Psychiatric disorders among post stroke patient referred to psychiatry department in a tertiary care neuroscience hospital in Bangladesh

Stroke is a common neurological and public health problem with high mortality and morbidity globally as well as Bangladesh. After stroke functional life becomes impaired and sometimes developed psychiatric symptoms. Due to lack of awareness and limited psychiatric services they don’t take psychiatric services when they developed behavioral, emotional, psychotic symptoms. The aim of the study was to assess the psychiatric disorders after stroke patients in a tertiary care neuroscience hospital in Bangladesh. This cross sectional study was done in the National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from January 2017 to November 2018. Semi-structured questionnaire was used to obtain socio-demographic data and DSM V Diagnostic criteria were used to diagnose psychiatric disorders. Ethical issues were maintained accordingly. Total 214 patients were referred to psychiatry department from inpatients and out patients department and out of them 120 were diagnosed post stroke depression, 49 developed anxiety disorders, 68 developed sleep disorders and 34 developed psychosis. Some patients had multiple diagnosis. It was found that significant psychiatric co morbidity developed after stroke. So psychiatric assessment is needed every patient after stroke for proper management of the stroke patients. Further broad base study is need in this regard.

Author(s): M M Jalal Uddin

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