Prevalence and clinical implications of psychopathology in adults with epilepsy seen in an outpatient clinic in Nigeria.

Journal: General hospital psychiatry

Volume: 36

Issue: 6

Year of Publication: 2015

Affiliated Institutions:  Department of Behavioral Sciences, College of Health Sciences, University of Ilorin, Nigeria. Electronic address: mosunmolaflorence@yahoo.com. Department of Behavioral Sciences, College of Health Sciences, University of Ilorin, Nigeria. Electronic address: tunab@yahoo.com. Department of Behavioral Sciences, College of Health Sciences, University of Ilorin, Nigeria. Electronic address: poboye@yahoo.com. Department of Behavioral Sciences, College of Health Sciences, University of Ilorin, Nigeria. Electronic address: nimat@yahoo.com. Department of Internal Medicine, College of Health Sciences, University of Ilorin, Nigeria. Electronic address: emanuelosanya@yahoo.com.

Abstract summary 

The psychopathological and clinical characteristics of adult patients with epilepsy attending our neurology clinic were evaluated to determine prevalence of psychopathology and its associated factors towards improving services and initiating collaborative care which is currently nonexistent.The study was a two-stage procedure conducted over 1 year using the General Health Questionnaire in the first stage and Schedule for Clinical Assessment in Neuropsychiatry in the second stage. Diagnosis of psychiatric disorders was based on International Classification of Diseases: 10th Revision criteria.Sixty-three patients were interviewed. Mean age was 34.43 ± 13.7 years; more than half of the patients had less than one seizure episode per month. Fourteen patients (22.2%) had partial epilepsy; 40 (63.5%), generalized; and 9 (14.3%), unclassified seizures. The rate of psychiatric morbidity was found to be 28.6%. Depressive disorders were the most common (66.7%), followed by psychotic disorders (11.1%), anxiety disorders (11.1%) and dementia (11.1%). Psychopathology was more common in women (P=.007), those older than 40 years (P = .038) and those with partial epilepsy (P = .017).About one third of patients with epilepsy studied had undetected and untreated psychopathology. Our neurology clinic urgently needs currently nonexistent collaborative care involving neurologists, psychiatrists and primary care physicians in order to improve the mental health of the patients with epilepsy.

Authors & Co-authors:  Tunde-Ayinmode Mosunmola Florence MF Abiodun Olatunji Alao OA Ajiboye Peter Omoniyi PO Buhari Oluwabunmi Ideraoluwa Nimat OI Sanya Emmanuel Olatunde EO

Study Outcome 

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Citations : 
Authors :  5
Identifiers
Doi : 10.1016/j.genhosppsych.2014.08.009
SSN : 1873-7714
Study Population
Women
Mesh Terms
Adult
Other Terms
Clinical implications of psychopathology;Epilepsy;Nigerian adults;Prevalence
Study Design
Cross Sectional Study
Study Approach
Country of Study
Nigeria
Publication Country
United States