P01-115 - Analysis & follow up study of 120 teen agers those were presented with examination phobia in a clinic in India

Abstract

IntroductionPhobias & fearfulness shortly before examination are a common presenting feature in a section of teen aged students, ausing a stress in their own aswellas in their anxious parents. On a longitudinal evaluation of such 120 cases in a remote district clinic in the age group of 15-23 with a median age of 18 years will show their varied underlying morbidity ultimately.ObjectivesIs it a normal phenomenon or much sressed those may shows some psychological disorders is ascertained here.AimsHere is a search for their such varient stress prior to examination & an attempt to identify their etiology so that some remedy is seen.Methods120 cases in those age group who complained of phobia 1-90 days before exam in the rural clinic in Midnapore 126k.m away from capital city of Kolkata & stayed for a follow up for 24 months were analysed. They constite 72 female & 48 males. They were followed up at 2 monthly interval & their pshychological assesment was done by psychologist. Their final diagonosis at the end of 2 year were tabulised asper criteria of ICD-10.ResultsMild mental retardation & lower side IQ< 80 were found in majority of cases (Apprxm.25%).Acute anxiety disorder was next (15%), followed by generalised anxiety disorders (10%),obsessive compulsive disorder is also revealed in about 5% cases, more in females. Other less common disorders were depressive disorders, conduct & personality disorders, & other bevavioral disorders. No pshycotic ilness like schizophrenia was revealed.ConclusionsAnxiety Disorders in varient & obscured form may be a common presenting feature of teenagers as examination phobia in first & may yields to therapy with family.