Open Journal of Psychiatry, 2019, 9, 68-80
http://www.scirp.org/journal/ojpsych
ISSN Online: 2161-7333
ISSN Print: 2161-7325
DOI: 10.4236/ojpsych.2019.92006 Mar. 4, 2019 68 Open Journal of Psychiatry
Correlates of Anxiety Disorder among Patients
with Seizure Disorders in a Neuropsychiatric
Hospital in Nigeria
Nasiru Olamide Madandola
1
, Shehu Sale
1
, Adebayo Sunday Adebisi
1*
, Ayodele Obembe
2
,
Abdulfatai Tomori Bakare
2
, Ishak Abioda Danjuma
1
1
Department of Psychiatry, Federal Neuropsychiatric Hospital, Kware, Sokoto, Nigeria
2
Department of Psychiatry, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria
Abstract
Background: Anxiety may complicate epilepsy as is often the case out of the
various psychiatric comorbidities patients can suffer from when they are suf-
fering from epilepsy. The aim of this study was to estimate the prevalence of
anxiety among patients that had epilepsy and also to examine the associated
socio-demographic and clinical factors that are associated with and eventually
predictive of this psychiatric comorbidity. Materials and Method: This study
was a descriptive cross-sectional study that involved the use of General
Health Questionnaire, version 28 (GHQ-28) and the Composite International
Diagnostic Interview (CIDI), which were used independently to investigate
each of the 400 consecutive participants in this study over a period of 24
weeks. The diagnosis of epilepsy was based on the International Classification
of Diseases (ICD10) diagnostic criteria and all participants with anxiety were
diagnosed using CIDI. A proforma Questionnaire was used to assess the so-
cio-demographic and some clinical variables among patients. Logistic regres-
sion was done to determine the predictors of anxiety in the study partici-
pants. Results: When screened with GHQ-28, 71 people (17.8%) met criteria
for caseness. When all the participants were examined using CIDI, 12 (3%)
were diagnosed with generalized anxiety disorder. The variables found to be
the predictors of anxiety were family history of psychiatric disorders (p =
0.045), fear of having seizure (p = 0.036) and GHQ caseness (p = 0.002).
Conclusion: The study showed the existence of anxiety disorders among pa-
tients with seizure disorder. This is an important association with seizure
disorders which is often overlooked. It will be beneficial to these patients if
this co-morbidity is actively looked out for. Patients suffering from seizure
disorder that have a family history of mental illness should be considered for
an assessment of anxiety disorder. Psychological intervention for anticipatory
fear of seizure should be employed by mental health professionals.
How to cite this paper: Madandola, N.O.,
Sale, S., Adebisi, A.S., Obembe, A., Bakare,
A.T. and Danjuma, I.A. (2019) Correlates
of Anxiety Disorder among Patients with
Seizure Disorders in a Neuropsychiatric
Hospital in Nigeria. Open Journal of Psy-
chiatry, 9, 68-80.
https://doi.org/10.4236/ojpsych.2019.92006
Received: January 8, 2019
Accepted: March 1, 2019
Published: March 4, 2019
Copyright © 2019 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access