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Owusu MB, Ogundare T, Ghebrehiwet S, Sharma M, Henderson MC, Durham MP, Borba CPC, Ojediran B, Henderson DC, Harris BL. Curriculum development in Liberia's first postgraduate psychiatry training programme. BJPsych Int 2024; 21:40-43. [PMID: 38693958 PMCID: PMC11035966 DOI: 10.1192/bji.2024.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 11/30/2023] [Accepted: 01/18/2024] [Indexed: 05/03/2024] Open
Abstract
This paper describes the implementation of curricula for Liberia's first-ever psychiatry training programme in 2019 and the actions of the only two Liberian psychiatrists in the country at the time in developing and executing a first-year postgraduate psychiatry training programme (i.e. residency) with support from international collaborators. It explores cultural differences in training models among collaborators and strategies to synergise them best. It highlights the assessment of trainees' (residents') basic knowledge on entry into the programme and how it guided immediate and short-term priority teaching objectives, including integrated training in neuroscience and neurology. The paper describes the strengths and challenges of this approach as well as opportunities for continued growth.
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Affiliation(s)
- Micaela B Owusu
- Assistant Professor of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Temitope Ogundare
- Psychiatry Resident, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Senait Ghebrehiwet
- Program Manager, Global and Local Center for Mental Health Disparities, Department of Psychiatry, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Malveeka Sharma
- Assistant Professor, Department of Neurology, University of Washington School of Medicine, Seattle, Washington, USA
| | - Miles C Henderson
- Research Assistant, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Michelle P Durham
- Vice Chair of Education, Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Christina P C Borba
- Vice Chair of Research, Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Babawale Ojediran
- Head of Psychiatry, John F. Kennedy Memorial Medical Center, Monrovia, Liberia
| | - David C Henderson
- Chair of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Benjamin L Harris
- Chair of Psychiatry, A.M. Dogliotti Medical College, University of Liberia, Monrovia, Liberia
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Akinyemi O, Ogundare T, Fasokun M, Nwokolo V, Weldeslase T, McDonald V, Colon-Santos L, Luo G. Impact of Medicaid expansion on pregnancy outcomes among women with gestational diabetes. Int J Gynaecol Obstet 2024; 165:519-525. [PMID: 38445784 DOI: 10.1002/ijgo.15439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 02/07/2024] [Indexed: 03/07/2024]
Abstract
INTRODUCTION The Affordable Care Act (ACA) aims to broaden health care access and significantly impacts obstetric practices. Yet, its effect on maternal and neonatal outcomes among women with gestational diabetes across diverse demographics is underexplored. OBJECTIVE This study examines the impact of the implementation of the ACA on maternal and neonatal health in Maryland with ACA implementation and Georgia without ACA implementation. METHODOLOGY We used data from the Maryland State Inpatient Database and US Vital Statistics System to assess the ACA's influence on maternal and neonatal outcomes in Maryland, with Georgia serving as a nonexpansion control state. Outcomes compared include cesarean section (CS) rates, low Apgar scores, neonatal intensive care unit (NICU) admissions, and assisted ventilation 7 h postdelivery. We adjusted for factors including women's age, race, insurance type, preexisting conditions, prior CS, prepregnancy obesity, weight gain during pregnancy, birth weight, labor events, and antenatal practices. RESULTS The study included 52 479 women: 55.8% from Georgia and 44.2% from Maryland. Post-ACA, CS rates were 45.1% in Maryland versus 48.2% in Georgia (P = 0.000). Maryland demonstrated better outcomes, including lower rates of low Agar scores (odds ratio [OR], 0.74 [95% confidence interval (CI), 0.63-0.86]), assisted ventilation (OR, 0.79 [95% CI, 0.71-0.82]), and NICU admissions (OR, 0.76 [95% CI, 0.71-0.82]), but no significant change in CS rates (OR, 0.96 [95% CI, 0.92-1.01]). CONCLUSION After ACA implementation, Maryland showed improved maternal and neonatal outcomes compared with Georgia, a nonexpansion state.
