Estimating the prevalence of adult ADHD in the psychiatric clinic: a cross-sectional study using the adult ADHD self-report scale (ASRS)

2010 ◽  
Vol 27 (4) ◽  
pp. 195-197 ◽  
Author(s):  
Hussain Syed ◽  
Tawfik M Masaud ◽  
Nmandi Nkire ◽  
Chinedu Iro ◽  
Malcolm R Garland

AbstractObjectives: We sought to determine the point prevalence of adult attention deficit/hyperactivity disorder (ADHD) in an out-patient psychiatric population.Methods: Patients (n=243) attending five different outpatient clinics in a largely urban adult psychiatric service completed the Adult ADHD Self-Report Scale, a recently developed instrument by the World Health Organisation. Clinical and demographic data were recorded.Results: There was a high apparent rate of adult ADHD detected (23.9%). Such patients were significantly more likely to have lower educational attainment, ADHD as children, a forensic history and the diagnosis of personality disorder as well as a higher rate of benzodiazepine use. They were no more likely to be dissatisfied with the service, nor to be heavier users of the service.Conclusions: We report a high apparent rate of adult ADHD. Correlates of this high rate indicate individuals with less positive lifestyles than other patients. Screening for this disorder appears warranted, particularly in the light of the emergence of new non-amphetamine-based therapies.

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Justine Parnis ◽  
Neville Calleja ◽  
Petra Jones

AbstractThe World Health Organisation (2016) recommends exclusive breastfeeding up to 6 months of age and the introduction of complementary foods at around 6 months. International literature suggests that although knowledge of the guidelines is high, only a minority of parents wait until 6 months to wean and sub-optimal weaning practices are common. The aim of this study was to assess breastfeeding and weaning practices and to evaluate the effect of socio-economic determinants on such behaviours in a Mediterranean setting.A cross-sectional study design was used. One-time short interviews with 250 consenting mothers having 8 month old infants were conducted using a structured questionnaire. Mothers attending all the well baby clinics in the primary health care centres of the Maltese Islands for a period of two months were included in the study. The questionnaire included socio-economic and demographic data, details on the initiation and duration of breastfeeding, weaning practices and a short assessment of the infant's usual diet at 8 months.Mothers between 25–34 years old (26%) and mothers with a high level of education (25%) were more likely to breastfeed only during the first 8 months of life without using any other type of milk, compared to younger (6.5%) or older (21%) mothers, and to mothers with a lower level of education (16%). The level of education was also positively associated with the continuation of breastfeeding, with the mean duration of breastfeeding for higher educated mothers being 4 months compared to 2.6 months in less educated mothers. Mothers with a lower level of education and mothers who are house-wives are more likely to give their infants only ready-made foods however associations were in this case borderline significant. On the other hand, appropriateness of weaning age was not associated with any socio-economic factors.The length of breastfeeding and the introduction of complementary foods varied widely between mothers. Compliance with infant feeding guidelines was poor. The mother's age, level of education and employment status all have an impact on breastfeeding and weaning practices. The provision of professional advice and a supportive environment for mothers, together with interventions for increasing awareness may promote maternal adherence to WHO guideline.


2016 ◽  
Vol 86 (5-6) ◽  
pp. 242-248 ◽  
Author(s):  
Genc Burazeri ◽  
Jolanda Hyska ◽  
Iris Mone ◽  
Enver Roshi

Abstract.Aim: To assess the association of breakfast skipping with overweight and obesity among children in Albania, a post-communist country in the Western Balkans, which is undergoing a long and difficult political and socioeconomic transition towards a market-oriented economy. Methods: A nationwide cross-sectional study was carried out in Albania in 2013 including a representative sample of 5810 children aged 7.0 – 9.9 years (49.5% girls aged 8.4 ± 0.6 years and 51.5% boys aged 8.5 ± 0.6 years; overall response rate: 97%). Children were measured for height and weight, and body mass index (BMI) calculated. Cut-off BMI values of the World Health Organization (WHO) and the International Obesity Task Force (IOTF) were used to define overweight and obesity in children. Demographic data were also collected. Results: Upon adjustment for age, sex, and place of residence, breakfast skipping was positively related to obesity (WHO criteria: OR = 1.5, 95% CI = 1.3–1.9; IOTF criteria: OR = 1.9, 95% CI = 1.4–2.5), but not overweight (OR = 1.1, 95% CI = 0.9–1.3 and OR = 1.1, 95% CI = 0.9–1.4, respectively). Furthermore, breakfast skipping was associated with a higher BMI (multivariable-adjusted OR = 1.05, 95% CI = 1.02–1.07). Conclusions: Our findings point to a strong and consistent positive relationship between breakfast skipping and obesity, but not overweight, among children in this transitional southeastern European population. Future studies in Albania and other transitional settings should prospectively examine the causal role of breakfast skipping in the development of overweight and obesity.


