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 123
- Downloads 0
Mental Health of Teachers: Teachers’ Stress, Anxiety and Depression among Secondary Schools in Nigeria
Aim: This study explored the prevalence of teachers stress (TS), depression (D) and generalized anxiety disorder (GAD) among selected secondary school teachers in Ibadan, Nigeria. Method: In this descriptive cross secti...
Mental Health Issues in Multiple Sclerosis Patients and Healthy Controls and Their Association with Disease Related Factors
Purpose: To investigate the mental health problems of multiple sclerosis (MS) patients, and the relationship between mental health, MS variables and disability status. Methods: The sample consisted of 80 participants, 4...
Transition of Service Users from Child to Adult Mental Health Clinic in Lagos Nigeria
Adolescence is a potentially stressful period characterised by various developmental changes. Disruption in provision and utilisation of mental health services during the transition from adolescence to adulthood has dire...
Evaluation of Pain and Anxiety Levels Related to Diagnostic Punch Biopsy in Dermatology Outpatients: A Pilot Study
Aim: Literature data on the anxiety levels and pain perception during punch biopsy are lacking. Thus, the aim of the present study is to evalute the anxiety levels and pain perception during punch biopsy. Study Design:...
Black Holes in Brain- Is There Any Relationship between Carotid Artery Plaque Type and Cerebral Micro Bleed? - Cohort from Pakistan
Purpose of Study: The purpose of this study is to correlate the presence of chronic micro bleed, patient symptoms, number of chronic micro bleeds and carotid plaque characteristics. Materials and Methods: Seventy consecu...