Sleep pattern in psychiatric disease in opd department at district general hospital, amravati

Author: 
Rohini Prabhakra Chavan and Shrikrushna Chandrakant Borle

Background: Sleep disorders disturb the normal sleep pattern. Sleep disorder is a broad spectrum problem in medicine and psychiatric patients and is regarded as a distinctive feature of depressive disorders.
Method: A hospital-based prospective, observational study was conducted on 100 patients for 4 months at psychiatric out-patients department, District General Hospital, Amravati. Result: Out of 100 patients 71 (71%) male and 29 (29%) female. Among 100 patients, the sleep disorder was distributed as insomnia in 44, parasomnia in 39, periodic limb disorder in 9, hypersomnia in 5, and circadian rhythm sleep disorder in 3 number of patients. Among 100 prescriptions, 169 drugs were prescribed as Olanzapine 35.50%, which is followed by Fluoxetine 20.71%, Clonazepam 13.60%, Imipramine 10.65%, Lorazepam 5.32%, Escitalopram 2.36%, Trihexyphenidyl 1.77%, Risperidone 1.77%, Chlorpromazine 1.18%, Carbamazepine 0.59% and Amitryptilline 0.59% and in combination of Trihexyphenidyl and Trifluoperazine 5.91%.
Conclusion: Sleep disorder was more common in male than female in the age group 31-45 years. Insomnia and parasomnia type was frequently seen with loss of interest or pleasure in daily activity feature in sleep disorders. Sleep disorder more prone to psychosis than other diseases. Olanzapine was frequently used in sleep disorder than SSRIs (selective serotonin reuptake inhibitors) and benzodiazepines

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.18094.3450
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