Depression significantly impacts quality of life (QoL) in patients with epilepsy. In patients with uncontrolled seizures in particular, depression causes greater QoL reductions than the seizures themselves.8 Several factors, including demographic, seizure-related, treatment-related, and psychosocial factors, can contribute to depression in patients with epilepsy.9 The impact of epilepsy is not limited to patients who experience seizures, but also affects all members of the family to a certain degree. Most studies in this regard have focused on childhood epilepsy when assessing the relationship between the family environment and depression, and found that the family environment is predictive of the psychological well-being of children and adolescents with epilepsy.10 For example, parental perception of epilepsy stigma is associated with depression in children with epilepsy,10 and maternal depression negatively correlated with QoL in children with new-onset epilepsy.11