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Prevalence and Predictors of Postpartum Depression: Northwest Ethiopia. 埃塞俄比亚西北部产后抑郁症的患病率和预测因素。
Psychiatry Journal Pub Date : 2020-01-21 eCollection Date: 2020-01-01 DOI: 10.1155/2020/9565678
Mengstu Melkamu Asaye, Haymanot Alem Muche, Eyerusalem Desta Zelalem
{"title":"Prevalence and Predictors of Postpartum Depression: Northwest Ethiopia.","authors":"Mengstu Melkamu Asaye,&nbsp;Haymanot Alem Muche,&nbsp;Eyerusalem Desta Zelalem","doi":"10.1155/2020/9565678","DOIUrl":"https://doi.org/10.1155/2020/9565678","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression is an umbrella, which encompasses several mood disorders that follow childbirth within 6 weeks. Screening for postpartum depression would improve the ability to recognize these disorders and enhance care that ensures improved clinical outcomes. Early identification of postpartum depression is important in order to plan for implementation strategies that allow for timely treatment and support of women with postpartum depression.</p><p><strong>Objective: </strong>To determine the prevalence and associated factors of postpartum depression among women who gave birth in the last six weeks in Gondar town, Northwest Ethiopia, 2018.</p><p><strong>Methods: </strong>A community based cross-sectional study was conducted among 526 women who gave birth in the last 6 weeks from July 1 to 30, 2018 in Gondar town. Cluster sampling technique was used. Data were collected by semi-structured and pretested questionnaire and entered into epi-Info version 7.0 and then analyzed by SPSS version 20.0. Both bivariate and multivariable logistic regression model were fitted. Adjusted odds ratio with 95% confidence interval has been computed and variables with <i>p</i>-value <0.05 were considered statistically significant.</p><p><strong>Results: </strong>The prevalence of postpartum depression among 526 postnatal women was 25% (95% CI: 21, 28). Abortion history (AOR = 1.79, 95% CI: 1.07, 2.97), birth weight <2.5 kg (AOR = 3.12, 95% CI: 1.78, 5.48), gestational age below 36 weeks (AOR = 2.18, 95% CI: 1.22, 3.88) unplanned pregnancy (AOR = 2.02, 95% CI: 1.24, 3.31), relatives' mental illness (AOR = 1.20: 1.09-3.05), had no antenatal visit (AOR = 4.05, 95% CI: 1.81, 9.05), had no postnatal visit (AOR = 1.82, 95% CI: 1.11, 3.00) were factors significantly associated with postpartum depression. <i>Conclusion and Recommendations.</i> The prevalence of PPD was found to be higher. Variables like abortion history, low birth weight, gestational age below 36 weeks, unplanned pregnancy, relatives' mental illness, had no antenatal visit, and had no postnatal visit were predisposing factors to postpartum depression. Preventive measures to avoid low birth weight and pregnancy complications are also identified as proactive ways to reduce postpartum depression. Early identification and treatment of depression during ANC and postpartum care can mitigate the impact of PPD on the mother-baby dyad. Emphasis must be given women to have ANC and PNC follow up.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9565678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37940151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 24
Prevalence of Common Mental Disorder and Its Association with Khat Chewing among Ethiopian College Students: A Systematic Review and Meta-Analysis. 埃塞俄比亚大学生中常见精神障碍的患病率及其与咀嚼阿拉伯茶的关系:一项系统综述和荟萃分析。
Psychiatry Journal Pub Date : 2020-01-06 eCollection Date: 2020-01-01 DOI: 10.1155/2020/1462141
Birhanie Mekuriaw, Abriham Zegeye, Alemayehu Molla, Robel Hussen, Solomon Yimer, Zelalem Belayneh