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Affiliation(s)
- Oluwasegun Akinyemi
- Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, District of Columbia, USA
- Department of Health Policy, University of Maryland School of Public Health, College Park, Maryland, USA
| | - Temitope Ogundare
- Department of Psychiatry, Boston School of Medicine, Boston, Massachusetts, USA
| | - Mojisola Fasokun
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Vania Nwokolo
- Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, District of Columbia, USA
| | - Terhas Weldeslase
- Department of Surgery, Howard University College of Medicine, Washington, District of Columbia, USA
| | - Vanesa McDonald
- Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, District of Columbia, USA
| | - Lyanne Colon-Santos
- Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, District of Columbia, USA
| | - Guoyang Luo
- Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, District of Columbia, USA
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DadeMatthews A, Nzeakah C, Onofa L, DadeMatthews O, Ogundare T. Teenage Blues: Predictors of depression among adolescents in Nigeria. PLoS One 2024; 19:e0293995. [PMID: 38630744 PMCID: PMC11023510 DOI: 10.1371/journal.pone.0293995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 01/08/2024] [Indexed: 04/19/2024] Open
Abstract
BACKGROUND Depressive disorders, with a prevalence of 15-21%, are among the most common disorders in children and adolescents, and increases the risk of suicide, the second leading cause of death in children aged 10 to 19. AIM To determine the prevalence and correlates of depressive disorders among senior students attending secondary schools in Abeokuta. METHOD The study was conducted in five schools randomly selected from a representative sample and was carried out in 2 phases. In the first phase, students were selected via systematic random sampling and given consent forms and GHQ-12 to administer to the parents. In the second phase, students who returned a signed informed consent form and filled out GHQ-12 were interviewed using MINI-KID, Rosenberg's Self-Esteem Scale, Family-APGAR, and sociodemographic questionnaire. Multivariate regression analyses were conducted with p-value <0.05 as level of significance. RESULTS The mean age was 15.3 years (SD = 1.27); 48.8% were male. The twelve-month prevalence of major depression was 11.3% and dysthymia was 1.4%. In the final regression analysis, female gender [OR = 4.3, p = 0.046], the experience of bullying [OR = 7.96, p = 0.004], difficulty getting along with friends, [OR = 7.5, p = 0.004], history of sexual abuse [OR = 8.1, p = 0.01], and perceived family dysfunction [OR = 4.9, p = 0,023] were found to be independent predictors of depressive disorders. CONCLUSION Depressive syndromes are a significant health burden in adolescents. Being female, being bullied, having a history of sexual abuse, and family dysfunctionality are risk factors associated with depression among these population.
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Affiliation(s)
- Adefunke DadeMatthews
- College of Human Sciences, Human Development and Family Studies, Auburn University, Auburn, Alabama, United States of America
- Department of Clinical Services, Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria
| | - Chukwuemeka Nzeakah
- Department of Clinical Services, Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria
- Kent & Medway All Age Eating Disorder Service, North East London NHS Foundation Trust, Maidstone, Kent, United Kingdom
| | - Lucky Onofa
- Department of Clinical Services, Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria
| | - Oluwagbemiga DadeMatthews
- School of Kinesiology, College of Human Sciences and Education, Louisiana State University, Baton Rouge, Louisiana, United States of America
| | - Temitope Ogundare
- Department of Psychiatry, Boston Medical Center, Boston, Massachusetts, United States of America
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Akinyemi O, Ogundare T, Weldeslase T, Andine T, Fasokun M, Odusanya E, Hughes K, Mallory W, Luo G, Cornwell E. The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland. Front Public Health 2024; 12:1353283. [PMID: 38384877 PMCID: PMC10879598 DOI: 10.3389/fpubh.2024.1353283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Accepted: 01/24/2024] [Indexed: 02/23/2024] Open
Abstract
