Psychological characteristics as correlates of emotional burden in incarcerated offenders in Nigeria

No Abstract.The East African Medical Journal Vol. 83 (10) 2006: pp. 545-55

Elemental composition of blood and hair of mentally–ill patients using ICPOES techniques

Elemental concentrations of blood and hair of 40 mentally-ill patients and 40 controls (healthy subjects) were determined by Inductively Coupled Plasma Optical Emission Spectrophotometer (ICP-OES) in order to find out the metal burden of the patients with their level of significance and possible relationship of such elements with mental illness. Generally, higher concentrations of trace elements were obtained in the hair than in the blood. A concentration range of 90 - 400 ìg/g was obtained for Mg, K and Fe in hair of patients and controls, 80-7400 ìg/g was obtained in their blood; other elements range 0.001-30 ìg/g in both blood and hair of patients and controls. Comparative study of statistical significance of median values between different groups was determined by applying a non parametric test (Mann-Whitney) showed that concentrations of Ba, Be, Cr, Li, Mg, Fe and K were significantly higher in patients’ blood, while Al, Ba, Be, Na, Cd, Cr, Li, K, Mn,Mg and Sr were significantly higher in patient’s hair. Concentrations of most elements are higher in the hair and blood of the mentally ill patients than in the healthy controls. Deficiency of Cu and Zn might be causally related to the illness

Pattern of depression among patients in a Nigerian family practice population

Background: This study determines the pattern of depression among patients attending the Family Practice Clinic at Wesley Guild Hospital, Ilesa, Nigeria. Socio-demographic and clinical correlates associated with depression were identified. Methods: Two hundred and fifty (250) newly registered patients who attended the clinic between June and September 2005 were selected by the systematic random sampling method and studied. Relevant data were collected using a pre-tested interviewer- administered questionnaire that incorporated Zung\'s Depression Scale. Results: The age of the study subjects ranged from 16 to 84 years, with a mean age of 49.66 + 14.95 years. One hundred and forty-nine of the 250 subjects (59.6%) were found to have one form of depression or the other. Of these, one hundred and seven (42.8%) had mild depression, forty (16.0%) had moderate depression and only two (0.8%) had severe depression. Depression was found to be commoner in the age groups from 45 years and above, and there was a significant association between age and depression. There were 74 males and 176 females in the sample population, showing a male to female ratio of 1:2.4. Out of 149 depressed subjects, one hundred and four females (69.8%) had depression, while depression was present in 45 males (30.2%). Forty-seven (87.0%) of 54 subjects with no formal education had depression, while depression was found in 102 (52.0%) of the 196 educated subjects. Low educational status was significantly associated with depression in this study. Only two (0.8%) of the 250 subjects gave a positive family history of psychiatric illness, and these two subjects had mild to moderate depression. The proportion of depressed subjects who lived below the poverty level was significantly greater than that of non-depressed subjects. Substance use was also significantly more common among depressed subjects than the non-depressed group. Conclusion: The proportion of patients with depressive symptoms in family practice clinics is high, and it is highly correlated with socio-demographic factors and low socioeconomic status. Family physicians are hereby enjoined to pay greater attention to patients with these factors, as they are at increased risk of depression. In order to reduce the high proportion of depressive symptoms and its adverse impacts on patients seen in family practice clinics and in the community as a whole, there is a need for effective implementation of poverty-alleviation programmes and universal basic education. South African Family Practice Vol. 50 (2) 2008: pp. 63-63

Effect of metal poisoning and the implications of gender and age on the elemental composition in patients with mental behavioural disorders

The objective of this work was to investigate the possible correlation between the exposure to selected toxic metals and the behavioural disorder of mentally ill patients. The study also sought to establish if gender and age of the patient had an effect on the pattern of the elemental distribution in their head hair and blood samples. To achieve this, the concentrations of a number of selected toxic metal elements were determined in 60 mentally ill patients and 43 healthy individuals (control) in Ile-Ife area, in Nigeria, using inductively coupled plasma spectrophotometer-optical emission spectrometer (ICP-OES). The behavioural disorder cases investigated were 8 bipolar, 2 post partum psychosis, 43 schizophrenia and 7 non-specific cases. The concentration ranges of Cu, Zn, Ca, Li, V, Be (for both males and females), Cd and Sr (for females only) as analyzed from the patients’ head hair with behavioural disorders, were found to be similar with those of the controls. However, the concentration ranges of Al, Ba, Mg, Cr and Cd, Sr (for males only) were higher in patients than in the controls, while those for K and Fe were found to be higher in the controls than in the patients for both males and females. Blood samples analysis showed that, nearly all the elements were higher in the female (patients and control) than in the males; a possible indication that women may be at greater risk than men. It was also shown that, age may have an influence on the accumulation of some specific elements. The accuracy of the analytical results was experimentally demonstrated by NCS DC 73347 certified reference material that was analyzed along the standards while the significance of the data obtained was tested statistically at both p = 0.01 and 0.05.Key words: Toxic metals, behavioural disorder, gender, age, inductively coupled plasma-optical emission spectrometer

Self-reported drunkenness among adolescents in four sub-Saharan African countries: associations with adverse childhood experiences

