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Idowu OM, Adaramola OG, Aderounmu BS, Olugbamigbe ID, Dada OE, Osifeso AC, Ogunnubi OP, Odukoya OO. A gender comparison of psychological distress among medical students in Nigeria during the Coronavirus pandemic: a cross-sectional survey. Afr Health Sci 2022; 22:541-550. [PMID: 36032445 PMCID: PMC9382491 DOI: 10.4314/ahs.v22i1.63] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background The Coronavirus disease (COVID-19) pandemic as a large scale stressor could have negative effects on the mental health of medical students. Since gender differences in mental health may exist, it is important to see if a large scale stressor like the pandemic may be associated with variances in the psychological distress between both genders. Objectives To assess and compare the psychological distress of male and female medical students during the COVID-19 pandemic. Methods A cross-sectional survey was carried out among 1010 medical students from three universities in southwestern Nigeria within the first six months of the first reported case of the COVID-19 pandemic. The respondents were purposively selected. Data was obtained online on participants' demographic and psychological distress using the General Health Questionnaire 12 (GHQ-12). Data was analyzed using the SPSS version 21, student t and chi-square tests were used to assess gender differences, and multivariate regression to assess the predictors of psychological distress among both genders. p values less than 0.05were considered statistically significant. Results Overall, female participants (OR=1.455, 95% CI= 1.095–1.936) were twice more likely to have experienced psychological distress than males during the COVID-19 pandemic. Age (OR=0.922, 95% CI= 0.867–0.979), being in pre-clinical years (OR= 1.394, 95% CI= 1.004–1.938), having a family income less than 100,000 naira (OR= 1.379, 95% CI=1.442–6.723) a previous history of mental illness (OR=3.077, 95% CI= 1.430–6.615) and having a relative/acquaintance diagnosed with COVID 19(OR=1.646, 95% CI= 1.062–2.551) were independently associated with psychological distress among the respondents. When comparing both genders, among females, age (OR=0.886, 95% CI= 0.803–0.978), family income less than 100,000 naira (OR=1.898, 95% CI= 1.306–2.759) and a previous history of mental illness (OR=5.266, 95% CI= 1.894–14.635) were associated with psychological distress, while, being in pre-clinical years (OR= 1.713, 95% CI= 1.052–2.790) was associated with psychological distress among males. Conclusion Females had more psychological distress compared to male students. It is recommended that gender-specific interventions addressing psychological distress among medical students are instituted.
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Karaliuniene R, Nagendrappa S, Jatchavala C, Ojeahere MI, Ullah I, Bytyçi DG, Ogunnubi OP, Cherro M, Shalbafan M, Noël C, Gonzalez-Diaz JM, Vadivel R, Pereira-Sanchez V, Abu Slaih M, Shoib S, de Filippis R. Support the frontliners – good initiatives during the COVID-19 pandemic for healthcare workers across the world: is this what we really need? BJPsych Int 2022. [DOI: 10.1192/bji.2022.6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Healthcare workers have faced an unprecedented workload in overstretched health facilities during the COVID-19 pandemic, and we describe various initiatives to support them. Psychological, financial and peer support, accommodation and meal services, proper personal protective equipment, applause and gratitude in the community, spiritual and religious life, child care and volunteering were identified. The potential effects of the COVID-19 pandemic – permanent stress, burnout and other mental health problems among healthcare professionals – can be expected to grow. Continued monitoring is essential to bolster resilience among healthcare workers and prevent the possible consequences for their mental health.
