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Perceived personal attributes of the mentally ill in South-Western Nigeria 尼日利亚西南部精神病患者的感知个人属性
Pub Date : 2010-04-20 DOI: 10.4314/NJPSYC.V7I1.53919
A. Adewuya, R. Makanjuola
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引用次数: 1
Severity and socio-demographic correlates of deperssion among cancer patients admitted in a Nigerian Teaching hospital 尼日利亚一家教学医院收治的癌症患者抑郁症的严重程度和社会人口统计学相关性
Pub Date : 2010-04-20 DOI: 10.4314/NJPSYC.V7I1.53924
F. Nuhu, O. Odejide, K. Adebayo, O. Adejumo
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引用次数: 2
Delusion of pregnancy: case reports and review of the literature 妊娠妄想:病例报告及文献回顾
Pub Date : 2010-04-20 DOI: 10.4314/NJPSYC.V7I1.53925
A. Coker, H. Ladapo, R. Lawal, I. O. Malomo
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引用次数: 14
Mental health research in Africa: Reports from 26 countries 非洲精神卫生研究:来自26个国家的报告
Pub Date : 2010-04-20 DOI: 10.4314/NJPSYC.V7I1.53920
Lola Kola, Woye Fadahunsi, O. Gureje
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引用次数: 1
Use of Restraint in the Psychiatric Setting: Knowledge of Medical Staff in a Nigerian Psychiatric Hospital 在精神病院使用约束:尼日利亚一家精神病院医务人员的知识
Pub Date : 2010-04-01 DOI: 10.4314/NJPSYC.V8I1.53304
F. Nuhu, A. Yusuf, S. Aremu
Background: Restraint is a widely used method of controlling patient’s behaviour throughout the world. However, next to nothing is known about its use in the developing countries. Aims: To assess the knowledge of medical staff of a Nigerian psychiatric hospital concerning the use of restraint. Methods: We administered a questionnaire designed for the purpose of this study to 74 medical staff to record their socio-demographic characteristics and assess their knowledge about the use of restraint in a psychiatric setting. Results: Fifty eight staff returned duly completed questionnaires (response rate, 78.4%). The mean age was 38.6 years, 69% were nurses and the mean year of practice was 11.9±9.0. Participants agreed that restraint was used to prevent patients from disturbing people 76%, to punish patients 14%, use of restraint could not lead to patient’s death 47%. Thirtyfive percent had no training in the use of restraint. Conclusion: Respondents’ knowledge on some aspects of restraint was poor and this may be due to lack of training. Keywords : restraint, psychiatric ward, knowledge, medical staff
背景:约束是一种在世界范围内广泛使用的控制患者行为的方法。然而,人们对其在发展中国家的使用情况几乎一无所知。目的:评估尼日利亚一家精神病医院医务人员关于使用约束的知识。方法:我们对74名医务人员进行问卷调查,记录他们的社会人口学特征,并评估他们对精神病院使用约束的了解。结果:58名员工按时完成问卷调查,回复率为78.4%。平均年龄38.6岁,69%为护士,平均执业年数11.9±9.0岁。参与者同意使用约束是为了防止病人打扰他人76%,惩罚病人14%,使用约束不会导致病人死亡47%。35%的人没有接受过使用约束的培训。结论:受访者对约束的某些方面的知识较差,这可能是由于缺乏培训。关键词:约束;精神病房;知识
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引用次数: 3
Effects of Psychosocial Parameters on Adherence of Adult Nigerians to Antiretroviral Therapy 心理社会参数对成年尼日利亚人抗逆转录病毒治疗依从性的影响
Pub Date : 2010-04-01 DOI: 10.4314/NJPSYC.V8I1.53301
E. Asekomeh, O. Ebong, A. Onwuchekwa
Background: Combination antiretroviral therapy (ART) is the cornerstone of management of patients with HIV infection but requires a high level of adherence in order to achieve viral suppression.Psychosocial factors may affect adherence. Aim: To determine the rate of adherence of adult HIV seropositive adult Nigerian to antiretroviral therapy and the effects of psychosocial factors including psychiatric morbidity, patients’ perception of their illness, availability of social support, preference for alternative  medicine on adherence to antiretroviral therapy. Methods: A cross sectional descriptive study was carried out