Pub Date : 2010-09-27DOI: 10.4314/NJPSYC.V8I3.60080
R. Adebayo, Gt Okulate, H. Ladapo, R. Lawal
Background: Violence against women is a major public health problem that affects millions of women each year worldwide. Spouse violence is said to have three broad dimensions: physical, psychological and sexual, but these often overlap in reality. Aims: The aims of the study were to determine the prevalence of spouse violence among women of reproductive age group 15 to 50 yrs attending a primary care clinic in Yaba, Lagos state and to describe the patterns of spouse violence. Method: Three hundred and twenty one participants, who were patients and/or mothers of (children) patients, were selected through a systematic sampling method; 265 of them eventually participated in the study (82.5% response rate). A questionnaire on domestic violence was used to collect data. The data were analyzed using SPSS version 10. Results: The results showed a high life time prevalence rate of violence of 50.9 % among the women. The most commonly experienced physical abuse was demand for sex when the women did not want it (52.2%). Marital rape accounted for 21%. Controlling actions, associated with psychological trauma, were found in 71.9% of the participants; while about 35% had felt afraid of their partners at some time.
背景:对妇女的暴力行为是一个重大的公共卫生问题，每年影响到全世界数百万妇女。据说配偶暴力有三个方面:身体暴力、心理暴力和性暴力，但这些方面在现实中经常重叠。目的:本研究的目的是确定在拉各斯州亚巴一家初级保健诊所就诊的15至50岁育龄妇女中配偶暴力的流行程度，并描述配偶暴力的模式。方法:采用系统抽样法，选取患者及(或)患儿母亲321人;其中265人最终参与了研究(有效率为82.5%)。使用了一份关于家庭暴力的问卷来收集数据。数据采用SPSS version 10进行分析。结果:妇女终生暴力发生率为50.9%。最常见的身体虐待是在女性不想发生性行为的情况下被要求发生性行为(52.2%)。婚内强奸占21%。71.9%的参与者存在与心理创伤相关的控制行为;而约35%的人有时会害怕他们的伴侣。
{"title":"Prevalence and Correlates of Spouse Violence Among Women in a Primary Health Care Facility in Lagos Nigeria","authors":"R. Adebayo, Gt Okulate, H. Ladapo, R. Lawal","doi":"10.4314/NJPSYC.V8I3.60080","DOIUrl":"https://doi.org/10.4314/NJPSYC.V8I3.60080","url":null,"abstract":"Background: Violence against women is a major public health problem that affects millions of women each year worldwide. Spouse violence is said to have three broad dimensions: physical, psychological and sexual, but these often overlap in reality. Aims: The aims of the study were to determine the prevalence of spouse violence among women of reproductive age group 15 to 50 yrs attending a primary care clinic in Yaba, Lagos state and to describe the patterns of spouse violence. Method: Three hundred and twenty one participants, who were patients and/or mothers of (children) patients, were selected through a systematic sampling method; 265 of them eventually participated in the study (82.5% response rate). A questionnaire on domestic violence was used to collect data. The data were analyzed using SPSS version 10. Results: The results showed a high life time prevalence rate of violence of 50.9 % among the women. The most commonly experienced physical abuse was demand for sex when the women did not want it (52.2%). Marital rape accounted for 21%. Controlling actions, associated with psychological trauma, were found in 71.9% of the participants; while about 35% had felt afraid of their partners at some time.","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122300771","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}
Pub Date : 2010-09-27DOI: 10.4314/NJPSYC.V8I3.60086
O. Adegunloye, A. Yusuf, P. O. Ajiboye, B. Issa, O. N. Buhari
Background: Health care in juvenile justice system has been considered inadequate. Youths with disruptive behaviour disorder have an increased risk of causing problems within families, schools and communities. This poses a challenge for the juvenile system and after release, the public mental health system. Aim: The aim of the study was to determine the prevalence and correlates of disruptive behaviour disorder in a Borstal institution. Method: The study was a crosssectional, descriptive report of 53 youths at the Borstal Institution in Ilorin, Kwara State. They were interviewed using MINI-KID. Results: The mean age was 17.3 ± 2.1 years, 52.8% were between 11-14 years of age and 15.1%, 64.2% and 60.4% had ADHD, CD and oppositional defiant behaviour disorder respectively. Age and parents’ marital status were significant correlates. Conclusion: This study showed that juvenile detainees were likely to have psychiatric disorders, among which are the disruptive behaviour disorders. Recommended is collaboration between mental health professionals and the Juvenile system. Keywords: - Disruptive Behavioural disorder, Correlates Juvenile offenders, Inmates, Borstal institution.
