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Epilepsy and Memory$
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Adam Zeman, Narinder Kapur, and Marilyn Jones-Gotman

Print publication date: 2012

Print ISBN-13: 9780199580286

Published to Oxford Scholarship Online: September 2012

DOI: 10.1093/acprof:oso/9780199580286.001.0001

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Psychiatric aspects of memory disorders in epilepsy

Psychiatric aspects of memory disorders in epilepsy

(p.259) Chapter 15 Psychiatric aspects of memory disorders in epilepsy
Epilepsy and Memory

Laura H. Goldstein

Narinder Kapur

Oxford University Press

Individuals with epilepsy are at increased risk of a number of psychiatric disorders including anxiety, depression, and psychosis. However, when considering the performance of people with epilepsy on neuropsychological tests, little attention has generally been paid to the role that comorbid psychological/psychiatric disturbance may play in influencing scores and test profiles. This chapter considers how patients with comorbid psychosis or depression might perform on standard tests batteries, and how mood might account for discrepancies between patients' self-reported cognitive difficulties and observed test scores. It addresses recent developments in understanding the cerebral substrates of psychosis and depression in people with epilepsy. It also considers the role of effort in test-taking performance, both in patients with epilepsy and also patients with psychogenic nonepileptic seizures, and the extent to which the profiles of these two patient groups might differ in this respect. Some comments are made on potential clinical observations/interventions that might sensibly be considered with respect to psychological factors in patients with epilepsy undergoing neuropsychological assessment. Finally, the chapter considers clinically similar memory phenomena presenting in psychiatry and epilepsy settings and their key differences.

Keywords:   psychiatric disorders, anxiety, depression, psychosis, comorbidity, mood

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