{"title":"Prevalence of Common Mental Disorder and Its Association with Khat Chewing among Ethiopian College Students: A Systematic Review and Meta-Analysis.","authors":"Birhanie Mekuriaw,&nbsp;Abriham Zegeye,&nbsp;Alemayehu Molla,&nbsp;Robel Hussen,&nbsp;Solomon Yimer,&nbsp;Zelalem Belayneh","doi":"10.1155/2020/1462141","DOIUrl":"https://doi.org/10.1155/2020/1462141","url":null,"abstract":"<p><strong>Background: </strong>Mental disorder is a global burden that affects all groups of people. Young people, particularly college/university students, are more vulnerable to common mental disorders than the general population. Thus, students may use khat to gain immediate relief from their psychological distress which may worsen again after longer time of chewing. In Ethiopia, there are studies showing discrepant and inconsistent results of common mental disorder among college/university students. Therefore, this review sought to determine the prevalence of common mental disorder and its association with khat chewing among Ethiopian college/university students.</p><p><strong>Methods: </strong>Different kinds of literature were searched from the databases of Google Scholar, PubMed/Medline, ScienceDirect, and PsycINFO. A total of 10 primary studies which report the prevalence of common mental disorder among Ethiopian college/university students were included in the review. The data were extracted using a standardized data extraction format prepared in Microsoft Excel. STATA version 14 statistical software was used for analysis. Cochran's <i>Q</i> test statistics and <i>I</i> <sup>2</sup> test were used to assess heterogeneity. A random effects meta-analysis model was used to estimate the pooled prevalence of common mental disorder due to the variability of the studies. Lastly, the association between common mental disorder and khat chewing was conducted.</p><p><strong>Results: </strong>The pooled prevalence of common mental disorder among Ethiopian college/university students was 37.73% (95% CI: 30.43, 45.03). The subgroup analysis showed the highest [51.9% (95% CI: 30.19, 73.70)] and lowest [33.28% (95% CI: 19.95, 46.60)] prevalences of common mental disorder among Ethiopian college/university students found in Amhara and South Nation Nationality and People regions, respectively. The pooled effect (odds ratio) of khat chewing on common mental disorder was 2.01 (95% CI: 1.38, 2.95).</p><p><strong>Conclusions: </strong>In our review, it is found that more than one-third of college/university students suffered from common mental disorder. Khat chewers were found to be twofolds more vulnerable to develop common mental disorder than nonchewers.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/1462141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37570818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Affective and Psychotic Disorders in War-Torn Eastern Part of the Democratic Republic of the Congo: A Cross-Sectional Study. 饱受战争蹂躏的刚果民主共和国东部地区的情感和精神障碍:一项横断面研究。
Psychiatry Journal Pub Date : 2020-01-01 DOI: 10.1155/2020/9190214
Bives Mutume Vivalya, Germain Manzekele Bin Kitoko, Adelard Kalima Nzanzu, Martial Mumbere Vagheni, Rock Kasereka Masuka, Wilson Mugizi, Scholastic Ashaba
{"title":"Affective and Psychotic Disorders in War-Torn Eastern Part of the Democratic Republic of the Congo: A Cross-Sectional Study.","authors":"Bives Mutume Vivalya,&nbsp;Germain Manzekele Bin Kitoko,&nbsp;Adelard Kalima Nzanzu,&nbsp;Martial Mumbere Vagheni,&nbsp;Rock Kasereka Masuka,&nbsp;Wilson Mugizi,&nbsp;Scholastic Ashaba","doi":"10.1155/2020/9190214","DOIUrl":"https://doi.org/10.1155/2020/9190214","url":null,"abstract":"<p><strong>Background: </strong>There is lack of information about prevalence of affective and psychotic disorders triggered by traumatic events among people living in war-affected regions. This study is aimed at determining the prevalence rate of affective and psychotic disorders and the associated factors in a war-torn eastern part of Democratic Republic of the Congo.</p><p><strong>Methods: </strong>This epidemiological cross-sectional descriptive study was carried out from 1<sup>st</sup> January 2019 to 31<sup>st</sup> December 2019 at Cepima and Muyisa health centers. This study enrolled 344 patients that had experienced traumatic events in Eastern Democratic Republic of the Congo from the 1119 participants, of whom 229 had positive bipolar affective disorder and 115 patients had psychotic disorders.</p><p><strong>Results: </strong>The results revealed that bipolar affective disorders were two times more than psychotic disorders. Sexual abuse, sudden death of a relative, kidnapping, the physical torture, and childhood trauma were the psychological factors correlated to the occurrence of bipolar affective and psychotic disorders.