Background Suicide is a major cause of mortality in the United States, accounting for 14.5 deaths per 100,000 population. Many emergency department (ED) visits in the United States are due to attempted suicides. Suicide attempts predict subsequent completed suicides. Socioeconomic factors, such as community-level socioeconomic deprivation, significantly affect many traditional risk factors for attempted suicides and suicides. Aim To determine the association between community-level socioeconomic deprivation and ED visits for attempted suicide in Maryland. Methods A retrospective analysis of attempted suicides in the Maryland State Emergency Department Database from January 2018 to December 2020. Community-level socioeconomic deprivation was measured using the Distress Community Index (DCI). Multivariate regression analyses were conducted to identify the association between DCI and attempted suicides/self-harm. Results There were 3,564,987 ED visits reported in the study period, with DCI data available for 3,236,568 ED visits; 86.8% were younger than 45 years, 64.8% were females, and 54.6% non-Hispanic Whites. Over the study period, the proportion of ED visits due to attempted suicide was 0.3%. In the multivariate logistic regression, compared to prosperous zones, those in comfortable (OR = 0.80, 95% CI: 0.73-0.88, p < 0.01), Mid-Tier (OR = 0.76, 95%CI:0.67-0.86, p < 0.01), At-Risk (OR = 0.77; 95%CI: 0.65-0.92, p < 0.01) and Distressed zones (OR = 0.53; 95% CI:0.42-0.66, p < 0.01) were less likely to visit the ED for attempted suicide. Conclusion Prosperous communities had the highest rate of attempted suicides, with the risk of attempted suicide increasing as individuals move from the least prosperous to more prosperous areas.
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Affiliation(s)
- Oluwasegun Akinyemi
- Clive O Callender Department of Surgery, Howard University College of Medicine, Washington, DC, United States
| | - Temitope Ogundare
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, United States
| | - Terhas Weldeslase
- Department of Surgery, Howard University College of Medicine, Washington, DC, United States
| | - Tsion Andine
- Department of Surgery, Howard University College of Medicine, Washington, DC, United States
| | - Mojisola Fasokun
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Eunice Odusanya
- Department of Surgery, Howard University College of Medicine, Washington, DC, United States
| | - Kakra Hughes
- Department of Surgery, Howard University College of Medicine, Washington, DC, United States
| | - Williams Mallory
- Department of Surgery, Howard University College of Medicine, Washington, DC, United States
| | - Guoyang Luo
- Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, DC, United States
| | - Edward Cornwell
- Department of Surgery, Howard University College of Medicine, Washington, DC, United States
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Ogundare T. Eternal nightfall - Poem. Br J Psychiatry 2023; 223:525. [PMID: 37910146 DOI: 10.1192/bjp.2023.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
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Akinyemi O, Ogundare T, Oladunjoye AF, Nasef KE, Lipscombe C, Akinbote JA, Bezold M. Factors associated with suicide/self-inflicted injuries among women aged 18-65 years in the United States: A 13-year retrospective analysis of the National Inpatient Sample database. PLoS One 2023; 18:e0287141. [PMID: 37788271 PMCID: PMC10547191 DOI: 10.1371/journal.pone.0287141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 05/30/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND Suicide is a significant cause of mortality in the United States, accounting for 14.5 deaths/100,000. Although there are data on gender disparity in suicide/self-inflicted injury rates in the United States, few studies have examined the factors associated with suicide/self-inflicted injury in females. OBJECTIVE To determine factors associated with suicide/self-inflicted injuries among women aged 18-65 years in the United States. METHODS Hospitalizations for suicide or self-inflicted injuries were identified using the National Inpatient Sample database from 2003-2015 using sample weights to generate national estimates. Independent predictors of suicide/self-inflicted injuries were identified using multivariable regression models. Interaction term analysis to identify the interaction between race/ethnicity and income were conducted. RESULTS There were 1,031,693 adult women hospitalizations in the U.S. with a primary diagnosis of suicide/self-inflicted injury in the study period. The highest suicide/self-inflicted injury risk was among women aged 31-45years (OR = 1.23, CI = 1.19-1.27, p < 0.05). Blacks in the highest income strata had a 20% increase in the odds of suicide/self-inflicted injury compared to Whites in the lowest socioeconomic strata (OR = 1.20, CI = 1.05-1.37, p <0.05). Intimate partner violence increased suicide/self-inflicted injury risk 6-fold (OR = 5.77, CI = 5.01-6.65, p < 0.05). CONCLUSION Suicide risk is among women aged 31-45 years, higher earning Black women, intimate partner violence victims, uninsured, and current smokers. Interventions and policies that reduce smoking, prevents intimate partner violence, addresses racial discrimination and bias, and provides universal health coverage are needed to prevent excess mortality from suicide deaths.