with 192 patients recruited from among patients attending the HIV/AIDS clinics at the University of Port Harcourt Teaching Hospital (UPTH) and the Braithwaite Memorial Hospital (BMH), Port Harcourt, Nigeria. All recruited patients were administered a pre-tested structured questionnaire made up of fifty mainly close ended questions on demographic parameters, knowledge and attitude to HIV/AIDS, antiretroviral medication, general health, psychological adaptation to their illness and social support accessible to the patients. A depressive symptom was also assessed with the twelve item GHQ-12. Results: A total of 192 patients were recruited, out of which 187 responded fully to the administered questionnaire. Adherence rate to antiretroviral (ARV) therapy (that is patient who took 95% or more of the prescribed antiretroviral drugs in the previous month) was 72.2%. Reasons proffered forgetfulness(24.6%), no pills at dosing time(21.4%), feeling uncomfortable after taking medication(15.1%), trying to save money(10.3%), too many medications(6.3%) and others (22.3%). Factors associated with poor ARV therapy adherence were depression and preference for alternative medical approach like herbal medications. Patients who had poor knowledge of HIV/AIDS and its treatment, poor social support and self perception of health status as being poor had lower adherence rates. There was no statistically significant association between sociodemographic characteristics such as age, sex, level of education and adherence to ARV therapy among patients (p>0.05). Conclusion: The level of adherence to antiretroviral medication among this cohort of patients is poor. Presence of depressive symptoms and preference for alternative non-orthodox therapy are associated with poor antiretroviral therapy adherence. Preference for alternative medicine in search of a permanent cure is high among these patients. Key Words: HIV/AIDS, adherence, antiretroviral therapy, adult Nigerians.
背景:抗逆转录病毒联合治疗(ART)是艾滋病毒感染患者治疗的基石,但需要高水平的坚持才能实现病毒抑制。心理社会因素可能影响依从性。目的:确定尼日利亚成年HIV血清阳性成人抗逆转录病毒治疗的依从率,以及心理社会因素(包括精神疾病发病率、患者对疾病的认知、社会支持的可获得性、替代药物的偏好)对抗逆转录病毒治疗依从性的影响。方法:采用横断面描述性研究,从尼日利亚哈科特港哈科特大学教学医院(UPTH)和布雷斯韦特纪念医院(BMH)艾滋病毒/艾滋病门诊患者中招募192例患者。所有招募的患者都接受了一份预先测试的结构化问卷,其中包括50个主要是封闭式问题,涉及人口统计参数、对艾滋病毒/艾滋病的知识和态度、抗逆转录病毒药物、一般健康、对疾病的心理适应以及患者可获得的社会支持。抑郁症状也用12项GHQ-12进行评估。结果:共招募了192例患者,其中187例患者完全回答了所管理的问卷。抗逆转录病毒(ARV)治疗的依从率(即患者在前一个月服用了95%或更多的抗逆转录病毒药物)为72.2%。原因包括健忘(24.6%)、给药时没有吃药(21.4%)、服药后感觉不舒服(15.1%)、为了省钱(10.3%)、服药过多(6.3%)和其他(22.3%)。与抗逆转录病毒治疗依从性差相关的因素是抑郁症和对替代医疗方法(如草药)的偏好。对艾滋病毒/艾滋病及其治疗了解不足、社会支持不足和自我认为健康状况较差的患者的依从率较低。患者年龄、性别、受教育程度等社会人口学特征与抗逆转录病毒治疗依从性之间无统计学意义(p>0.05)。结论:这组患者抗逆转录病毒药物的依从性较差。抑郁症状的存在和对替代性非正统治疗的偏好与抗逆转录病毒治疗依从性差有关。在这些患者中,寻求永久治愈的替代药物的偏好很高。关键词:HIV/AIDS,依从性,抗逆转录病毒治疗,尼日利亚成年人
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引用次数: 3
Homicide and Psychoactive Substance use among Offenders in a Nigerian Prison. 尼日利亚监狱中罪犯的杀人和精神活性物质使用。
Pub Date : 2010-04-01 DOI: 10.4314/NJPSYC.V8I1.53300
F. Fatoye, B. Eegunranti, G. K. Fatoye, G. Amoo, O. Aloba, I. Oloniniyi
Background: Information from previous reports tend to suggest that drug use is associated with crime, particularly with homicide offences. Data on drug use among homicide offenders are scarce in Nigeria. Aim: The study was carried out to determine the relationship between psychoactive substance use and homicide. Method: All the 66 homicide offenders in a Nigerian prison and 66 matched control prisoners, charged for nonviolent offences were studied. Information on socio-demographic variables and drug use was obtained from all the respondents by interview. Results: Before imprisonment, the homicide offenders reported the use of alcohol, cannabis and stimulants with rates of 34.6%, 15.2% and 1.5% respectively. During imprisonment, lower rates of use were reported for these substances. These were 6.1% 1.5% and 6.1% respectively. The consolidated drug use rate among the non-violent prisoners (74.2%) was significantly higher than for the homicide defendants (53.0%), before imprisonment (p
