Abstract

RELATION OF SEIZURE WITH PSYCHIATRIC ILLNESS AND SLEEP DISORDER – A PROSPECTIVE STUDY

Ridhin Joy*, Sheba Baby John, Ayisha Jasmin K., Joji G. Ponnachan, Dr. Vini Pavithran, Bincy T. Abraham and Dr. Kumaralingum MD

ABSTRACT

Psychogenic seizures are somatic manifestations of psychologic distress. These patients have co morbid psychiatric illnesses, most commonly depression, posttraumatic stress disorder, other dissociative disorders and personality disorders. The study was conducted at the department of psychiatry at karuna medical college hospital, Chittur, Palakkad over a period of six months from November 2015 to April 2016 as a prospective observational study to collect various data of patients those who were admitted in psychiatry department. Total of 316 patients were included of these, 50% were male and 50% were female. The prevalence of seizure in all cases of psychiatry was 18% that is 24 out of all 316 psychiatric patients had seizure during the study. 18.8% of all BPAD patients had seizure as its complication and 7.69% sleep disorder patients also had seizure during this period. In case of anxiety about 28.57% patients had seizure. The seizure attack was more for female 58% than in male 42%. In case of BPAD 14 out of 74 patients had seizure with odd ratio 1.36 were as in sleep disorder about 5 out of 65 patient had seizure with odd ratio 0.44 and 4 out of 14 anxiety patient also had seizure with odd ratio of 2.32. From the analysis it is observed that psychiatric disease also associated with occurrence of seizure. There is positive relationship between BPAD and Anxiety and seizure by showing an odd ratio more than one (1.36 and 2.32 respectively). But sleep disorder is not proving to have a positive relationship with occurrence of seizure because the odd ratio was less than one (0.44).

Keywords: psychiatric illnesses, most commonly depression, posttraumatic stress disorder, other dissociative disorders and personality disorders.