Seasonal Variation in Psychiatric Disorders Among Patients Admitted at Armed Forces Institute of Mental Health Rawalpindi

  • Nida Saleem Armed Forces Institute of Mental Health/National University of Medical Sciences, Rawalpindi Pakistan
  • Rashid Qayyum Fazaia Medical College, Islamabad Pakistan
  • Syed Muhammad Akram Hamdani Combined Military Hospital, Peshawar/National University of Medical Sciences, Pakistan
  • Summaya Saleem Combined Military Hospital, Jamshoro/National University of Medical Sciences, Pakistan
  • Saleem Ullah Quetta Institute of Medical Sciences, Quetta Pakistan
  • Ammad Hassan Armed Forces Institute of Mental Health/National University of Medical Sciences, Rawalpindi Pakistan
Keywords: Patients, Psychiatric disorder, Seasonal variation

Abstract

Objective: To determine the seasonal variation in psychiatric disorders among patients admitted to the Armed Forces Institute of Mental Health.

Study Design: Retrospective longitudinal study.

Place and Duration of the Study: Armed Forces Institute of Mental Health Rawalpindi from Jun 2014 to May 2019.

Methodology: A total of 3120 cases diagnosed according to ICD-10 criteria were included after evaluating a 5-year indoor hospital record. Around 30 psychiatric disorders among males and females aged 12-
65 were included. Cases of adjustment disorder in the military and those without any diagnosis were excluded. Disorders were allocated to 4 seasonal groups according to the months of admission, and Seasonal variation among them was evaluated.

Results: The 5-year disease burden showed predominance for bipolar affective and depressive disorder with 887 (28.4%) and 728 (23.3%) frequency, respectively. The higher number of admissions 825 (26.4%) took place in autumn, followed by 809 (25.9%) in winter. Admissions for the depressive disorder were highest during autumn 212 (29.1%). Peak admissions in winter included bipolar affective disorder 233 (29.53%), acute mania 23 (36.5%), and mania with psychosis 12 (34.28%). Psychotic disorders like schizophrenia and schizoaffective disorder were found prevalent in 2 seasons, 76 (26.0%) during the autumn and winter seasons each and 14 (29.0%) during the autumn and spring season each, respectively. Delusional disorder 4 (50.0%), paranoid psychosis 10 (45.0%) and acute and transient psychosis 17 (34.6%), and disorders with physical symptoms like dissociative 23 (36.0%) and conversion disorder 5 (33.0%), were especially widespread during spring.

Conclusion: Significant seasonal...........

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Published
2022-09-01
How to Cite
Saleem, N., Qayyum, R., Hamdani, S., Saleem, S., Ullah, S., & Hassan, A. (2022). Seasonal Variation in Psychiatric Disorders Among Patients Admitted at Armed Forces Institute of Mental Health Rawalpindi. Pakistan Armed Forces Medical Journal (PAFMJ), 72(4), 1318-23. https://doi.org/10.51253/pafmj.v72i4.7407
Section
Original Articles