scholarly journals Prevalence and Stigma of Postpartum Common Mental Disorders in the Gurage Region of Ethiopia: A Mixed-Methods Observational Cohort Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Sophia Monaghan ◽  
Meseret Ayalew Akale ◽  
Bete Demeke ◽  
Gary L. Darmstadt

Objectives: Mental disorders are vastly underdiagnosed in low-income countries that disproportionately affect women. We aimed to evaluate the prevalence of common mental disorders in newly postpartum women, and stigma associated with mental health reporting in an Ethiopian community using a validated World Health Organization survey.Methods: The Self Reporting Questionnaire (SRQ) for psychological distress was administered in Amharic by nurses to 118 women aged 18–37 years who had given birth in the prior 3 months in the Glenn C. Olsen Memorial Primary Hospital in Yetebon. Mental health stigma among the four nursing staff was assessed using Link and Phelan's Components of Stigma.Results: Among 118 women surveyed, 18% had a probable common mental disorder using the SRQ 4/5 cutoff and 2% admitted to suicidal thoughts. Presence of stigma in the healthcare staff was verified, including labeling, stereotyping, separating, and status loss and discrimination.Conclusion: Postpartum mental health disorders as well as stigma against such diagnoses are common in the Yetebon community. There is an urgent need for increased availability of properly trained and supervised healthcare staff in the identification and referral of postpartum women with common mental disorders.

1998 ◽  
Vol 172 (6) ◽  
pp. 533-536 ◽  
Author(s):  
Vikram Patel ◽  
Jerson Pereira ◽  
Livia Countinho ◽  
Romaldina Fernandes ◽  
John Fernandes ◽  
...  

BackgroundThis study examined the association of common mental disorders in primary health clinic attenders with indicators of poverty and disability in Goa, India.MethodAdult attenders (n=303) in two primary health clinics were recruited.ResultsThere were 141 (46.5%) cases of common mental disorder. The following were associated with common mental disorder: female gender; inability to buy food due to lack of money; and being in debt. Cases scored significantly higher on all measures of disability. Primary health clinic staff recognised a third of the morbidity but used multiple oral drugs, injectable vitamins and benzodiazepines to treat common mental disorders.ConclusionsPoverty is closely associated with common mental disorder which in turn is associated with deprivation and despair. Primary mental health care priorities in low-income countries need to shift from psychotic disorders which often need specialist care to common mental disorders. Health policy and development agencies need to acknowledge the intimate association of female gender and poverty with these disorders.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wasihun Adraro ◽  
Habtamu Kerebih ◽  
Workinesh Tesema ◽  
Fira Abamecha ◽  
Hailemariam Hailesilassie

Abstract Background Millions of people are currently suffering from some form of mental disorders. The prevalence of common disorders is twofold higher in prison than general population and the condition is found to be worst in African in general and Ethiopia in particular. The aim of this study was to assess the prevalence of common mental disorders and its correlates among prisoners in Jimma town correctional institution; Ethiopia. Methods A cross sectional quantitative study was conducted enrolling 300 prisoners. The participants were recruited using systematic random sampling technique. The World health organization Self Reporting Questionnaire (SRQ-20) scale; was adapted to assess prevalence of mental disorders. Data were collected on interviewer administered basis by trained personnel. Statistical package for social sciences (SPSS) version 20 for widows was used for data analysis. Multivariate logistic regression modelling was conducted to identify the independent predictors of common mental disorders. P-value less than 5% was considered to indicate significant associations. Results The prevalence of common mental disorder was found to be 62.70, 95% CI; [57.30, 68.50]. Prisoners who had monthly income of 1500-3000birr, AOR = 3.30, 95% CI; [1.25, 8.69] and above 3000birr; AOR = 4.75, 95% CI; [1.57, 14.33], family history of mental illness; AOR = 6.14, 95% CI; [1.65, 22.79] and who ever used Khat; AOR = 4.33, 95% CI; [2.02, 9.27] were more likely to experience common mental disorders. Conversely; having some sort of work in prison; AOR = 0.25, 95% CI; [0.12, 0.54], perceived moderate social support; AOR = 0.094, 95% CI; [0.04–0.215] and perceived moderate strong; AOR = 0.025, 95% CI; [0.009, 0.07] were found to be protective factors. Conclusion Prevalence of common mental disorder was considerably high as nearly more than three in every five prisoner experience some form of the disorder. Early screening of prisoners up on their arrival, appropriate treatment and follow up should be done. Furthermore; creating prison based jobs that could bring prisoners together and encouraging positive relationships to build social supports as coping strategy is required.


