scholarly journals A hospital based cross sectional study on comorbid psychiatric problems in persons with epilepsy from north eastern part of India

2017 ◽  
Vol 04 (01) ◽  
pp. 031-035 ◽  
Author(s):  
Sajjadur Rehman ◽  
Kamal Kalita ◽  
Aparajeeta Baruah
Keyword(s):  
Psychiatric Comorbidity ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Clinical Factors ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Psychiatric Disturbances ◽  
Long Duration ◽  
North Eastern ◽  
Long Time

Abstract Context The relationship between epilepsy and psychiatric disorders has been recognized for a long time. Psychiatric disturbances like depression, anxiety disorder, psychosis, panic disorder, suicidal behavior etc are associated with epilepsy. Different demographic and clinical factors are associated with the onset of these psychiatric disturbances. Aims To study the prevalence of psychiatric comorbidity in persons with epilepsy. Also assess the different demographic and clinical factors and its relation with the presence of psychiatric comorbidity in persons with epilepsy. Settings and design It was a cross sectional observational study. Methods and material Diagnosed cases of epilepsy, attending Epilepsy Clinic, fulfilling the inclusion and exclusion criteria were recruited for the study. Patients were evaluated with Mini International Neuropsychiatric Interview (MINI) to see their psychiatric comorbidities and also the socio-demographic and clinical factors were assessed Statistical analysis used SPSS version 23.0 for Windows and Graph Pad InStat software trial version 3.1 was used for analysis. Results Psychiatric comorbidity was seen in 50% subjects with comorbid with epilepsy. Depression 18%, Psychosis 14% and Anxiety Disorders 11%, were the most commonly found psychiatric morbidities. Presence of partial seizures, frequent seizures, long duration of epilepsy and poor compliance to antiepileptic drug were significantly associated with presence of psychiatric comorbidity in persons with epilepsy. Conclusions Psychiatric comorbidities are very common in epilepsy. Psychosis associated with epilepsy is seen more in hospital settings. Depression and anxiety though commonly reported in studies are less commonly presented to tertiary care settings.

scholarly journals Psychiatric Comorbidities in Patients with Alcohol Dependence Syndrome in a Tertiary Care Center: A Cross-Sectional Study

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Bhaskkar Sharma ◽  
Anup Devkota ◽  
Suresh Chandra Pant
Keyword(s):  
Anxiety Disorder ◽  
Alcohol Dependence ◽  
Psychiatric Comorbidity ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Axis I ◽  
Dsm Iv ◽  
Alcohol Dependent

Introduction: The co-occurence of substance abuse and mental illness is well known. Alcoholics are reported to be three times more likely to suffer from another psychiatric disorder. This study aims to observe the prevalence of psychiatric comorbidity in alcohol dependent patients in our setup. Methods: This was a hospital based cross-sectional observational study conducted over a period of three months. Consecutive patients presenting to the out-patient section of Psychiatric department who met the DSM-IV-TR criteria for alcohol dependence were included in the study. They were interviewed using Structured Clinical Interview for DSM-IV-TR (SCID I&II) to assess for comorbidity. Data was analyzed using Statistical Package for Social Sciences (SPSS TM) software. Mann Whitney U test and Chi square or Fisher's Exact tests were used for statistical analysis. Results: Out of 31 patients enrolled, 14 (45.16%) had psychiatric comorbid conditions all of which were Axis I disorders. Anxiety disorder (35.71%) was the most frequent associated disorder followed by depressive disorder (28.57%). The alcohol dependent patients with comorbidity was significantly younger (mean age=35.71±13.60 years) in comparison to those without comorbidity (mean age=42.59±11.15 years). Other socio-demographic parameters were comparable between the two groups. Patients with history of past psychiatric illness and medication were less likely to have comorbidity, which was statistically significant. Conclusion: Psychiatric comorbidity is common in alcohol dependent people. Anxiety disorder and depression were more prevalent entities. Those with past illness and medications were less likely to have comorbidities.

scholarly journals Pattern of Psychiatric Referral in a Tertiary Care Hospital in Bangladesh

2020 ◽  
Vol 31 (2) ◽  
pp. 76-80
Author(s):  
Sultana Algin ◽  
Sumaiya Nawsheen Ahmed ◽  
Redwana Hossain
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Illness ◽  
Care Hospital ◽  
Obsessive Compulsive ◽  
Liaison Psychiatry ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Compulsive Disorder