{"title":"Prevalence and Correlates of Distruptive Behaviour Disorders in Youths in a Juvenile Borstal Institution","authors":"O. Adegunloye, A. Yusuf, P. O. Ajiboye, B. Issa, O. N. Buhari","doi":"10.4314/NJPSYC.V8I3.60086","DOIUrl":"https://doi.org/10.4314/NJPSYC.V8I3.60086","url":null,"abstract":"Background: Health care in juvenile justice system has been considered inadequate. Youths with disruptive behaviour disorder have an increased risk of causing problems within families, schools and communities. This poses a challenge for the juvenile system and after release, the public mental health system. Aim: The aim of the study was to determine the prevalence and correlates of disruptive behaviour disorder in a Borstal institution. Method: The study was a crosssectional, descriptive report of 53 youths at the Borstal Institution in Ilorin, Kwara State. They were interviewed using MINI-KID. Results: The mean age was 17.3 ± 2.1 years, 52.8% were between 11-14 years of age and 15.1%, 64.2% and 60.4% had ADHD, CD and oppositional defiant behaviour disorder respectively. Age and parents’ marital status were significant correlates. Conclusion: This study showed that juvenile detainees were likely to have psychiatric disorders, among which are the disruptive behaviour disorders. Recommended is collaboration between mental health professionals and the Juvenile system. Keywords: - Disruptive Behavioural disorder, Correlates Juvenile offenders, Inmates, Borstal institution.","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125972124","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}
Pub Date : 2010-08-10DOI: 10.4314/NJPSYC.V8I2.57628
P. Onifade, E. B. Somoye, T. Adamson
Background: In February 2006, Neuropsychiatric Hospital, Aro, Abeokuta launched the local charter of SERVICOM and promised the clients timely and quality services delivered with fairness, honesty, courtesy, and transparency. Implementation of this promise is yet to be evaluated. Objectives: To determine the wait time and service satisfaction of the patients attending the outpatient clinic of the Neuropsychiatric Hospital, Aro, Abeokuta. Methods: In this cross sectional study, wait time at each of the clinic’s service points and the transit wait time between them were recorded for all the patients who attended the clinic in the third week of July 2008. Patient’s satisfaction questionnaire was administered on a sub-sample. Results: Four hundred and fifty-two patients participated. The mean total wait time (from arrival at the medical record to exit from the clinic) was 181 minutes (SD = 34.8 min, minimum = 30min, maximum = 228 min). The mean transit wait time was 48.43 minutes. More than 80% of the subjects strongly agreed that the clinic services were transparent, timely, fair, effective and with courtesy. However, only 40.6% strongly agreed that the services were affordable. Conclusion: The range of the total wait time was too wide, with some patients spending more than 7 times the amount of time spent by others. A quarter of total wait time was spent on queuing or transiting between service points. There is need to optimize the flow map at the clinic and to set goal for maximum acceptable wait time at each service point. Keywords: Wait Time, Satisfaction, Outpatient, Psychiatry. Declaration of Interest: Research grant was received from the Neuropsychiatric Hospital, Aro, Abeokuta.