背景:以往报告的资料往往表明吸毒与犯罪有关,特别是与杀人罪有关。在尼日利亚,关于杀人罪犯吸毒的数据很少。目的:研究精神活性物质使用与凶杀的关系。方法:对尼日利亚某监狱的66名杀人犯和66名被控非暴力犯罪的对照犯进行研究。通过访谈从所有受访者那里获得了有关社会人口变量和药物使用的信息。结果:杀人犯入狱前使用酒精、大麻和兴奋剂的比例分别为34.6%、15.2%和1.5%。据报告,在监禁期间,这些物质的使用率较低。分别为6.1%、1.5%和6.1%。非暴力囚犯的综合吸毒率(74.2%)显著高于杀人罪被告(53.0%)
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引用次数: 0
The Effectiveness of Western Psychotherapy in treating Psychological Disorders among Subsaharan African Populations. A Systematic Review of the Literature 西方心理疗法治疗撒哈拉以南非洲人群心理障碍的有效性。文献系统综述
Pub Date : 2010-04-01 DOI: 10.4314/NJPSYC.V8I1.53305
M. Jidda, M. Wakil, A. O. Mohammed
Background: Psychotherapy has been shown to be effective in the treatment of mental disorders in the western world but viewed as an alien method of treatment to Africans. Aim: To review the literature on the effectiveness of psychotherapy in sub- Saharan Africa. Method: A systematic search of Medline, PsychINFO, CINHAL, were undertaken along with citation searches. In addition relevant text books and journals were searched for and used. Studies were selected if psychotherapy treatment in Africa were described in the title or abstract. Study quality was rated. Result: The search produced over 1261 articles; nine (9) met the inclusion criteria, four (4) were case reports, four (4) randomized controlled trials and one (1) quasi-experimental. Of the five (5) with relevant data four (4) revealed a positive outcome and, the need for some adaptation of the western model. Conclusion: High quality data examining the effectiveness of psychotherapy is quite sparse. However, the few quality data available revealed mostly positive outcome.
背景:心理治疗在西方世界已被证明是治疗精神障碍的有效方法,但在非洲却被视为一种外来的治疗方法。目的:回顾撒哈拉以南非洲地区有关心理治疗有效性的文献。方法:系统检索Medline、PsychINFO、CINHAL,并进行引文检索。此外,还检索并使用了相关的教科书和期刊。如果在标题或摘要中描述了非洲的心理治疗,则选择研究。评估研究质量。结果:检索产生了1261篇文章;9篇符合纳入标准,4篇为病例报告,4篇为随机对照试验,1篇为准实验。在具有相关数据的五(5)中,四(4)显示出积极的结果,并且需要对西方模式进行一些调整。结论:检验心理治疗有效性的高质量数据相当稀少。然而,为数不多的高质量数据显示,结果大多是积极的。
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引用次数: 1
Influence of Sociodemographic Factors on Job Burnout and Satisfaction among Eritrean Medical Workers. 社会人口学因素对厄立特里亚医务人员工作倦怠和满意度的影响
Pub Date : 2010-04-01 DOI: 10.4314/NJPSYC.V8I1.53308
Zafrul Allam, K. Harish
Background: Job dissatisfaction and burn out are not an uncommon occurrences among hospital workers. The two phenomena may be related to each other and to demographic variables. Aim: The present investigation was planned to determine the influence of job burnout, sex, age and marital status on job satisfaction among medical personnel. Method: The sample consisted of 120 employees working in hospitals of Eritrea, Asmara, North East Africa, selected randomly. Job satisfaction scale developed by Singh (1987) and Maslach and Jackson (1981) job burnout inventory were administered to collect the data .The data were analyzed using means, standard deviations and students’ ‘t’ test. Result: The results revealed that (i) low job burnout employees showed greater degree of job satisfaction than high job burnout employees (ii) female medical personnel showed significantly greater degree of job satisfaction than male counterparts (iii) younger group of employees showed significantly higher level of job satisfaction than older employees and, (iv) married employees found significantly more job satisfaction than their unmarried counterparts. Conclusion: The study suggested that the improvement in opportunities to grow, salary and working conditions would help increase the level of job satisfaction of medical personnel. Key Words: Job Satisfaction; Job Burnout; Satisfier; Dissatisfiers, Eritrea
