Prevalence and Associated Factors of Functional Neurologic Symptom Disorder among Patients Attending Psychiatric Outpatient Clinic at TASH from Hamle 1/2011 – Hamle 30/2013 E.C: a Retrospective Electro Medical Record Review
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Date
2022-01
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Addis Ababa University
Abstract
Background: Functional neurologic symptom disorder is one of the
somatic symptom disorders characterized by different subtypes of
presentations. Its prevalence and associated factors vary in between the
developed and developing countries including the subtypes too.
Study objective: To determine the prevalence and associated factors of
functional neurologic symptom disorder in patients attending psychiatric
clinic at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
Method: A retrospective electronic medical record review was done.
The study participants were selected from the registry of the outpatient
psychiatric clinic in the duration of Hamle 1/2011 – Hamle 30/2013 E.C.
Data was collected by means of data extraction sheet. The Collected data
was entered and analysed using SPSS version 20. A descriptive analysis
was conducted. Univariable then multiple logistic regression was done to
determine the factors associated with FNSD.
Results: In this study, there were a total of 2089 patients seen from the
time of from Hamle 1/2011 – Hamle 30/2013 E.C. From the total seen
patients 105 were diagnosed with conversion disorder making its
prevalence 5.02% and incidence 2.20%. Most patients (63.8%) were
below the age of 20, with mean age of presentation of 20 years and SD of
10 years. The mean duration of presentation was less than three months
(45.7%). The commonest subtype of functional neurological symptom
disorder was found to be attack or seizure (68.6%). The commonest
psychiatric comorbidities were found to be mood spectrum disorders.
Significant association was seen between age younger 20 years, female
gender and urban area of residency and diagnosis of FNSD.
Conclusion: The sociodemographic characteristics results from our
study are comparable to other studies form a similar setup, and so are the
clinical characteristics.
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Keywords
Neurologic symptom disorder ,Patients