{"title":"Wait Time and Service Satisfaction at the Outpatient Clinic of a Nigerian Psychiatric Hospital.","authors":"P. Onifade, E. B. Somoye, T. Adamson","doi":"10.4314/NJPSYC.V8I2.57628","DOIUrl":"https://doi.org/10.4314/NJPSYC.V8I2.57628","url":null,"abstract":"Background: In February 2006, Neuropsychiatric Hospital, Aro, Abeokuta launched the local charter of SERVICOM and promised the clients timely and quality services delivered with fairness, honesty, courtesy, and transparency. Implementation of this promise is yet to be evaluated. Objectives: To determine the wait time and service satisfaction of the patients attending the outpatient clinic of the Neuropsychiatric Hospital, Aro, Abeokuta. Methods: In this cross sectional study, wait time at each of the clinic’s service points and the transit wait time between them were recorded for all the patients who attended the clinic in the third week of July 2008. Patient’s satisfaction questionnaire was administered on a sub-sample. Results: Four hundred and fifty-two patients participated. The mean total wait time (from arrival at the medical record to exit from the clinic) was 181 minutes (SD = 34.8 min, minimum = 30min, maximum = 228 min). The mean transit wait time was 48.43 minutes. More than 80% of the subjects strongly agreed that the clinic services were transparent, timely, fair, effective and with courtesy. However, only 40.6% strongly agreed that the services were affordable. Conclusion: The range of the total wait time was too wide, with some patients spending more than 7 times the amount of time spent by others. A quarter of total wait time was spent on queuing or transiting between service points. There is need to optimize the flow map at the clinic and to set goal for maximum acceptable wait time at each service point. Keywords: Wait Time, Satisfaction, Outpatient, Psychiatry. Declaration of Interest: Research grant was received from the Neuropsychiatric Hospital, Aro, Abeokuta.","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123717746","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}
Pub Date : 2010-08-10DOI: 10.4314/NJPSYC.V8I2.57624
V. Lasebikan
Introduction: Mental illnesses are very prevalent and highly disabling. Adults with mental illness in primary care are also more likely to be experiencing poorer overall health than those without. They also report more disability days in previous month. The chronic or recurrent nature of mental disorders make relatives fed up with endless care giving and social support rendering a good number of mentally ill homeless. Mental illness and homelessness have been reported to be associated with substance use, chronic medical diseases, self reported poor health and many barriers to service utilization. Method: Descriptive fact finding method of all homeless persons referred for treatment at State hospital, Ring Road, Ibadan between 2004 and 2007. Results: The median age of the respondents was 40 years, 60% were females, the median number of years of education was 3 years, 83.9% were never married, 60% had been on the streets for 5-10 years and 84.3% had never had contact with any formal mental care facility. The most prevalent DSM IV diagnosis was schizophrenia, (34.3%), followed by substance use disorder and co-morbid substance use plus psychosis, 15.7% respectively, 2.8% was commercial sex workers, while one (1.4%) received no diagnosis and was a criminal. All of them had at least a clinical health problem. While the most commonly reported social problem was financial problems leading to begging (95.7%). Conclusion: Homelessness among mentally ill is associated with physical health and social problems, therefore such patients need integrated multidisciplinary approach in designated centers for their care. Key Words : Mental Disorders, Homelessness, Public Health.
{"title":"Post Partum Psychosis, Infanticide, Case Report, Nigeria.","authors":"V. Lasebikan","doi":"10.4314/NJPSYC.V8I2.57624","DOIUrl":"https://doi.org/10.4314/NJPSYC.V8I2.57624","url":null,"abstract":"Introduction: Mental illnesses are very prevalent and highly disabling. Adults with mental illness in primary care are also more likely to be experiencing poorer overall health than those without. They also report more disability days in previous month. The chronic or recurrent nature of mental disorders make relatives fed up with endless care giving and social support rendering a good number of mentally ill homeless. Mental illness and homelessness have been reported to be associated with substance use, chronic medical diseases, self reported poor health and many barriers to service utilization. Method: Descriptive fact finding method of all homeless persons referred for treatment at State hospital, Ring Road, Ibadan between 2004 and 2007. Results: The median age of the respondents was 40 years, 60% were females, the median number of years of education was 3 years, 83.9% were never married, 60% had been on the streets for 5-10 years and 84.3% had never had contact with any formal mental care facility. The most prevalent DSM IV diagnosis was schizophrenia, (34.3%), followed by substance use disorder and co-morbid substance use plus psychosis, 15.7% respectively, 2.8% was commercial sex workers, while one (1.4%) received no diagnosis and was a criminal. All of them had at least a clinical health problem. While the most commonly reported social problem was financial problems leading to begging (95.7%). Conclusion: Homelessness among mentally ill is associated with physical health and social problems, therefore such patients need integrated multidisciplinary approach in designated centers for their care. Key Words : Mental Disorders, Homelessness, Public Health.","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130299275","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}
Pub Date : 2010-08-10DOI: 10.4314/NJPSYC.V8I2.57622
D. Sulyman, A. D. Yussuf, P. O. Ajiboye, R. Saliu, Mo Adefalu
Infanticide is a rare complication of post partum psychiatric disorders most especially depression and psychoses. In this paper, a case of infanticide in a 17 year old girl with post partum schizophrenialike disorder is reported. Key Words: Post Partum Psychosis, Infanticide, Case Report, Nigeria.