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Pederson AB, Konadu Fokuo J, Thornicroft G, Bamgbose O, Ogunnubi OP, Ogunsola K, Oshodi YO. Perspectives of university health care students on mental health stigma in Nigeria: Qualitative analysis. Transcult Psychiatry 2022; 60:272-285. [PMID: 34986039 DOI: 10.1177/13634615211055007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Mental illness is a significant public health burden in low- and middle-income countries. A wide treatment gap in mental health care exists within the Nigerian health care system and this gap is worsened by the presence of stigma associated with mental illness, which leads to delay in treatment or acts as a barrier to any care. In this study, our aim was to understand the factors that underlie mental illness stigma in order to inform the design of effective stigma-reducing interventions among health care students in Nigeria. We conducted four focus groups among university health care students in March 2019 in Nigeria. The students included nursing, pharmacy, and medical trainees from a university teaching hospital. We used an inductive-driven thematic analysis to identify codes and themes related to mental health stigma and conceptualization of mental health within the study group. Among the 40 participants, we identified how specific interpretations of religious and spiritual beliefs may be associated with stigmatizing behaviors such as social distancing and discrimination. Conceptualization of mental illness as a communicable disease and the attribution of mental illness to a moral failing contributed to stigma mechanisms. Overall, eight themes associated with mental health stigma and mental health-related concepts were found: spirituality, discrimination and devaluation, conceptualization of mental health, attribution theories, methods to reduce stigma, shortage of resources, violence and dangerousness, and maltreatment. We found that the co-existence of spiritual beliefs and biomedical and psychological models of mental health is a key factor to consider in the design of effective stigma-reducing interventions among university health students in Nigeria.
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Affiliation(s)
- Aderonke Bamgbose Pederson
- Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - J Konadu Fokuo
- Department of Psychiatry, University of Illinois at Chicago, Chicago, Illinois
| | - Graham Thornicroft
- Centre for Global Mental Health and Centre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
| | - Olamojiba Bamgbose
- Department of Counselor Education, College of Education and Professional Studies, University of Wisconsin Whitewater, Wisconsin
| | | | - Kafayah Ogunsola
- Department of Psychiatry, College of Medicine University of Lagos, Lagos, Nigeria
| | - Yewande O Oshodi
- Department of Psychiatry, College of Medicine University of Lagos, Lagos, Nigeria
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El Halabi S, Abbas Z, Adesokun F, Adiukwu F, Ashrafi A, de Filippis R, Handuleh J, Jaguga F, Karaliuniene R, Kilic O, Nagendrappa S, Ojeahere M, Ogunnubi OP, Őri D, Orsolini L, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Shoib S, Ullah I, Vadivel R, Vahdani B, Ramalho R. How to overcome barriers to publication in low- and middle-income countries: Recommendations from early career psychiatrists and researchers from around the world. Asia Pac Psychiatry 2021; 13:e12495. [PMID: 34873850 DOI: 10.1111/appy.12495] [Citation(s) in RCA: 3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 09/29/2021] [Indexed: 12/01/2022]
Abstract
There is an increasing movement toward international collaboration and global discussion in mental health. If provided with the right opportunities, early career psychiatrists (ECPs) and researchers in mental health can contribute meaningfully to this discussion. However, they often experience multiple barriers when attempting to add their voices via academic publications. We represent a diverse group of ECPs and researchers from all six World Health Organization regions. In this piece, we discuss these barriers, grounded in our first-hand experiences, and put forth a series of recommendations. The most potentially beneficial and immediate way forward is ensuring a much-needed mentorship and support, particularly for low- and middle-income countries. In this regard, international organizations, especially those with a particular focus on education, such as the Section on Education in Psychiatry of the World Psychiatric Association, can play a pivotal role.