</p><p><strong>Conclusions: </strong>It was concluded that the traumatic experiences were precursors for the occurrence of bipolar affective and psychotic spectrum disorders.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9190214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10738188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Insight and Associated Factors among Patients with Schizophrenia in Mental Specialized Hospital, Ethiopia, 2018. 埃塞俄比亚精神专科医院精神分裂症患者的洞察力及相关因素,2018。
Psychiatry Journal Pub Date : 2019-11-17 eCollection Date: 2019-01-01 DOI: 10.1155/2019/2453862
Mandaras Tariku, Demeke Demilew, Tolesa Fanta, Meskerem Mekonnen, Dessie Abebaw Angaw
{"title":"Insight and Associated Factors among Patients with Schizophrenia in Mental Specialized Hospital, Ethiopia, 2018.","authors":"Mandaras Tariku,&nbsp;Demeke Demilew,&nbsp;Tolesa Fanta,&nbsp;Meskerem Mekonnen,&nbsp;Dessie Abebaw Angaw","doi":"10.1155/2019/2453862","DOIUrl":"https://doi.org/10.1155/2019/2453862","url":null,"abstract":"<p><strong>Background: </strong>Insight is the degree of the patient's awareness and understanding of their attributions, feelings, behavior and disturbing symptoms. Majority of the patients with schizophrenia have poor insight and insight is an important prognostic indicator in schizophrenia to enhance treatment compliances and reducing the risks of clinical deterioration. The main objective of this study was to assess insight and its associated factors among patients with schizophrenia at mental specialized hospital in Ethiopia.</p><p><strong>Methods: </strong>Institutional based cross-sectional study was conducted from May to June 2018 Mental Specialized Hospital among 455 patients with schizophrenia. Insight was measured by an abridged version of Scale to assess unawareness of mental disorder. Positive and Negative Syndrome Scale, Calgary depressive scale, Oslo social support scale was used to identify factors associated with insight. Simple and multiple linear regression analysis were used to assess associated factors of insight in the participants.</p><p><strong>Results: </strong>The mean score of insight was 13.66 (95% CI 13.27, 14.04). Age at first onset of illness, duration of treatments, depressive symptoms were inversely associated with mean insight score; whereas unemployed, positive and negative syndrome, previous hospitalization, >=2 episodes were positively associated with mean insight score.</p><p><strong>Conclusion: </strong>Nearly half of the study participants were scored above the mean insight score so, the clinicians and psychotherapists should have to work together to improve insight among patients with schizophrenia.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/2453862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37524838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Prevalence and Associated Factors of Violence against Hospital Staff at Amanuel Mental Specialized Hospital in Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴Amanuel精神专科医院对医院工作人员的暴力发生率及相关因素
Psychiatry Journal Pub Date : 2019-11-05 DOI: 10.1155/2019/3642408
A. Abate, D. Abebaw, A. Birhanu, A. Zerihun, D. Assefa
{"title":"Prevalence and Associated Factors of Violence against Hospital Staff at Amanuel Mental Specialized Hospital in Addis Ababa, Ethiopia","authors":"A. Abate, D. Abebaw, A. Birhanu, A. Zerihun, D. Assefa","doi":"10.1155/2019/3642408","DOIUrl":"https://doi.org/10.1155/2019/3642408","url":null,"abstract":"Background. Violence at the workplace has become an alarming phenomenon worldwide. The real size of the problem is largely unknown and recent information shows that the current knowledge is only the tip of the iceberg. The enormous cost of violence at the workplace for person and community at large is becoming more apparent. It could be physical, sexual, and verbal in nature and could be actual or threatened. Objectives. To access prevalence and associated factors of violence against hospital staff at Amanuel Mental Specialized Hospital