44 research outputs found

    Satisfaction and associated factors of outpatient psychiatric service consumers in Ethiopia

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    Solomon Yimer,1 Zegeye Yohannis,2 Wondale Getinet,3 Tesfa Mekonen,4 Wubalem Fekadu,4 Habte Belete,4 Melak Menberu,5 Asmamaw Getnet,6 Amsalu Belete7 1Psychiatry Department, College of Health Sciences and Medicine, Dilla University, Dilla, 2Amanuel Mental Specialized Hospital, Addis Ababa, 3Psychiatry Department, College of Health Science and Medicine, University of Gondar, Gondar, 4Psychiatry Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, 5Department of Nursing, College of Health Sciences, Mizan-Tepi University, Mizan, 6Finote Selam Hospital, Finote Selam, 7Department of Nursing, College of Health Sciences and Medicine, Debre Tabor University, Debre Tabor, Ethiopia Purpose: The purpose of this study was to assess the level of patient satisfaction and associated factors with psychiatric outpatient services in Ethiopia.Patients and methods: A cross-sectional study was performed from May 2015 to June 2015. A total of 454 participants selected by systematic random sampling were included in this study. Pretested and interviewer-administered questionnaire was used to collect the data. Patient satisfaction was measured using Charleston Psychiatric Outpatient Satisfaction Scale, and other validated tools were used to assess the associated variables. Multivariate logistic regressions with 95% confidence interval (CI) were used to assess the strength, and P-value <0.05 was used to indicate significance of association.Results: A total of 441 respondents were enrolled, with a response rate of 97.1% and magnitude of satisfaction of 61.2%. Being male (adjusted odds ratio [AOR] =0.612, 95% CI: 0.39, 0.94), being widowed (AOR =0.13, 95% CI: 0.05, 0.36), urban residence (AOR =0.49, 95% CI: 0.31, 0.78), diagnosed with schizophrenia (AOR =0.48, 95% CI: 0.28, 0.81), unfavorable attitude (AOR =0.49, 95% CI: 0.28, 0.86), and poor social functioning (AOR =0.52, 95% CI: 0.34, 0.80) were significantly associated with satisfaction.Conclusion: More than one-third of psychiatric service consumers were dissatisfied with the service they received. Integrating patients to their own treatment plan and regular service evaluation are important to improve satisfaction. Keywords: patient satisfaction, mental illness, social functionin

    National prevalence and associated factors of khat chewing among students in Ethiopia: A protocol for a systematic review and meta-analysis

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    The existing prevalence of khat chewing among university students ranges from 23.1% to 74.1%. Its impact affected students mentally, physically, economically and their social interaction. The aim of this systematic review and meta-analysis will be to determine the prevalence of khat chewing and associated factors among students in Ethiopia and to help guide policy makers in the decision-making process. A complete systematic review and meta-analysis of published studies on the prevalence of khat chewing and associated factors in Ethiopia will be conducted. A computerized internet search using Medline/PubMed, Google Scholar and EMBASE databases and reference lists of previous prevalence studies and full search strategy and cross-checking of reference lists of published peerreviewed articles will be conducted to identify all cross-sectional and cohort studies published in English. We will use the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) statement for reporting. Pooled estimated effect of prevalence of khat chewing and associated factors will be analyzed using the random effects meta-analysis (random effects model) and (with 95% CI) will be measured. The underlying work is based on systematic reviews of published data and thus do not require ethical review approval. The results of the systematic review will be disseminated in different conferences, seminars and published in a reputable international reviewed journal. A complete systematic review and meta-analysis of published studies on the prevalence of khat chewing and associated factors in Ethiopia will be conducted. All observational studies of (cross-sectional, cohort, case control) and randomized controlled trials will be included. A widespread range of studies and settings will be included

    MOESM2 of The prevalence and correlates of social phobia among undergraduate health science students in Gondar, Gondar Ethiopia

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    Additional file 2. Pie chart distribution of social phobia among students in the University of Gondar, Northwest Ethiopia in, 2018 (N = 503)

    Characteristics distribution of children and adolescents with mental illness attending child and adolescent psychiatric clinics at St. Paul’s Hospital Millennium Medical College and Yekatit-12 Hospital Medical College, Addis Ababa, Ethiopia, 2018. (n = 408).

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    Characteristics distribution of children and adolescents with mental illness attending child and adolescent psychiatric clinics at St. Paul’s Hospital Millennium Medical College and Yekatit-12 Hospital Medical College, Addis Ababa, Ethiopia, 2018. (n = 408).</p

    Prevalence and correlates of alcohol use disorders among bipolar patients at Amanuel Mental Specialized Hospital, Addis Ababa (Ethiopia): A cross-sectional institution based study