{"title":"Infanticide in an Outpatient Psychiatric Unit of a University Teaching Hospital in Nigeria. A Case Report","authors":"D. Sulyman, A. D. Yussuf, P. O. Ajiboye, R. Saliu, Mo Adefalu","doi":"10.4314/NJPSYC.V8I2.57622","DOIUrl":"https://doi.org/10.4314/NJPSYC.V8I2.57622","url":null,"abstract":"Infanticide is a rare complication of post partum psychiatric disorders most especially depression and psychoses. In this paper, a case of infanticide in a 17 year old girl with post partum schizophrenialike disorder is reported. Key Words: Post Partum Psychosis, Infanticide, Case Report, Nigeria.","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123081606","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}
Pub Date : 2010-04-20DOI: 10.4314/NJPSYC.V7I1.53926
O. Akinola, A. Okewole, O. Odunsi, D. Kampe, T. Usoh, J. Koyejo
{"title":"Prescription pattern at psychiatric hospital, Yaba, Lagos","authors":"O. Akinola, A. Okewole, O. Odunsi, D. Kampe, T. Usoh, J. Koyejo","doi":"10.4314/NJPSYC.V7I1.53926","DOIUrl":"https://doi.org/10.4314/NJPSYC.V7I1.53926","url":null,"abstract":"","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116533749","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}
Pub Date : 2010-04-20DOI: 10.4314/NJPSYC.V7I1.53927
C. Mume
{"title":"Insomnia and recreational drugs","authors":"C. Mume","doi":"10.4314/NJPSYC.V7I1.53927","DOIUrl":"https://doi.org/10.4314/NJPSYC.V7I1.53927","url":null,"abstract":"","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127456492","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}
Pub Date : 2010-04-20DOI: 10.4314/NJPSYC.V7I1.53923
A. B. Makanjuola, O. Buhari
{"title":"Factors associated with psychiatric morbidity among patients with Cancer in a Nigerian tertiary hospital","authors":"A. B. Makanjuola, O. Buhari","doi":"10.4314/NJPSYC.V7I1.53923","DOIUrl":"https://doi.org/10.4314/NJPSYC.V7I1.53923","url":null,"abstract":"","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125945529","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}
Pub Date : 2010-04-20DOI: 10.4314/NJPSYC.V7I1.53922
O. Ogun, O. Owoeye, M. Dada, A. Okewole
{"title":"Factors influencing pathway to Child and Adolescent Mental Health Care in Lagos, Nigeria","authors":"O. Ogun, O. Owoeye, M. Dada, A. Okewole","doi":"10.4314/NJPSYC.V7I1.53922","DOIUrl":"https://doi.org/10.4314/NJPSYC.V7I1.53922","url":null,"abstract":"","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126553702","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}
Pub Date : 2010-04-20DOI: 10.4314/NJPSYC.V7I1.53921
J. Eaton
{"title":"A new movement for global mental health and its possible impact in Nigeria","authors":"J. Eaton","doi":"10.4314/NJPSYC.V7I1.53921","DOIUrl":"https://doi.org/10.4314/NJPSYC.V7I1.53921","url":null,"abstract":"","PeriodicalId":422969,"journal":{"name":"Nigerian Journal of Psychiatry","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129555974","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}
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