Addis Ababa, Ethiopia. Methods. An institution based cross-sectional study was employed in 2017. The data were collected using Workplace Violence in the Health Sector Country Case Study Questionnaire from 496 participants. Participants had been selected using simple random sampling technique and data were collected using a self-administered structured questionnaire. The collected data were entered into Epi-data version 3.1, and SPSS version 21 was used for Analysis. Binary logistic regression was fitted to identify factors associated with the outcome variable. Result. From 496 staff intended to have participated in this study, complete data were obtained from 435, making a response rate of 87.7%. This research showed high prevalence of violence and we have got that staff had been exposed to physical violence 36.8%, verbal violence 62.1%, and sexual violence 21.8 % over the past year, respectively. Age, sex, and contact with the patient were statistically significant variables (p < 0.05). Conclusion and Recommendation. According to this study, majority of AMSH staff were violated by the patient they care.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3642408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44283523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Factors Associated with Depression among Heart Failure Patients at Cardiac Follow-Up Clinics in Northwest Ethiopia, 2017: A Cross-Sectional Study 2017年埃塞俄比亚西北部心脏随访诊所心力衰竭患者抑郁的相关因素:一项横断面研究
Psychiatry Journal Pub Date : 2019-07-21 DOI: 10.1155/2019/6892623
Kassahun Gebeyehu Yazew, Debrework Tesgera Beshah, M. H. Salih, Tadele Amare Zeleke
{"title":"Factors Associated with Depression among Heart Failure Patients at Cardiac Follow-Up Clinics in Northwest Ethiopia, 2017: A Cross-Sectional Study","authors":"Kassahun Gebeyehu Yazew, Debrework Tesgera Beshah, M. H. Salih, Tadele Amare Zeleke","doi":"10.1155/2019/6892623","DOIUrl":"https://doi.org/10.1155/2019/6892623","url":null,"abstract":"Background Depression is a comorbid disorder in patients with heart failure and it is a major public health problem worldwide. Little is known about the depression among heart failure patients in low-income countries, while, in Ethiopia, none was studied. Objective This study is to assess the prevalence of depression and associated factors among heart failure patients at cardiac follow-up clinics at Amhara Region Referral Hospitals, Northwest Ethiopia, 2017. Methods A hospital based cross-sectional study was conducted between March 30, 2017, and May 15, 2017, G.C., by using a systematic random sampling technique to select 422 of 1395 HF patients. Structured interviewer-administered questionnaires and patient card review with a checklist that incorporates the PHQ-9 tool for depression measurement were used. The collected data were checked, coded, and entered into Epi-info version 7 and exported to SPSS version 20. Bivariate logistic regression at p-value <0.2 was exported to multivariate logistic regressions and p-value <0.05 was considered statistically significant. Results A total of 403 were included with a response rate of 95.5%. Among the participants, 51.1% had depressive symptoms. Factors associated with depressive symptoms were poor self-care behavior 1.60 [AOR (95% CI=1.01, 2.55)], poor social support 1.90 [AOR (95% CI=1.16, 3.12)], being female 2.70 [AOR (95% CI=1.44, 5.07)], current smoking history 4.96 [AOR (95% CI=1.54, 15.98)], and duration of heart failure (>1 year) 1.64 [AOR (95% CI=1.04, 2.59)]. Conclusions Around half of the patients were depressive. The patients who had poor self-care behavior, were females, had poor social support, had a current history of smoking, and had duration of chronic heart failure >1 year need special attention. Therefore, all referral hospitals need efforts to focus on those problems and target improvements of depressive symptoms.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6892623","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43078112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Is There Association between Risky Sexual Behaviors and Depression Symptoms among Youth? A Case of Jimma University Students, Ethiopia. 青少年危险性行为与抑郁症状之间是否存在关联?埃塞俄比亚吉马大学学生一例