背景:工作不满和职业倦怠在医院工作人员中并不罕见。这两种现象可能相互关联,也可能与人口变量有关。目的:探讨医务人员工作倦怠、性别、年龄和婚姻状况对工作满意度的影响。方法:随机抽取厄立特里亚、阿斯马拉、北非地区医院工作人员120名。采用Singh(1987)、Maslach和Jackson(1981)编制的工作满意度量表和工作倦怠量表收集数据,采用均值、标准差和学生t检验对数据进行分析。结果:研究结果显示:(1)低职业倦怠员工的工作满意度高于高职业倦怠员工;(2)女性医务人员的工作满意度显著高于男性医务人员;(3)年轻员工的工作满意度显著高于年长员工;(4)已婚员工的工作满意度显著高于未婚员工。结论:改善医务人员的成长机会、薪酬和工作条件,有助于提高医务人员的工作满意度。关键词:工作满意度;工作倦怠;满意因子;Dissatisfiers、厄立特里亚
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引用次数: 13
Sociodemographic and Offence-related characteristics of Homicide Offenders in a Nigerian prison 尼日利亚某监狱杀人罪犯的社会人口学特征和犯罪相关特征
Pub Date : 2010-04-01 DOI: 10.4314/NJPSYC.V8I1.53303
F. Fatoye, B. Eegunranti, G. K. Fatoye, G. Amoo, J. Omoaregba, O. Ibigbami
Background: Research on the sociodemographic, historical and forensic characteristics of homicide continue to attract the attention of mental health professionals in developing countries owing to the ongoing debate on the relationship between homicide offences and the presence of mental illness in perpetrators. This attention is partly due to the potential of these variables to be risk factors for homicide offences. There is a need to update available information in Nigeria. Aim: The study was carried out to evaluate socio-demographic and certain homicide- related characteristics of homicide defendants and to determine the relationship between socio-demographic variables and charge of homicide. Method: A questionnaire consisting of socio-demographic and homiciderelated items were administered on 66 homicide defendants at Ilesa prison, Nigeria. The socio-demographic questionaires were also administered on 66 other prisoners, as control. Results: The homicide offenders consisted of 63 (95.5%) males and 3 (4.5%) females. Most of them (78.8%) were less than 40years old. Most of the victims (72.7%) were males. In 81.8% of cases, the victims were known to the defendants. The commonest method of homicide was the use of sharp objects (27.3%) followed by the use of firearms (21.2%). Marital status, level of education and type of religion were not observed to be statistically different between the two groups. Even though, most respondents belong to less skilled occupational groups, the homicide defendants were significantly more represented in these groups and they were significantly more unemployed. Conclusion: The observations indicate that some level of restriction needs to be imposed on acquisition of dane-guns and call for concerted effort to tackle the interrelated problems of unemployment, poverty, and idleness in the society.
背景:关于杀人罪的社会人口学、历史和法医特征的研究继续引起发展中国家心理健康专业人员的注意,因为目前正在就杀人罪与犯罪者患有精神疾病之间的关系进行辩论。引起这种注意的部分原因是这些变量可能成为杀人犯罪的危险因素。尼日利亚有必要更新现有信息。目的:本研究旨在评估杀人案被告的社会人口学特征和某些与杀人案有关的特征,并确定社会人口学变量与杀人罪指控之间的关系。方法:对尼日利亚伊莱萨监狱66名杀人案被告进行社会人口学和杀人案相关问卷调查。另外66名囚犯也接受了社会人口调查问卷,作为对照。结果:男性63人(95.5%),女性3人(4.5%)。其中年龄在40岁以下的占78.8%。大多数受害者(72.7%)是男性。在81.8%的案件中,被告认识受害者。最常见的杀人方法是使用利器(27.3%),其次是使用火器(21.2%)。婚姻状况、教育水平和宗教类型在两组之间没有统计学差异。尽管大多数受访者属于技能较低的职业群体,但杀人案被告在这些群体中的代表性明显更高,而且失业人数明显更多。结论:观察结果表明,需要对丹麦枪的获取施加一定程度的限制,并呼吁共同努力解决社会中失业、贫困和懒惰等相互关联的问题。
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引用次数: 8
期刊
Nigerian Journal of Psychiatry
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