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Affiliation(s)
- Sarah El Halabi
- Department of Psychiatry, Westchester Medical Center, Valhalla, New York, USA
| | - Zargham Abbas
- Department of Psychiatry, University of Missouri-Kansas City, Kansas City, Missouri, USA
| | - Fisayo Adesokun
- Department of NeuroPsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Frances Adiukwu
- Department of Mental Health, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria.,Child and Adolescent Unit, Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria
| | - Agaah Ashrafi
- Department of Psychiatry, Tehran, University of Medical Sciences, Tehran, Iran
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Jibril Handuleh
- Department of Psychiatry, Amoud University, Borama, Somaliland
| | - Florence Jaguga
- Department of Mental Health, Moi Teaching & Referral Hospital, Eldoret, Kenya
| | - Ruta Karaliuniene
- Elblandklinikum Radebeul, Academic Hospital Technical University Dresden, Dresden, Germany
| | - Ozge Kilic
- Department of Psychiatry, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey
| | - Sachin Nagendrappa
- Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India
| | - Margaret Ojeahere
- Department of Psychiatry, Jos University Teaching Hospital, Jos, Plateau State, Nigeria
| | | | - Dorottya Őri
- Department of Mental Health, Heim Pal National Pediatric Institute, Budapest, Hungary
| | - Laura Orsolini
- Unit of Clinical Psychiatry, School of Medicine and Surgery, Department of Neurosciences/DIMSC, Polytechnic University of Marche, Ancona, Italy
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, New York, USA.,Department of Psychiatry, NYSPI-Columbia University, New York, New York, USA.,Department of Psychiatry, School of Medicine and Surgery and School of Postgraduate Studies and Research, Amoud University, Borama, Somaliland
| | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Srinagar, Kashmir, India
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Ramya Vadivel
- Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand
| | - Bita Vahdani
- Department of Psychiatry, University of Tehran, Tehran, Iran
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, The University of Auckland, Auckland, New Zealand
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Ullah I, Jaguga F, Ransing R, Pereira-Sanchez V, Orsolini L, Ori D, de Filippis R, Pakpour AH, Adiukwu F, Kilic O, Hayatudeen N, Shoib S, Ojeahere MI, Nagendrappa S, Handuleh JIM, Dashi E, Musami UB, Vahdani B, Ashrafi A, Jatchavala C, Abbass Z, El Halabi S, Ogunnubi OP, Pinto da Costa M, Ramalho R. Fear During COVID-19 pandemic: Fear of COVID-19 Scale Measurement Properties. Int J Ment Health Addict 2021; 20:2493-2502. [PMID: 34512215 PMCID: PMC8415186 DOI: 10.1007/s11469-021-00528-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/13/2021] [Indexed: 11/27/2022] Open
Affiliation(s)
- Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | | | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra 415606 India
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, USA
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, School of Medicine, Polytechnic University of Marche, 60126 Ancona, Italy
| | - Dorottya Ori
- Department of Mental Health, Heim Pal National Pediatric Institute, Budapest, Hungary
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy
| | - Amir H Pakpour
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Shahid Bahounar BLV, Qazvin, 3419759811 Iran.,Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Frances Adiukwu
- Department of Mental Health, University of Port Harcourt, Port Harcourt, Rivers state Nigeria
| | - Ozge Kilic
- Department of Psychiatry, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey
| | | | - Sheikh Shoib
- Independent Public Health and Clinical Researcher, Mind Wellness Center, Nawab bazar, Srinagar, Kashmir India
| | | | | | | | - Elona Dashi
- Department of Neuroscience, University Hospital Center "Mother Theresa", Tirana, Albania
| | - Umar Baba Musami
- University of Maiduguri /Federal Neuropsychiatric Hospital Maiduguri, Maiduguri, Nigeria
| | - Bita Vahdani
- Clinical Research Development Unit, 22 Bahman Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Agaah Ashrafi
- Psychiatry Department, Tehran University of Medical Sciences, Roozbeh Hospital, Tehran, Iran
| | - Chonnakarn Jatchavala
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | | | - Sarah El Halabi
- Psychiatry Department, Westchester Medical Center, Valhalla, New York, USA
| | | | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,South London and Maudsley NHS Foundation Trust, London, UK
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
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Ojeahere MI, de Filippis R, Ransing R, Karaliuniene R, Ullah I, Bytyçi DG, Abbass Z, Kilic O, Nahidi M, Hayatudeen N, Nagendrappa S, Shoib S, Jatchavala C, Larnaout A, Maiti T, Ogunnubi OP, El Hayek S, Bizri M, Schuh Teixeira AL, Pereira-Sanchez V, Pinto da Costa M. Management of psychiatric conditions and delirium during the COVID-19 pandemic across continents: lessons learned and recommendations. Brain Behav Immun Health 2020; 9:100147. [PMID: 32984854 PMCID: PMC7501517 DOI: 10.1016/j.bbih.2020.100147] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 09/13/2020] [Accepted: 09/14/2020] [Indexed: 02/02/2023] Open
Abstract