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Affiliation(s)
- Oluwasegun Akinyemi
- Clive O Callender Department of Surgery, Howard University, Washington, D.C., United States of America
| | - Temitope Ogundare
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States of America
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States of America
| | - Adeolu Funsho Oladunjoye
- Department of Obstetrics and Gynecology, Howard University, Washington, D.C., United States of America
| | - Kindha Elleissy Nasef
- Department of Obstetrics and Gynecology, Howard University, Washington, D.C., United States of America
| | - Christina Lipscombe
- Department of Obstetrics and Gynecology, Howard University, Washington, D.C., United States of America
| | - John Akinshola Akinbote
- Department of Obstetrics and Gynecology, Howard University, Washington, D.C., United States of America
| | - Maureen Bezold
- Department of Health Sciences and Social Work, Western Illinois University, Macomb, Illinois, United States of America
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Ghebrehiwet S, Ogundare T, Owusu M, Harris BL, Ojediran B, Touma M, Durham MP, Hook K, Borba CPC, Henderson DC. Building a postgraduate psychiatry training program in Liberia through cross-country collaborations: initiation stages, challenges, and opportunities. Front Public Health 2023; 11:1020723. [PMID: 37727607 PMCID: PMC10505824 DOI: 10.3389/fpubh.2023.1020723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 08/17/2023] [Indexed: 09/21/2023] Open
Abstract
Background About 80% of the nearly 2 billion people experiencing psychiatric conditions worldwide do not have access to quality, affordable mental health care. In Africa, there are 0.004 psychiatrists per 10,000 people, with the shortage exacerbated by a limited number of postgraduate psychiatry training opportunities. As of 2018, there were only two psychiatrists in Liberia. Methods This paper aims to offer a framework for developing postgraduate (i.e., residency) psychiatry training in resource-constrained settings to disseminate best practices and lessons learned. This article describes the approach to developing the formal global academic partnership that supported the initiation of Liberia's first postgraduate psychiatry training program in July 2019. Results Authors describe strengths, challenges, and opportunities for improvement in the planning and initiation stages of the postgraduate program. Key strengths of the program planning process include: (1) collaboration with a coalition of local and national stakeholders committed to improving mental health care in Liberia; (2) early procurement of quality video conferencing equipment and internet service to facilitate remote learning and broaden access to digital materials; and (3) leveraging of intra-continental partnerships for subspecialty training. Challenges experienced include: (1) navigating the intricacies of local political and administrative processes; (2) recruiting candidates to a medical specialty with historically lower salaries; and (3) the added burden placed on the limited number of local specialists. Identified opportunities include building a monitoring, evaluation, and learning (MEL) framework, further diversifying subspecialty areas of psychiatric and neurological training, and obtaining full accreditation of the postgraduate psychiatry program through the West African College of Physicians (WACP). Conclusion The successful launch of the postgraduate psychiatry training program in Liberia is attributed to several factors, including a long-standing academic collaboration of over 10 years and support for mental health capacity-building efforts at national and local levels.