<p>Abstract</p> <p>Background</p> <p>Consumption of alcohol is associated with acute and chronic adverse health outcomes. There is a paucity of studies that explore the determinants of alcohol use among adolescents in sub-Saharan Africa and, in particular, that examine the effects of adverse childhood experiences on alcohol use.</p> <p>Methods</p> <p>The paper draws on nationally-representative data from 9,819 adolescents aged 12-19 years from Burkina Faso, Ghana, Malawi, and Uganda. Logistic regression models were employed to identify correlates of self-reported past-year drunkenness. Exposure to four adverse childhood experiences comprised the primary independent variables: living in a food-insecure household, living with a problem drinker, having been physically abused, and having been coerced into having sex. We controlled for age, religiosity, current schooling status, the household head's sex, living arrangements, place of residence, marital status, and country of survey. All analyses were conducted separately for males and females.</p> <p>Results</p> <p>At the bivariate level, all independent variables (except for coerced sex among males) were associated with the outcome variable. Overall, 9% of adolescents reported that they had been drunk in the 12 months preceding the survey. In general, respondents who had experienced an adverse event during childhood were more likely to report drunkenness. In the multivariate analysis, only two adverse childhood events emerged as significant predictors of self-reported past-year drunkenness among males: living in a household with a problem drinker before age 10, and being physically abused before age 10. For females, exposure to family-alcoholism, experience of physical abuse, and coerced sex increased the likelihood of reporting drunkenness in the last 12 months. The association between adverse events and reported drunkenness was more pronounced for females. For both males and females there was a graded relationship between the number of adverse events experienced and the proportion reporting drunkenness.</p> <p>Conclusions</p> <p>We find an association between experience of adverse childhood events and drunkenness among adolescents in four sub-Saharan African countries. The complex impacts of adverse childhood experiences on young people's development and behavior may have an important bearing on the effectiveness of interventions geared at reducing alcohol dependence among the youth.</p

Between life and death: exploring the sociocultural context of antenatal mental distress in rural Ethiopia

The high prevalence of antenatal common mental disorders in sub-Saharan Africa compared to high-income countries is poorly understood. This qualitative study explored the sociocultural context of antenatal mental distress in a rural Ethiopian community. Five focus group discussions and 25 in-depth interviews were conducted with purposively sampled community stakeholders. Inductive analysis was used to develop final themes. Worry about forthcoming delivery and fears for the woman’s survival were prominent concerns of all participants, but only rarely perceived to be pathological in intensity. Sociocultural practices such as continuing physical labour, dietary restriction, prayer and rituals to protect against supernatural attack were geared towards safe delivery and managing vulnerability. Despite strong cultural norms to celebrate pregnancy, participants emphasised that many pregnancies were unwanted and an additional burden on top of pre-existing economic and marital difficulties. Short birth interval and pregnancy out of wedlock were both seen as shameful and potent sources of mental distress. The notion that pregnancy in traditional societies is uniformly a time of joy and happiness is misplaced. Although antenatal mental distress may be self-limiting for many women, in those with enduring life difficulties, including poverty and abusive relationships, poor maternal mental health may persist

Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh

<p>Abstract</p> <p>Background</p> <p>Few studies have examined the associated factors of antepartum depressive and anxiety symptoms (ADS and AAS) in low-income countries, yet the World Health Organization identifies depressive disorders as the second leading cause of global disease burden by 2020. There is a paucity of research on mental disorders and their predictors among pregnant women in Bangladesh. This study aims to estimate the prevalence of depressive and anxiety symptoms and explore the associated factors in a cross-section of rural Bangladeshi pregnant women.</p> <p>Methods</p> <p>The study used cross-sectional data originating from a rural community-based prospective cohort study of 720 randomly selected women in their third trimester of pregnancy from a district of Bangladesh. The validated Bangla version of the Edinburgh Postnatal Depression Scale was used to measure ADS, and a trait anxiety inventory to assess general anxiety symptoms. Background information was collected using a structured questionnaire at the respondents' homes.</p> <p>Results</p> <p>Prevalence of ADS was 18% and AAS 29%. Women's literacy (OR 0.59, 95% CI 0.37-0.95), poor partner relationship (OR 2.23, 95% CI 3.37-3.62), forced sex (OR 1.95, 95% CI 1.01-3.75), physical violence by spouse (OR 1.69, 95% CI 1.02-2.80), and previous depression (OR 4.62 95% CI 2.72-7.85) were found to be associated with ADS. The associated factors of AAS were illiteracy, poor household economy, lack of practical support, physical partner violence, violence during pregnancy, and interaction between poor household economy and poor partner relationship.</p> <p>Conclusion</p> <p>Depressive and anxiety symptoms are found to occur commonly during pregnancy in Bangladesh, drawing attention to a need to screen for depression and anxiety during antenatal care. Policies aimed at encouraging practical support during pregnancy, reducing gender-based violence, supporting women with poor partner relationships, and identifying previous depression may ameliorate the potentially harmful consequences of antepartum depression and anxiety for the women and their family, particularly children.</p

Emotional Burden Of Infertility: A Controlled Study Of Women Managed At A Nigerian Teaching Hospital

The purpose of this study was to determine the relationship between socio-cultural factors and infertility-related stress among a sample of Nigerian women. The subscales of the Hospital Anxiety and Depression Scale and a schedule detailing socio-demographic and infertility-related variables were administered on women with infertility and a matched control group. The rates of significant anxiety symptoms (39.4%) and depressive symptoms (40.4%) among the women with infertility were higher than the corresponding rates of 11.1% and 10.1% in the control group. Their mean anxiety and depression scores were also higher (