Background With the uncertainties of COVID-19, people infected with coronavirus present with diverse psychiatric presentations. Some institutions have had to manage their patients with existing protocols, others have had to create them. In this article we aimed to report the challenges and good practices in the management of psychiatric conditions and delirium coexisting with COVID-19 across continents. Methods Early Career Psychiatrists (ECPs) from across five continents were approached to share their experiences on the management of psychiatric conditions in patients with COVID-19 during the current pandemic. Results We collected information about the experiences from sixteen countries. Commonalities were similar psychiatric presentations and poor preparedness across countries. Differences were varying adjustments made in the management of psychiatric conditions coexisting with COVID-19 and different innovations. Good practices which can be adopted by other countries are novel approaches such as telepsychiatry, proactive consultation-liaison units and enhanced community services targeted at circumventing challenges faced when providing mental health services. Conclusions These findings highlight the need for global preparedness in the mental health sector during outbreaks of infectious diseases, and the need for concerted efforts targeted at global and locally sensitive adaptation of existing protocols and the development of new guidelines for the management of psychiatric conditions for the present pandemic and subsequent occurrences. ECPs provided their perspective on the management of psychiatric conditions in patients with COVID-19. We found commonalities and differences in the management of psychiatric conditions coexisting with COVID-19. There are shared similarities and differences, likewise modifications in pre-existing protocols for management of delirium. A common factor is the need to adapt guidelines and protocols for the management of psychiatric conditions.
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Affiliation(s)
- Margaret Isioma Ojeahere
- Department of Psychiatry, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.,Noetic Minders Health Services, Jos, Plateau State, Nigeria
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, 88100, Italy
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, 415606, Maharashtra, India
| | - Ruta Karaliuniene
- Carl Gustav Carus University Hospital, Technical University Dresden, Germany
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan.,Undergraduate Research Organization, Dhaka, Bangladesh.,Naseer Teaching Hospital, Peshawar, Pakistan
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Mental Health Center Prizren, Republic of Kosovo
| | | | - Ozge Kilic
- Department of Psychiatry, Koç University Hospital, Turkey
| | - Mahsa Nahidi
- Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nafisatu Hayatudeen
- Medical Services Unit, Federal Neuropsychiatric Hospital, Opposite Shagari Lowcost, Barnawa, Kaduna, Nigeria
| | - Sachin Nagendrappa
- National Institute of Mental Health and Neurosciences, Bengaluru-29, India
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital (JLNMH), Srinagar, Jammu and Kashmir, India
| | - Chonnakarn Jatchavala
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Thailand
| | - Amine Larnaout
- Department of Psychiatry D, Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - Tanay Maiti
- All India Institute of Medical Science, Bhubaneswar, India
| | | | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Andre Luiz Schuh Teixeira
- Department of Psychiatry and Legal Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhães Lemos, Porto, Portugal
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Olagunju AT, Oluwaniyi SO, Fadipe B, Ogunnubi OP, Oni OD, Aina OF, Chaimowitz GA. Mental health services in Nigerian prisons: Lessons from a four-year review and the literature. Int J Law Psychiatry 2018; 58:79-86. [PMID: 29853016 DOI: 10.1016/j.ijlp.2018.03.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Revised: 02/24/2018] [Accepted: 03/15/2018] [Indexed: 06/08/2023]
Abstract
Forensic and correctional mental health services may constitute an important "safety net" for the mentally ill and can ensure a degree of public protection. The increasing prison populations and shift towards humane care of the mentally ill that encompasses promotion of human rights, community re-integration, utilitarian safety and operation of internationally comparable mental health legislations underscore the need to appraise correctional psychiatry services, especially in resource-restricted settings. We present findings from a review of the literature and from mental health services provided to 179 inmates in two Nigerian urban prisons. The mental health services spanned four years and allowed a focus on important issues deserving urgent attention. The mean age of participants was 33.10 years (SD = 9.91) and majority (86.6%) were males. The common clinical diagnoses among participants were schizophrenia (49.3%) and mood disorders (29.6%), while approximately half (46.5%) used psychoactive substances. About one-fifth was evaluated as having high risk for violence-dangerousness based solely on clinical evaluation. The majority (88.4%) presented with a first episode of mental illness, and 14% had a prior correctional history. Gender, marital status and hallucinatory experiences were associated with a high risk of dangerousness (p < 0.05), while gender, use of psychoactive substances, previous history of mental disorders and depot medication indexed participants more likely to have a previous forensic history (p < 0.05). Considering the current findings, we advocate for inclusion of validated tools in risk assessments, multipronged intervention strategy to address the unmet needs of prisoners and improved attention to forensic and correctional mental health in relevant policy-law, service-planning, research and training.
