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Washington University in St. Louis

Mar. 15, 2002 Vol. 26, No. 24
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Law's Drobak installed into Madill professorship

John N. Drobak, J.D., was installed as the George Alexander Madill Professor of Law Feb. 27 in Anheuser-Busch Hall. Full story

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Safety of anti-depressants in epilepsy patients focus of study

By Gila Z. Reckess

Researchers are examining whether treatment of depression improves health in patients with epilepsy and helps them comply with their strict regimen of anti-epileptic drugs.

The team of scientists in the School of Medicine received a five-year, $1.9 million grant from the National Institute of Neurological Disorders and Stroke for this research.

Nearly two million Americans suffer from epilepsy, many of whom continue to experience seizures despite new medical and surgical therapies. Living with persistent seizures, other disease-related discomforts and dysfunction of critical brain regions causes roughly one-third of these individuals to become depressed.

Though there is little scientific evidence about the effectiveness or safety of anti-depressants in patients with epilepsy, most physicians fear that these drugs may worsen seizures. Depression, therefore, generally goes untreated in these individuals.

But according to lead investigator Frank Gilliam, M.D., associate professor of neurology and neurological surgery, "untreated depression appears to have major adverse effects in epilepsy. Although seizures are assumed to define the severity of epilepsy, our research shows that depression is more closely associated with a patient's well-being and how well he or she functions overall."

His team will give depressed epilepsy patients either a common anti-depressant called sertraline or cognitive behavior therapy. The researchers expect that once patients no longer are depressed, they will be more likely to take their anti-epileptic medications and will experience less overall disability.


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