Neurosurgery, Escola Paulista de Medicina/UNIFESP, São Paulo, Brazil
Moscow Research and Clinical Center for Neuropsychiatry of the Healthcare Department of Moscow, Pirogov Russian National Research Medical University, Moscow, Russia
Comprehensive Epilepsy Center, Department of Neurology, University of Miami, Miller School of Medicine, Miami, USA
Epilepsy and Sleep Center, Department of Neurology, Ewha Womans University Mogdong Hospital, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, South Korea
Department of Neurology, Medical Faculty, Istanbul University Cerrahpasa, Istanbul, Turkey
Institute of Neurosciences at Favaloro University and Institute of Cognitive and Behavioural Neurology (INECO), Buenos Aires, Argentina
Melbourne School of Psychological Sciences, The University of Melbourne, Victoria, Australia
Comprehensive Epilepsy Program, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 1-Jun-2017 2017-06-01
Publication information: Epileptic Disorders 2017; 19(2): 178-185
Abstract: Psychiatric disorders are relatively frequent comorbidities in epilepsy and they have an impact on morbidity, mortality, and quality of life. This is a report from the Task Force on Education of the ILAE Commission on Neuropsychiatry based on a survey about educational needs of epileptologists regarding management of the psychiatric comorbidities of epilepsy. The Task Force designed a quantitative questionnaire to survey the self-perceived confidence of child and adult epileptologists and psychiatrists in managing major psychiatric comorbidities of epilepsy to identify: (1) critical areas of improvement from a list of skills that are usually considered necessary for effective management of these conditions, and (2) the preferred educational format for improving these skills. A total of 211 respondents from 36 different countries participated in the survey. Confidence and usefulness scores suggest that responders would most value education and training in the management of specific clinical scenarios. Child neurologists identified major Axis I disorders, such as mood and anxiety disorders, while adult neurologists identified attention deficit hyperactivity disorder, intellectual disabilities, and autistic spectrum disorder as key areas. Both adult and child neurologists identified screening skills as the priority. Psychiatrists mainly valued specific training in the management of psychiatric complications of epilepsy surgery or psychiatric adverse events of antiepileptic drugs. Sessions during congresses and face-to-face meetings represent the preferred educational format, while e-learning modules and review papers were chosen by a minority of respondents. Results of this survey identify key areas for improvement in managing the psychiatric comorbidities of epilepsy and suggest specific strategies to develop better training for clinicians involved in epilepsy care.
DOI: 10.1684/epd.2017.0915
PubMed URL:
Type: Journal Article
Subjects: Epilepsy
Psychiatric disorders
Intellectual disability
Type of Clinical Study or Trial: Survey
Appears in Collections:Journal articles

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