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    At this time, alcohol use is increasing in African countries. The prevalence of alcohol use disorders (AUDs) remains unknown in patients with psychiatric disorders. This study aimed to assess the prevalence of AUDs among individuals with bipolar disorder in the outpatient department at Amanuel Mental Specialized Hospital. An institution-based cross sectional study was conducted among 412 bipolar patients attending the outpatient department at Amanuel Mental Specialized Hospital from May – July 2015.Participants were selected using a systematic random sampling technique. Semi-structured questionnaires were used to collect socio-demographic and clinical data. Alcohol use disorder was measured using the Alcohol Use Disorders Identification Test (AUDIT-10). Binary logistic regression analysis was performed. The prevalence of alcohol use disorder was found to be 24.5%. Those affected were predominantly female (58.5%). Being18-29 years of age(AOR=3.86, 95% CI: 1.34, 11.29), being 30-44 years of age (AOR=4.99, 95%CI: 1.85, 13.46), being unable to read and write (AOR=5.58, 95%CI: 2.026, 13.650), having a secondary education (AOR=3.198, 95%CI: 1.149, 8.906), being a farmer (AOR=4.54, 95%CI: 1.67, 12.32), being employed by the government (AOR=3.53, 95%CI: 1.36, 4.15), being a day labourer (AOR=3.5, 95%CI: 1.14, 10.77), use of other substances during past 12 months (AOR=2.06, 95%CI: 1.06, 3.99), having a family history of alcohol use (AOR=2.18, 95%CI: 1.29, 3.68), having discontinued medication (AOR=2.78, 95%CI: 1.52, 5.07), having suicidal thoughts (AOR=4.56, 95%CI: 2.43, 8.54), and having attempted suicide (AOR=5.67, 95%CI: 3.27, 9.81) were statistically significant to alcohol use disorder using multivariate logistic analysis. The prevalence of co-morbid alcohol use disorder was high. This finding suggests that screening for risky alcohol use should be integrated into routine hospital outpatient care. Further, preventive measures against alcohol use disorder should be established

    Prevalence of unrecognized depression and associated factors among medical outpatient department attendees; a cross sectional study.

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    ObjectivesTo determine the prevalence and associated factors of unrecognized depression among patients who visit non-psychiatric outpatient departments in the University of Gondar specialized teaching hospital. North West Ethiopia.MethodsAn institution-based cross-sectional study was conducted among Medical outpatient departments in the University of Gondar specialized referral hospital from March to April 2019. We collected data through face-to-face interviews. We recruited 314 participants for face-to-face interviews using the systematic random sampling technique. The patient health questionnaire (PHQ-9) was used to measure depression. Coded variables were entered into Epi Info version 7 and exported to SPSS version 20 for analysis. Descriptive statistics and multivariable logistic regression analysis were used. Adjusted odds ratios (AOR) with a 95% confidence interval were used to calculate significance.ResultsA total of 314 participants were interviewed with a response rate of 100%. The prevalence of depression was 15.9% with (95% CI (12.1-20.1)). In the multivariate logistic regression revealed that, able to read and write (AOR = 0.24, 95% CI (0.67-0.84)), secondary education (AOR = 0.34, 95% CI (0.12-0.91)), education in college and university level (AOR = 0.32, 95% CI (0.13-0.78)), poor social support (AOR = 7.78, 95% CI (2.74-22.09)), current cigarette smokers(AOR = 12.65, 95% CI (1.79-89.14)) were associated with depression.ConclusionThe prevalence of depression among outpatient attendees was high. We recommend an early depression screening be carried out by health professionals

    Clinical characteristic distributions of caregivers of children and adolescents with mental illness at child and adolescent psychiatric clinics of St. Paul’s Hospital Millennium Medical College and Yekatit-12 Hospital Medical College, Addis Ababa, Ethiopia, 2018 (n = 408).

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    Clinical characteristic distributions of caregivers of children and adolescents with mental illness at child and adolescent psychiatric clinics of St. Paul’s Hospital Millennium Medical College and Yekatit-12 Hospital Medical College, Addis Ababa, Ethiopia, 2018 (n = 408).</p

    Prevalence and associated factors of post-partum depression in Ethiopia. A systematic review and meta-analysis.

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    BackgroundGlobally, post-partum depression is a major public health problem and is associated with a harmful effect on the infant, child, and mothers' mental, physical, and social health. Although a few post-partum depression studies have been published, we still lack an accurate estimated pooled prevalence of national PPD and associated factors.ObjectivesThis study aims to show the estimated pooled prevalence of PPD and associated factors in Ethiopia.MethodsWe conduct the extensive search of articles as indicated in the guideline (PRISMA), reporting systematic review and meta-analysis. Databases like MEDLINE, PubMed, psych INFO, Web of Science, EMBASE, CINAHL, Scopus, and The Cochrane Library. All publications and grey literature were addressed by using MeSH terms and keywords. The pooled estimated effect of post-partum depression and associated factors was analyzed using the random effect model meta-analysis, and 95% CI was also considered.Protocol and registrationPROSPERO 2020 CRD42020176769 Available from https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020176769.ResultA total of 11 studies with 7,582 participants were included in this meta-analysis. The estimated pooled prevalence of post-partum depression (PPD) was 22.08%, with a 95% CI (17.66%, 26.49). For factors associated with post-partum depression, a random effect size model was used during meta-analysis; unplanned pregnancy [(OR = 2.84; 95% CI (2.04, 3.97)], domestic violence [OR = 3.14; 95% CI (2.59, 3.80)], and poor social support [OR = 3.57;95% CI (2.29,5.54) were positively associated factors with post-partum depression.Conclusion and recommendationThe estimated pooled prevalence of post-partum depression was high in Ethiopia. Unplanned pregnancy, poor social support, and domestic violence were factors affecting PPD. Therefore, the Ethiopian policymakers and health personnel better give more emphasis to mothers who had a history of unplanned pregnancy, domestic violence, and poor social support
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