Introduction: Consultation-liaison Psychiatry (CLP) is the study, practice and teaching of the relationbetween medical and psychiatric disorders. Aim of the study: The aim of this study is to find out the referring department, reason for consultation,common psychiatric comorbidities and sociodemographic of the referred patients to psychiatrydepartment from the other departments of Bangabandhu Sheikh Mujib Medical University of Dhaka. Methodology: This cross-sectional study was carried out from May 2018 to February 2020. Patientsreferred from different inpatient departments every Thursday were taken as study population.Psychiatric diagnoses of the patients were assigned by the consultant psychiatrist as per DSM-5criteria. Semi structured questionnaire was used to collect socio-demographic data. Results: Among the referred patients (n= 89) 56% were female; 63% were aged between 19-59years; 65% were married; 58% were from urban background and 51% studied up to higher secondary.More than half of the patients were referred from different branches of Medicine (68%). Referral fromInternal Medicine was 14.6%, Rheumatology 13.5%, Neurology and Nephrology 10% respectively.The rest were from the branches of pediatrics, surgery and gynecology. Most common psychiatricdisorder was Major Depressive Disorder (37%) followed by Obsessive-Compulsive Disorder (17%)and Delirium (10.11%). 15% patient received no psychiatric diagnosis. Conclusion: Psychiatric comorbidities in general medical illness are very common. CLP provides anopportunity to improve health outcomes for inpatients and reduce burden on the healthcare system. Bangladesh J Medicine July 2020; 31(2) :76-80

scholarly journals Assessment of psychiatric comorbidities and sociodemographic profiles of the patients referred to the general hospital psychiatric unit of a tertiary care hospital in Kolkata, West Bengal

2021 ◽  
Vol 12 (11) ◽  
pp. 149-155
Author(s):  
Arijit Mondal ◽  
Soumi Ghosh ◽  
Uday Sankar Mandal ◽  
Dwaipayan Saha
Keyword(s):  
Psychiatric Diagnosis ◽  
Psychiatric Symptoms ◽  
Tertiary Care ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Physical Illness ◽  
Care Hospital ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Psychiatry Department

Background: According to the previous studies, psychiatric symptoms are high in patients with physical illness, but the referral rates are much below expectation. Aims and Objectives: Here a descriptive cross-sectional study has been conducted using self designed semi structured proforma to asses the socio demographic profile and psychiatric diagnosis of patient with physical illness referred from other departments in a tertiary medical care centre for consultation liaison (C-L) psychiatry care. Materials and Methods: The study population consists of the patients referred to psychiatry department for consultation purpose from all the other departments in a 4 months period. The data were collected on a self designed semi structured pro forma and all the diagnosis were made according to International Classification of Disease -10 (ICD-10) criteria. Analysis has been done using descriptive statistics. Results: A total numbers of 203 patient has been referred to psychiatry department during the study period . Among them 144 were inpatient and 59 were outdoor based referral. Majority were female, married . The maximum referral were from general medicine department followed by neuromedicine. Most common reason of referral being suicidal attempt by different means followed by patients having depressive features .The most common psychiatric diagnosis was depression followed by delirium. Conclusion: C-L psychiatry plays a significant role in better evaluation and management of patients with psychiatric comorbidities referred from non-psychiatric departments.

scholarly journals Prevalence of Psychiatric Comorbidity among Suicide Attempters

2021 ◽  
Vol 10 (38) ◽  
pp. 3370-3373
Author(s):  
Bhuvana Chandrashekarappa Revappala ◽  
Sridhar Mallanaik ◽  
Vibha Konthanur Vijayakumar ◽  
Suresh Krishnappa Kudumallige ◽  
Sarala Nedige Eshwarappa
Keyword(s):  
Suicide Attempt ◽  
Psychiatric Comorbidity ◽  
Suicide Attempts ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
Common Cause ◽  
Co Morbidity

BACKGROUND Psychiatric illness is the most common cause of suicidal attempt which increases the risk further if left untreated. Suicide attempt is one of the forms of suicidal behaviour, which includes suicide ideas, suicide plans and suicide attempts, as these increase the risk further. The purpose of this study was to assess the prevalence and psychiatric comorbidity among suicide attempters. METHODS In this cross-sectional study, samples were collected from patients visited to outpatient department (OPD)/in-patient department (IPD) at a tertiary care center. A total of 50 sample size of both sex with age group of 18 - 65 years are considered. Severity of suicide attempts was assessed by using suicide risks form scale. RESULTS Depression is found to be the most common cause of suicide attempt among mood disorders followed by anxiety disorders, personality disorders and substance use disorders respectively. CONCLUSIONS Our study proved the presence of psychiatric co-morbidity among suicide attempters. Co-morbidity worsens the suicidal risk further as assessed. KEY WORDS Psychiatric Comorbidity, Suicide Attempts.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

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