Psychiatric morbidity in stroke patients attending a neurology clinic in Nigeria

Type Journal Article - African Health Sciences
Title Psychiatric morbidity in stroke patients attending a neurology clinic in Nigeria
Author(s)
Volume 13
Issue 3
Publication (Day/Month/Year) 2013
Page numbers 624-631
URL http://www.ajol.info/index.php/ahs/article/viewFile/93674/83101
Abstract
Back ground: Stroke produces a wide range of mental and emotional disorders. Neuropsychiatric complications associated
with stroke may have negative effects on the social functioning, overall quality of life and the recovery of motor functioning
of stroke survivors.
Objective: To determine the prevalence and nature of psychiatric morbidity among stroke patients attending neurology
outpatient clinic of the University of Ilorin Teaching Hospital (UITH), Ilorin- Nigeria.
Methods: All patients with stroke aged 18 years and above at an outpatient neurology clinic in Ilorin, Nigeria were assessed
for mental and emotional disorders using the Schedule for Clinical Assessment in Neuropsychiatry (SCAN) over one year
(March 2009 to February 2010).
Results: Overall prevalence of psychiatric morbidity was 36.0% (30/83) among 83 patients who constituted the study
population. Specific diagnoses recorded were depression (19.2%), generalised anxiety disorder (9.6%), harmful alcohol use
(2.4%); dementia, somatoform disorder, phobia and delusional disorder each had a prevalence of 1.2%. Clinical and
sociodemographic variables were not significantly associated with psychiatric morbidity.
Conclusion: Psychiatric disorders are often associated with stroke. Identifying and treating stroke patients with these
psychiatric co- morbidities could thus help to improve the overall quality of life of these patients.

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