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Affiliation(s)
- Senait Ghebrehiwet
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
| | - Temitope Ogundare
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
| | - Micaela Owusu
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
| | - Benjamin L. Harris
- A.M. Dogliotti College of Medicine, University of Liberia, Monrovia, Liberia
| | - Babawale Ojediran
- A.M. Dogliotti College of Medicine, University of Liberia, Monrovia, Liberia
| | - Mia Touma
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
| | - Michelle P. Durham
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
| | - Kimberly Hook
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
| | - Christina P. C. Borba
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
| | - David C. Henderson
- Department of Psychiatry, Boston Medical Center, Boston, MA, United States
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
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Muacevic A, Adler JR, Weldeslase TA, Akinyemi I, Akinwumi B, Oladunjoye AO, Ogundare T, Bezold M. Association Between Obesity and Self-Reported Depression Among Female University Students in the United States. Cureus 2022; 14:e31386. [PMID: 36514672 PMCID: PMC9741992 DOI: 10.7759/cureus.31386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2022] [Indexed: 11/13/2022] Open
Abstract
AIM To determine the relationship between obesity and depression among female undergraduate students at Western Illinois University (WIU), Macomb, Illinois. METHODS A cross-sectional study using self-reported questionnaires were conducted between August 15, 2019, and December 15, 2019. A cohort of 434 female undergraduate students was retrieved from the study. We determined the association between self-reported diagnosis of depression within the last year and body mass index (BMI) among female students. RESULTS The prevalence of depression among female undergraduates at WIU was 33.2%. Obese and overweight female undergraduate students had a higher likelihood of being diagnosed with depression than students with normal BMI (reference), overweight (OR= 1.91; 95% CI 1.11-3.31), obese (OR= 2.20; 95% CI 1.30-3.80). Latino and black students were less likely to report depression than white students, Latino (OR=0.37 95% CI 0.15-0.92), and Black (OR= 0.40; 95% CI 0.18-0.86). There was also a positive association between chronic back pain and development of the diagnosis of depression, (OR=2.26; 95% CI 1.45-3.52). CONCLUSION Depression among female undergraduate students is very common in the USA. Obese and overweight female students are more likely to be depressed than students with normal BMI. There is a need for urgent public health interventions to reduce the obesity rate among university students.
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Ogundare T, Onifade PO, Ogundapo 'D, Ghebrehiwet S, Borba CPC, Henderson DC. Relationship between quality of life and social integration among patients with schizophrenia attending a Nigerian tertiary hospital. Qual Life Res 2021; 30:1665-1674. [PMID: 33523402 DOI: 10.1007/s11136-021-02764-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND Despite decades of de-institutionalization and the best efforts of community mental health services, individuals with schizophrenia living outside the hospital may be described as in the community but not of the community, and remain in a very real sense socially excluded. AIM AND OBJECTIVES To determine the relationship between social integration and quality of life among patients with schizophrenia attending the outpatient clinic of the Neuropsychiatric Hospital Abeokuta in Nigeria. METHODS One hundred and fifty-one patients were recruited. Sociodemographic questionnaire, MINI-PLUS, WHOQOL-BREF, Social Integration Scale and PANSS were administered. Multivariable regression analyses were performed to identify the determinants of quality of life and the relationship with social integration. RESULTS The mean (± SD) age of the respondents was 40.00 (± 10.23), 56.3% were males, 37.1% were single. Independent predictors of lower quality of life were: (1) more severe psychopathology for the domains of general health (p = 0.003), social relationship (p = 0.019) and environment (p = 0.008); (2) longer duration of illness for the social relationship (p = 0.028) and environment (p = 0.015) domains; and (3) negative symptoms (p = 0.034) for the physical domain. CONCLUSION There is a need to pay closer attention to social outcome measures such as quality of life and level of social integration among patients with schizophrenia who come in contact with psychiatry services, and not just on symptom remission only.