Author(s):  
Claire Sunyach ◽  
Barbara Antonelli ◽  
Sophie Tardieu ◽  
Michele Marcot ◽  
Jeanne Perrin ◽  
...  

The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations. Quantitative and qualitative information was collected via auto-questionnaire. Questionnaires were completed by 962 participants, mainly midwives (41.1%), physicians (25.6%) and nursery nurses (11%). Indoor/outdoor air quality and endocrine disruptors were the best-mastered topics, whereas electromagnetic fields and diet gave rise to unsure responses. Overall, perinatal HPs were ill-trained and -informed about the reproductive risks linked to daily environmental exposure. HPs reported scarce knowledge, fear of patient reaction and lack of solutions as the main barriers to providing information regarding EH to the public. Our findings highlight the need to set up EH training programmes focused on scientific knowledge and to provide simple messages and tips to help perinatal HPs deliver advice to populations to mitigate exposure to environmental toxicants.


Author(s):  
Ruchita Dixit ◽  
Aaradhana Bandhani

Background: Family planning is defined by World Health Organization (WHO) as, “a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of family groups and thus contribute effectively to the social development of a country”. The extensive acceptance of family planning, in a society, is an integral component of modern development and is essential for the incorporation of women into social and economic life. Therefore the present study as well focused on the women knowledge and participation in family planning. Objectives: This study projected to evaluate the knowledge of the women about various family planning methods and its sources of information.Methods: In this cross-sectional study, 200 married women between 15-60 years of age group selected by multistage random sampling. The women were asked to complete the 20 questions including demographic data. Self structured questionnaire was used to evaluate their knowledge about Family planning methods. Subsequently, the data analyzed by using SPSS version 1.2.Results: In this present study knowledge of family planning methods were higher. Female sterilization and use of condom is the most widely known and practiced method of all contraceptive methods followed by oral Pills and IUDs. Health functionaries were found to the more informative as compared to media and others sources of information regarding family planning methods.Conclusions: From the results found in this study it can be accomplish that women’s awareness regarding family planning was higher and found satisfactory.


Author(s):  
Bambang Irawan ◽  
Erizal

Badan kesehatan dunia yaitu World Health Organisation (WHO) berupaya agar pelayanan kesehatan di dunia ini dapat memberikan suatu sistem pelayanan yang baik untuk meningkatkan derajat kesehatan masyarakat diberbagai belahan dunia. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik perawat dan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019. Penelitian ini bersifat analitik dengan desain penelitian cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden yang merupakan pasien rawat inap. Data dianalisa secara univarat dan bivariat menggunakan uji Chi square. Hasil penelitian diperoleh ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,007) dan ada hubungan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,030).


2018 ◽  
Vol 4 (2) ◽  
pp. 30-34
Author(s):  
Kinga Jamphel ◽  
Dorji Gyeltshen ◽  
Sherab Tenzin ◽  
Thinley Dorji

Introduction: The World Health Organisation estimates that only half of all medicines dispensed are used appropriately. The Bhutanese Traditional Medicine (BTM) system is no exception. Objectives: We studied the patients’ knowledge on the usage of traditional medicine regimens prescribed to them, their medication adherence and possible adverse events. Methods: This was a cross-sectional study conducted using an interviewer-administered questionnaire at the National Traditional Medicine Hospital, Thimphu in 2017. A simple random sampling was used. Ethical approval was sought from Research Ethics Board of Health, Thimphu. Results: A sample of 402 patients were studied. The mean age of the respondents was 45 years (±15 years) and 333 (82.8%) were old cases presenting to the hospital. The knowledge on the correct timing of the medicine, how to take the medicine and what to avoid while on those medicines were understood only by 62.7%, 34.6% and 22.9% respectively. Only 351 (87.3%) patients received verbal information on the usage of drugs from the dispensers, of which 119 (29.6%) said the information was not clear or not adequate. Failure to take medicines on time was reported by 224 (67.3%) among old cases. Undesirable events reported while using BTM were giddiness, vomiting, skin irritation, diarrhoea and fainting episodes. Conclusions: The drug information system and monitoring of medication adherence and adverse drug events require adoption of more effective toolsand methods.


