Study of Psychiatric Morbidity Among the Survivors of Cerebrovascular Stroke at a Tertiary Care Centre

Abstract

Introduction: According to World Health Organization (WHO), cerebrovascular stroke is the second leading cause of death and disability all over the world. Infarct alters brain function which leads to neuropsychiatric sequela. Psychiatric morbidities are common in stroke-survivor cohorts and are associated with increased morbidity and mortality. Aims and Objectives: The present study was conducted in a tertiary care hospital to understand the different psychiatric morbidities in patients with cerebrovascular accidents (stroke). Material and Methods: 150 stroke survivors were included in the study after they satisfied the eligibility criteria. Mini International Neuropsychiatric Interview (MINI) 7.0.0 was applied to diagnose the psychiatric illness in the patients. Results: Out of 150 patients 79 patients (52.66%) had psychiatric illness. Out of the 150 patients, 50 patients (33.33%) had Major Depressive Disorder, 24 patients (16%) had Generalized Anxiety Disorder (GAD), 3 patients (2%) were diagnosed with psychotic disorder whereas 2 Patients (1.33%) had social phobia. Out of which 50 patients (33.33%) were having Major Depressive Disorder (MDD), 24 patients (16%) were having Generalized Anxiety Disorder, 3 patients (2%) were having psychotic disorder and 2 Patients (1.33%) were having Social phobia. Most of the patients had ischemic type of stroke (133 patients) , left sided lesion (88 patients) being the most common. Conclusion: Major depressive disorder was the most common psychiatric illness followed by generalized anxiety disorder. The psychiatric illness was not associated with type of stroke and side of lesion.