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Affiliation(s)
- Temitope Ogundare
- Neuropsychiatric Hospital, PMB 2002, Aro, Abeokuta, Ogun State, Nigeria. .,School of Public Health, Boston University, Boston, MA, 02118, USA.
| | - Peter O Onifade
- Neuropsychiatric Hospital, PMB 2002, Aro, Abeokuta, Ogun State, Nigeria
| | - 'Deji Ogundapo
- Neuropsychiatric Hospital, PMB 2002, Aro, Abeokuta, Ogun State, Nigeria
| | | | - Christina P C Borba
- Boston University School of Medicine, Boston, MA, 02118, USA.,Department of Psychiatry, Boston Medical Center, Boston, MA, 02118, USA
| | - David C Henderson
- Boston University School of Medicine, Boston, MA, 02118, USA.,Department of Psychiatry, Boston Medical Center, Boston, MA, 02118, USA
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Ogundare T, Adebowale TO, Okonkwo OA. Quality of life among patients with epilepsy in Nigeria: predictors and barriers to routine clinical use of QOLIE-31. Qual Life Res 2020; 30:487-496. [PMID: 32959121 DOI: 10.1007/s11136-020-02643-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE To determine the factors predicting poorer quality of life (QOL) among patients with epilepsy attending an out-patient clinic in a Nigerian tertiary hospital, and reflect on the barriers to successful adoption of a structured QOL instrument into routine clinical practice. METHODS Two-hundred and seventy patients with a diagnosis of epilepsy attending the Neuropsychiatric Hospital, Abeokuta, Nigeria were recruited. Sociodemographic and clinical information were collected using a proforma. QOLIE-31 was administered to measure QOL. RESULTS The mean (SD) QOLIE-31 scores were 77.98 (13.32), with 15.2%, 74.1%, and 10.7% of the respondents classified as low, moderate, and high QOL, respectively. Factors associated with poorer QOL include seizure frequency, depression, and family history of epilepsy. CONCLUSION Quality of life is an important outcome measure for people with epilepsy and it focuses on the individual's subjective assessment of their well-being. Although useful for clinical management of patients with epilepsy, the uniqueness of the practice settings and the limitations of clinical practice in a developing country pose challenges to successful adoption of structured QOL instrument into routine clinical practice.
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Affiliation(s)
- Temitope Ogundare
- Neuropsychiatric Hospital Aro, Abeokuta, Ogun State, Nigeria. .,Boston University School of Public Health, Boston, MA, 02118, USA.
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Ogundare T, Adebowale TO, Borba CPC, Henderson DC. Correlates of depression and quality of life among patients with epilepsy in Nigeria. Epilepsy Res 2020; 164:106344. [PMID: 32361406 DOI: 10.1016/j.eplepsyres.2020.106344] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 04/14/2020] [Accepted: 04/17/2020] [Indexed: 12/28/2022]
Abstract
OBJECTIVES To determine the prevalence of Major Depressive Disorders (MDD) and its relationship to Quality of life. DESIGN A cross-sectional observational study. SETTING Out-Patient Clinic of the Neuropsychiatric Hospital, Abeokuta, Nigeria. SUBJECTS Patients with diagnosis of Epilepsy with Electroencephalogram (EEG) confirmation. OUTCOME MEASURES Depression and Quality of life. RESULTS The prevalence of current MDD was 11.9 %, and patients having at least 1 seizure per week were 5 times more likely to develop MDD (OR = 5.104, p = 0.014). The mean (SD) QOLIE-31 scores was 77.98 (13.32), with presence of MDD (β = -11.101, p = 0.0001); having at least 1 seizure/week (β = -6.653, p = 0.037) being independent predictors. CONCLUSION Depression is a common comorbidity in patients with epilepsy and is associated with a lower quality of life.
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Affiliation(s)
- Temitope Ogundare
- Neuropsychiatric Hospital Aro, PMB 2002, Abeokuta, Ogun State, Nigeria; Boston University School of Public Health, Boston, MA, 02118, USA.
| | | | - Christina P C Borba
- Boston University School of Medicine, Boston, MA 02118, USA; Department of Psychiatry, Boston Medical Center, Boston, MA 02118, USA
| | - David C Henderson
- Boston University School of Medicine, Boston, MA 02118, USA; Department of Psychiatry, Boston Medical Center, Boston, MA 02118, USA
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