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Affiliation(s)
- Andrew Toyin Olagunju
- Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003 Lagos, Nigeria; Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003 Lagos, Nigeria; Discipline of Psychiatry, The University of Adelaide, Adelaide Health and Medical Sciences Building, 57 North Terrace, Adelaide, SA 5000, Australia.
| | | | - Babatunde Fadipe
- Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003 Lagos, Nigeria
| | - Oluseun Peter Ogunnubi
- Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003 Lagos, Nigeria
| | - Osunwale Dahunsi Oni
- Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003 Lagos, Nigeria
| | - Olatunji Francis Aina
- Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003 Lagos, Nigeria; Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003 Lagos, Nigeria
| | - Gary Andrew Chaimowitz
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
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Olagunju AT, Olutoki MO, Ogunnubi OP, Adeyemi JD. Late-life depression: Burden, severity and relationship with social support dimensions in a West African community. Arch Gerontol Geriatr 2015; 61:240-6. [PMID: 26003904 DOI: 10.1016/j.archger.2015.05.002] [Citation(s) in RCA: 9] [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: 12/08/2013] [Revised: 05/04/2015] [Accepted: 05/05/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES The occurrence of depression in old age is often linked with grave consequences. The purpose of this study is to investigate the burden of depression and its relationship with perceived social support among the elderly in a West African community setting. METHODS In this cross-sectional study, participants made up of 350 elders aged 60 years and above were selected through multi-stage random sampling technique. All participants were interviewed with designed questionnaire, multidimensional scale of perceived social support (MSPSS) and Geriatric Depression Scale (GDS) to elicit socio-demographic profile, social support and depressive psychopathology respectively. RESULTS The participants were largely females (52.9%) and their mean age was 68.8±7.3 years. A little above one-quarter (26.4%) had depressive episode, and mild severity was preponderant. Low level of social support was associated with depression (χ(2)=8.418, p=0.004); especially low social supports from significant others (χ(2)=3.989, p=0.046) and family members (χ(2)=4.434, p=0.035). Similarly, severity of depression in the elderly correlated negatively with availability of social support from significant others (χ(2)=5.495, p=0.019) and family members (χ(2)=5.149, p=0.023). CONCLUSION Considering the burden of depression in this elderly population and the influential roles of social support especially from family and significant others on depression; strengthening of informal social support and formal social support for the elders is advocated. In addition, design of community based geriatric mental health with social services and articulation of public policy to address old age needs are implied.
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Affiliation(s)
- Andrew Toyin Olagunju
- Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria; Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003, Lagos, Nigeria.
| | - Michael Olasunkanmi Olutoki
- Federal Neuropsychiatric Hospital, Yaba, PMB 2008, Lagos, Nigeria; Federal Neuropsychiatric Hospital, Calabar, PMB 1052, Calabar, Cross River State, Nigeria
| | | | - Joseph Dada Adeyemi
- Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria; Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003, Lagos, Nigeria
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