Psychiatry Journal Pub Date : 2019-07-01 eCollection Date: 2019-01-01 DOI: 10.1155/2019/3757656
Yonas Tesfaye, Alemayehu Negash, Tsegaye Tewelde Gebrehiwot, Worknesh Tessema, Susan Anand, Gutema Ahmed, Daniel Alemu
{"title":"Is There Association between Risky Sexual Behaviors and Depression Symptoms among Youth? A Case of Jimma University Students, Ethiopia.","authors":"Yonas Tesfaye, Alemayehu Negash, Tsegaye Tewelde Gebrehiwot, Worknesh Tessema, Susan Anand, Gutema Ahmed, Daniel Alemu","doi":"10.1155/2019/3757656","DOIUrl":"10.1155/2019/3757656","url":null,"abstract":"<p><strong>Background: </strong>Risky Sexual Behaviors (RSB) and Depression symptoms expose young people to various reproductive health problems including sexually transmitted infections and HIV/AIDS. To date the link between these two major public health problems lacks empirical evidence in the context of higher education institutions in Ethiopia.</p><p><strong>Objective: </strong>The aim of this study was to assess association between risky sexual behavior and depression symptoms among Jimma University main campus students, Jimma, Ethiopia, 2016.</p><p><strong>Methods: </strong>An institution based quantitative cross sectional study was conducted. A pre-tested questionnaire and modified Beck Depression Inventory II were administered to 700 students, selected by multi-stage stratified sampling, from the main campus of Jimma University. Descriptive statistics, simple and multiple logistic regression models were used to analyze possible confounders. Presence of crude association between the dependent and independent variables was detected by bivariate logistic regression analysis. Variables with p value < 0.25 in bivariate analysis were analyzed by multivariable logistic regression to exclude the confounders. Adjusted odd ratios with 95%CI were computed to examine depression symptoms and other independent variables as predictors of RSB.</p><p><strong>Results: </strong>RSB were reported by 30.2% students. Out of 222 (33.6%) students with depression symptoms 105 (47.3%) reported RSB. Students with moderate depression symptoms are nearly two times more likely to experience risky sexual behavior than students with no depression symptoms (AOR 1.9, 95% CI: 1-3.1). Students with severe depression symptoms are nearly two and half times more likely to experience RSB than students with no depression symptoms counterparts (AOR 2.6, 95%CI: 1.3- 5.1).</p><p><strong>Conclusion: </strong>RSB were high among students with depression symptoms in the main campus of Jimma University. To help students overcome the challenges, recommendation was given for concerted action from the University, governmental and NGO, and the surrounding community to establish support services and various reproductive and mental health awareness programs within the campus.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6632499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43235832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food Insecurity and Mental Distress among Mothers in Rural Tigray and SNNP Regions, Ethiopia 埃塞俄比亚农村提格雷和snp地区母亲的粮食不安全和精神困扰
Psychiatry Journal Pub Date : 2019-06-19 DOI: 10.1155/2019/7458341
Tarik Taye Birhanu, A. Tadesse
{"title":"Food Insecurity and Mental Distress among Mothers in Rural Tigray and SNNP Regions, Ethiopia","authors":"Tarik Taye Birhanu, A. Tadesse","doi":"10.1155/2019/7458341","DOIUrl":"https://doi.org/10.1155/2019/7458341","url":null,"abstract":"Access to safe and adequate food is a basic human right under Article 25 of the Universal Declaration of Human Rights. Globally, more than 870 million people consume less calories than they require, which can lead to disabling physical and mental health outcomes. This study was designed to investigate the association between household food insecurity and mental distress among mothers in the Tigray and SNNP regions of Ethiopia. A community based cross-sectional survey was completed on a total of 2,992 households. A linear multiple regression model was used to study the association between food insecurity and mental distress. More than half of the study participants, 57.9%, were experiencing food insecurity. The prevalence of mental distress among the mothers was 39%. Food insecurity was significantly associated with mental distress after controlling for socioeconomic covariates. Integrating screening and management of mental distress would result in a better health status of the mothers and those under their care.