Browsing by Author "Tunde-Ayinmode, Mosunmola"

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    Prevalence and clinical implications of psychopathology in adults with epilepsy seen in an outpatient clinic in NIGERIA
    (Elvesier, 2014) Tunde-Ayinmode, Mosunmola; Ajiboye, Peter; Abiodun, Olatunji; Buhari, Oluwabunmi; Sanya, Emmanuel
    Background 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. Methods 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. Results 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). Conclusion 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.
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    Psychiatric morbidity in a Nigerian Neurology Clinic
    (East African Medical Association, 2012) Ajiboye, Peter; Abiodun, Olatunji; Tunde-Ayinmode, Mosunmola; Sanya, Emmanuel; Wahab, Kolawole; Buhari, Oluwabunmi; Ayanda, Kazeem; Jimba, Muhammed; Agbabiaka, Kehinde
    Objective: The objective of the study was to determine the prevalence and nature of psychiatric morbidity among patients attending a neurology outpatient clinic. Design: A two-stage screening procedure with General Health Questionnaire (GHQ- 12) and Schedules for Clinical Assessment in Neuropsychiatry (SCAN) was used to assess psychological disorders over a one year period. Psychiatric diagnosis was based on ICD-10 criteria. Setting: University of Ilorin Teaching Hospital (UITH), Ilorin- Nigeria Subjects: Two hundred and thirty-five (235) patients aged 18 years and above attending the neurology outpatient clinic. Results: Overall prevalence of psychiatric morbidity was 26.0% (61/235). The most frequent diagnoses were depression (14.9%), generalised anxiety disorder (5.5%), dementia (2.6%) and substance use disorder (1.3%). Significantly more patients with stroke had psychiatric morbidity. Conclusion: The study supports previous reports that psychiatric disorders are quite common among patients with neurological disorders. Efforts should, therefore, be directed at identifying and treating neurological patients with psychiatric morbidity since this will ensure improved outcome. In this regard, mental health professionals would need to provide liaison services for the neurologists and train them in the use of simple screening instruments for detecting associated psychiatric disorders with appropriate referral where necessary.
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    Psychiatric Morbidity in Stroke Patients Attending a Neurology Clinic in Nigeria
    (Makerere University Medical School, Ugand, 2013) Tunde-Ayinmode, Mosunmola; Ajiboye, Peter; Abiodun, Olatunji; Buhari, Oluwabunmi; Sanya, Emmanuel; Wahab, Kolawole
    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