Browsing by Author "Khattri, Jai Bahadur"
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Publication Prevalence of Dissociative Convulsions in Patients with Dissociative Disorder in a Tertiary Care Hospital: A Descriptive Cross-sectional Study(Institute of Medicine, 2019) Khattri, Jai Bahadur; Goit, Bharat Kumar; Thakur, Rabindra KumarAbstract Introduction: Dissociative disorder is one of the common psychiatric problems encountered very frequently in the hospital setting. The aim of the study is to find out the prevalence of dissociative convulsions type in patients suffering from dissociative disorder attending Psychiatry outpatient department of a tertiary care hospital. Methods: The descriptive cross-sectional study was carried out in a tertiary care hospital from February 2019 to July 2019 after taking ethical approval (MEMG/IRC/210/GA). The patients attending Psychiatry outpatient department of Manipal Teaching Hospital, Pokhara, Nepal were included in the study. The diagnosis of dissociative convulsion and other types of dissociative disorder was done according to the International Classification of Disease–10 Classification of Mental and Behavioural Disorders - Diagnostic Criteria for Research. Statistical Package for Social Sciences version 22 was used for the analysis of the data and point estimate at 95% Confidence interval was calculated along with frequency and proportion for binary data and the analysis was done. Results: Sixty six patients were included in the study. The prevalence of dissociative convulsion was 86.3% in the present study, at 95% Confidence interval, (78-94.6%). Five patients (7.6%) were found to be suffering from dissociative motor disorders and 4 (6.1%) patients were suffering from trance and possession disorder. Conclusions: The prevalence of dissociative convulsion type is high in patients suffering from dissociative disorder in the Nepalese context. Future studies should be conducted to understand this disorder and to propose therapeutic guidelines. Keywords: conversion disorder; dissociative disorders; Nepal; prevalence; seizuresPublication Prevalence of Working Memory Impairment in Drug Naive Schizophrenic Patients in a Tertiary Care Hospital(Nepal Medical Association, 2019) Goit, Bharat Kumar; Khattri, Jai BahadurAbstract Introduction: Schizophrenia is a mental disorder in which clear consciousness and the intellectual capacity are usually maintained, although certain cognitive deficits may evolve in the course of illness. Working memory impairment in schizophrenia affects the course, outcome, and quality of life of the patient significantly. The aim of the study was to find out the prevalence of working memory impairment in drug naive schizophrenic patients. Methods: This descriptive cross-sectional study was done in a tertiary care hospital, from June 2015 to December 2015 after taking ethical clearance from institutional review board registration number 38970/062/063. Convenience sampling was done. The samples of 30 schizophrenic patients between the ages of 15 to 45 years were enrolled from the inpatient and outpatient unit of department according to inclusion and exclusion criteria. Data was collected and entry was done in Epi Info, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The prevalence of working memory impairment was 26 (86.7%) in digit span forward test and 27 (90%) in digit span backward test. The mean age of patients was 27.5 years and the age of onset of schizophrenia was mainly in the age group between 16 to 25 years 16 (53.3%). Conclusions: These finding suggests high prevalence of working memory impairment in schizophrenic patients. Keywords: age of onset; memory; schizophrenia.Publication Psychiatric Morbidities of Elderly Out-patients Attending Various Outreach Clinics in Gandaki Province of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2020) Khattri, Jai Bahadur; Godar, Srijana Thapa; Subedi, Anil; Tirkey, ShwetaAbstract Introduction: Dramatic growth of the aging population resulted in an increased number of mental disorders and such data are limited in Nepal. The objective is to find out the psychiatric morbidities of elderly out-patients attending Baglung, Kusma, Walling, and Dumre out-reach clinics in Gandaki Province of Nepal. Methods: This was a descriptive cross-sectional study conducted in 392 patients attending out-reach clinics of Baglung, Kusma, Walling, and Dumre of Gandaki Province for one year with the convenient sampling method. Ethical approval was taken from the Institutional Review Committee of Manipal College of Medical Sciences, Pokhara. The diagnosis was done according to the International Classification of Disease-10 guidelines. Epi-info 7 was used and point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data and the analysis was done. Results: The prevalence of neurotic, stress-related, and somatoform disorders 145 (37.0%) was maximum followed by mood disorders 111 (28.3%). Maximum cases were in between 66 and 75 years, Brahmin and Chhetri caste, females, married, and from an extended nuclear family. There is more prevalence of female gender in all psychiatric diagnoses except in mental and behavioral disorders due to psychoactive substance use. There is more prevalence of age groups of patients less than or equal to 75 years in all the psychiatric diagnosis. Conclusions: Neurotic, stress-related, and somatoform disorders were the most common diagnosis. The risk of development of certain disorders based on gender and age group of the patients would be helpful for case identification. Keywords: aging, cross-sectional studies, Nepal, prevalence