Clinical Profile of Early Onset Psychosis in a Nigerian Sample
Journal Title: International Neuropsychiatric Disease Journal - Year 2015, Vol 4, Issue 2
Abstract
Aims: This study assesses the clinical profile of children and adolescents with psychotic disorders presenting to a psychiatric facility in Lagos, Nigeria. Study Design: The study design was a retrospective chart review. Place and Duration of Study: The study was conducted at the largest child psychiatric facility in Nigeria, the Child and Adolescent center of the Federal Neuro-Psychiatric Hospital, Yaba, Lagos, from October to December 2011. Methodology: Patients (n=168) with early onset psychotic disorder presenting to the facility within a two year period (September 2009 to August 2011) were reviewed. Using a pro-forma containing variables of interest derived from a literature review of the research subject, the case notes of all children and adolescents with psychotic disorder presenting to the facility were reviewed to determine their presentation, clinical characteristics and diagnostic subtypes. Diagnoses were according to the ICD-10 criteria. Results: Males (56.5%) out-numbered females and the mean age of the sample was 15.3 (±3.6) years. The age at onset of psychotic disorder ranged from 6 to 18 years with a mean age of 14.2 (±2.6) years. Onset of psychosis was described as gradual/insidious by 47% and abrupt/acute by 53%. About one out of five (20.8%) had history of birth complications while 19% had delayed attainment of developmental milestones. Insomnia (49.4%), auditory hallucination (48.8%), irrational speech (40.5%) and aggressive behavior (33.3%) were the most prevalent symptoms. The most common axis I diagnoses was schizophrenia (36.9%), followed by organic psychosis (25%) and acute psychotic disorder (19.6%). Conclusion: Our findings indicate the need for early intervention in psychosis and planning of services to meet the needs of young people with psychotic disorders in Nigeria. The relative preponderance of obstetric complication and organic psychosis highlights an unmet need for improved obstetric care with consequent reduction in psychosis
Authors and Affiliations
Adeosun Increase Ibukun, Bello Abidemi Olubunmi, Ogun Oluwayemi Cecilia, Ijarogbe Grace Temitayo
Keywords
Related Articles
- EP ID EP241520
- DOI 10.9734/INDJ/2015/18077
- Views 132
- Downloads 0
The Use of a Topographic Model to Describe Cognitive Disorders for Patients with Multiple Sclerosis
The multiple sclerosis (MS) topographic model is a 3-dimensional model that was recently introduced by Stephen Krieger [1]. This model integrates the courses of MS that are regarded as primary, secondary, and relapsing-r...
Sylvian Fissure Lipoma Associated with Middle Cerebral Artery Aneurysm – Report of a Rare Case Highlighting Imaging Pitfalls
Aim: We describe a 60 year old lady who had a Sylvian fissure lipoma associated with an underlying middle cerebral artery saccular aneurysm which is a rare association and describe its imaging features. Presentation of...
The Involvement of the Hypothalamic-pituitary-gonadal, Hypothalamic-pituitary-adrenal and Somatotrophic Axes in the Development and Treatment of Schizophrenia
In the present review, organizational and activational hormonal effects are proposed to be dysfunctional in schizophrenia and psychosis. Specifically, organizational effects are held responsible for the long-lasting anat...
Bromocriptine Mesylate Protects against Status Epilepticus and Temporal Lobe Epilepsy: Neurobehavioral, Histopathological and Neurochemical Evidences
Background: Dopamine (DA) plays a major role in the control of epileptic seizures arising in the limbic system, through D1/D2 receptor-mediated signaling. Objective: The study was intended to investigate whether bromocr...
Assessment of Cognitive Functions, Psychomotor Performance and Attention Deficit Hyperactivity Disorders among Students with Dyslexia
Aim: The present study presented as a comparison of the cognitive functions, psychomotor performance and attention deficit hyperactivity disorders between dyslexic and control students. Method: This was a randomized stu...