Author(s):  
George Koshy ◽  
Vandana Gangadharan ◽  
Anullekha Naidu

Background: Cervical cancer is one of the most common cancers in women with an average of 468,000 new cases per year. Out of these 80% occur in developing and underdeveloped countries. World Health Organisation statistics show that Indian carries one fifths of world burden of the disease with 72,600 deaths annually. Key to the success of cervical cancer screening and prevention is the knowledge and awareness possessed by women in general. This requires the honing of knowledge at an impressionable and younger age group.Methods: It is a questionnaire based cross sectional study and was conducted amongst 4 study groups comprising Medical students, engineering students, nursing students and general graduate students between the age group 18 and 25 years.Results: According to present study, 93% of medical, 75% of nursing and only 29% of engineering students and 9 % of other students were actually even aware of the term cervical cancer. Assessment of knowledge regarding the risk factors of cervical cancer revealed that 13 medical, 9 nursing, 75 of engineering and 85 of Other Graduates weren’t aware of any risk factor that causes cervical cancer. As regards to attitude of the students towards cancer, present study revealed 4 medical, 23 nursing, 10 engineering and 9 general public women think that it is incurable and leads to death.Conclusions: This study highlights unawareness of various aspects of cervical cancer among young women and the burning need for continuing educational intervention at institute level to emphasise the importance and increase the awareness regarding cervical cancer.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Luana Brito dos Santos ◽  
Caroline Wanderley Souto Ferreira ◽  
Caroline Gomes Gonçalves ◽  
Mikaela Aparecida de Oliveira Xavier ◽  
Jardelina Hermecina Dantas ◽  
...  

Abstract Background The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women. Methods This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95 % confidence interval. Statistical significance was p <0.05. Results The prevalence of dysmenorrhea was 54 %. The pain lasted an average of three days or more (66 %). The average pain intensity, in the crisis period, was 6.1 ± 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (p = 0.003; 2 = 0.115), participation (p = 0.030; 2 = 0.063) and total score (p = 0.012; 2 = 0.086), with a moderate effect size for all variables. Conclusions Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.


Cephalalgia ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 384-392 ◽  
Author(s):  
Johanna Wolf ◽  
Daisuke Danno ◽  
Takao Takeshima ◽  
Linda MG Vancleef ◽  
Hiroo Yoshikawa ◽  
...  

Background Effects of emotion suppression on physical health might be contingent on culture. Existing research on emotion regulation has mainly included western participants. Herewith the question arises, whether this gained expertise is transferable to an Asian culture. Objectives This cross-sectional study evaluated to what extent the regulation of emotions is related to migraine and if the relation between emotion regulation and migraine complaints differs between a Western and an Asian population. Therefore, the main characteristics and symptoms of patients with migraine from both Germany and Japan are compared. Methods 261 Japanese and 347 German headache patients participated in this online study and completed self-report measures of emotion regulation (suppression and reappraisal) and headache complaints. Results Cultural groups did not differ regarding their demographic data, intake of medication and number of days with headache. German participants showed significantly higher levels of anxiety and lower levels of emotion suppression compared to Japanese patients. Emotion regulation is not correlated with headache complaints either in the Japanese or in the German patient group. Conclusion Although group differences were found with respect to anxiety and emotion suppression, subsequent regression analysis revealed these differences were unrelated to headache complaints. As our baseline analysis focused on group means, approaches that examine individual reaction patterns to stress and accompanying sensory stimulus processing may prove to be more fruitful and illuminating.


2020 ◽  
Vol 79 (5) ◽  
pp. 594-606
Author(s):  
Stephane Frayon

Objective: Vaccine hesitancy is increasing worldwide and the World Health Organisation has declared it to be one of the 10 threats for global health in 2019. Lack of confidence in vaccines and fear of side effects seem to be the key reasons. Education may help restore confidence, and middle and high school biology teachers may have a particularly powerful role in countering vaccine hesitancy. The aim of this study was to compare biology teachers’ opinions about vaccination with those of other teachers. Design: Cross-sectional study. Method: An electronic survey was sent to middle and high school teachers in New Caledonia. A total of 280 participants were recruited: 110 biology teachers and 170 teachers of other subjects. Attitudes about three common vaccine controversies were measured using Likert-type scales. Results were analysed using multiple logistic regression. Results: Biology teachers showed greater confidence in their knowledge about vaccines than other teachers. In general, their opinions agreed more with scientific knowledge than those of the other teachers, despite some disparities depending on their specific sub-specialty. Highest university qualification obtained was not correlated with the opinions expressed about vaccines. Conclusion: Biology teachers may be better able to restore confidence about vaccines than other teachers. Additional training and information are needed however to allow them to transmit accurate information about vaccines to adolescents.


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