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7458341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64747795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Use of Long-Acting Injectable Antipsychotic in an Inpatient Unit of a Community Teaching Hospital 长效注射抗精神病药物在某社区教学医院住院部的应用
Psychiatry Journal Pub Date : 2019-06-13 DOI: 10.1155/2019/8629030
Olaniyi Olayinka, Ayotomide Oyelakin, Karthik Cherukupally, Inderpreet Virk, Chiedozie Ojimba, S. Khadka, A. Maksymenko, Patrice Fouron, Taher Khandaker, Tolu Olupona, Jason Hershberger
{"title":"Use of Long-Acting Injectable Antipsychotic in an Inpatient Unit of a Community Teaching Hospital","authors":"Olaniyi Olayinka, Ayotomide Oyelakin, Karthik Cherukupally, Inderpreet Virk, Chiedozie Ojimba, S. Khadka, A. Maksymenko, Patrice Fouron, Taher Khandaker, Tolu Olupona, Jason Hershberger","doi":"10.1155/2019/8629030","DOIUrl":"https://doi.org/10.1155/2019/8629030","url":null,"abstract":"Background Individuals with Schizophrenia Spectrum Disorders (SSD) often experience significant impairment in educational, occupational, and psychosocial functioning. The clinical benefit of long-acting injectable antipsychotics (LAIs) in the management of patients with SSD is well established. SSD patients who are nonadherent to treatment have lower disease relapse and readmission rates when prescribed a LAI, compared to oral antipsychotics. Despite the reported advantages of LAIs, their prescription rates in clinical settings remain low. This pilot study aimed to determine the pattern of LAI prescription in psychiatric inpatients of a teaching community hospital in Brooklyn, New York. Methods A retrospective review of the charts of patients discharged from the psychiatric units of the hospital from September 1, 2017, through September 30, 2017, was conducted. Frequencies and proportions for demographic and disease-related characteristics were calculated. Pertinent continuous variables were recoded into categorical variables. Chi-square-tests or Fisher's exact tests were performed for categorical variables. The one-sample Shapiro-Wilk test (for sample size < 50) was used to check for the normality of distribution of continuous variables. Statistical significance was defined as p ≤ 0.05. Results Forty-three (70%) of the patients discharged from the inpatient unit during the study period had SSD and were eligible for a LAI. Their ages ranged from 20 to 71 years (mean = 41 years), and more than two-thirds were male. Less than half of the eligible patients (n = 19; 44%) were prescribed a LAI, most of whom were male (n=16; 84%). An association between age group (patients aged 41 years or younger) and LAI use was observed (p < 0.05), while gender, employment status, living arrangement, length of hospital stay, recent hospitalization, and cooccurring substance use disorder were not. Conclusion LAI prescription rate at the inpatient psychiatric unit of the hospital was marginally higher than those reported in most studies. Age appears to influence LAI use during the study period. Initiatives that increase LAI prescription rate for all eligible patients admitted to inpatient psychiatric unit should be encouraged.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/8629030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48417687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Marital Status Disruptions and Internalizing Disorders of Children. 婚姻状况、破裂与儿童内化障碍。
Psychiatry Journal Pub Date : 2019-06-09 eCollection Date: 2019-01-01 DOI: 10.1155/2019/4634967
Jordyn T Wallenborn, Gregory Chambers, Elizabeth Lowery, Saba W Masho
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引用次数: 3
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