Author(s):  
Ramya K. Sathyanarayana ◽  
Shashikala Manjunatha

Background: Common mental disorders are commonly encountered in community settings, especially in women. The somatic symptoms often lead to repeated visits to health care practitioners without resolution of the problem. The knowledge of magnitude of common mental disorders and their associated factors has proved useful in psychiatric epidemiological research.Methods: A community based cross-sectional study was carried out among 480 randomly selected women in the reproductive age group using self-reporting questionnaire (SRQ-20), a validated tool developed by World Health Organisation. A standard cut-off score of 7 was used to identify women with common mental disorder. Data was analysed using descriptive statistics and suitable tests of significance in statistical package for social sciences (SPSS) v. 21.0.Results: The prevalence of common mental disorder was found to be 33.5% in the present study. Analysis showed that various socio-demographic characteristics of women like lower educational levels of women, widowed women, and women belonging to lower socio-economic class, belonging to joint family, lower body mass index had statistically significant association with common mental disorders.Conclusions: This study revealed that the prevalence of common mental disorders was high (33.5%) among the women of reproductive age group and there existed statistically significant association between common mental disorders and various socio demographic determinants.


BJPsych Open ◽  
2018 ◽  
Vol 4 (2) ◽  
pp. 58-60 ◽  
Author(s):  
Elizabeth Spry ◽  
Rebecca Giallo ◽  
Margarita Moreno-Betancur ◽  
Jacqui Macdonald ◽  
Denise Becker ◽  
...  

We examined prospective associations between men's common mental disorders in the decades prior to offspring conception and subsequent paternal antenatal mental health problems. Data came from a prospective intergenerational cohort study which assessed common mental disorder nine times from age 14 to 29 years, and in the third trimester of subsequent pregnancies to age 35 years (N = 295 pregnancies to 214 men). Men with histories of adolescent and young adult common mental disorders were over four times more likely to experience antenatal mental health problems. Future research identifying modifiable perinatal factors that counteract preconception risk would provide further targets for intervention.Declaration of interestNone.


2007 ◽  
Vol 191 (2) ◽  
pp. 158-163 ◽  
Author(s):  
David L. Fone ◽  
Frank Dunstan ◽  
Ann John ◽  
Keith Lloyd

BackgroundThe relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.AimsTo investigate associations between the small-area MINI score and common mental disorder at individual level.MethodMental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF-36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.ResultsThe MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.ConclusionsThe MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.


2020 ◽  
Author(s):  
Kefyalew Dagne Gizachew ◽  
Gashaw Andargie Biks ◽  
Abate Dargie Wubetu

Abstract Introduction: The high prevalence of antenatal mental disorders in Sub-Saharan African countries is poorly understood. Pregnancy and childbirth are gaining recognition as significant risk factors for the development and exacerbation of mental health problems. In low- and lower-middle income countries about one in six pregnant women are experiencing antenatal common mental disorders (CMD). Objective: To assess prevalence and associated factors of common mental disorders (CMD) among pregnant women in Debre Berhan town, North Showa Zone, Amhara region, Ethiopia, 2016. Methods: Community based cross-sectional study was employed among 569 participants. Data was collected using face-to-face interviews with Amharic version of Self Reporting Questionnaire (SRQ-20) from seven selected kebeles. Kebeles were selected by simple random sampling and individuals were selected using cluster sampling. Crude and adjusted OR was analyzed using bivariate and multivariable logistic regression analysis and the level of significance for association was determined with 95% CI and at P- value < 0.05. Result: A total 557 study participants were completed the interview and the prevalence of antenatal common mental disorder was found to be 45.2%. Loss of loved one (AOR = 1.97; 95% CI: 1.19–3.27), history of chronic medical illness (AOR = 6.57; 95% CI: 2.17–19.94), unwanted pregnancy (AOR = 2.13; 95% CI: 1.15–3.95), nulliparity (AOR = 8.71; 95% CI: 1.58–47.94), one or less ANC consultations (AOR = 0.22; 95% CI: 0.08–0.64), two-three ANC consultations (AOR = 0.30; 95% CI: 0.11–0.83) and current obstetric complications (AOR = 4.45; 95% CI: 2.21–8.99) were important factors significantly associated with antenatal common mental disorder. Conclusion: The prevalence of antenatal common mental disorder (CMD) was high in this study that shows antenatal CMD is significant public health issue that requires a great emphasis. So, early screening and intervention for antenatal CMD should be integrated in primary health care and antenatal care service settings.


2010 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Jorge Luiz Lima da Silva ◽  
Adriana Cibelle Rodrigues da Nóbrega ◽  
Fabiane Gonçalves De Faria Brito ◽  
Renata Campos Gonçalves ◽  
Barbara Soares Avanci

ABSTRACT Objective: to identify the prevalence of mental disorders common and analyze factors related in nursing workers. Method: this is about a survey study performed with 80 workers in intensive care in a public university hospital in Rio de Janeiro city, Brazil. The CMD were assessed using the Self-Reporting Questionnaire (SRQ-20). It were described socio-demographic variables, work variables, the prevalence of CMD through univariate and bivariate. The Chi-square Test was used to assess the level of statistical significance. The study was approved by the Ethics in Research number 030/08 and the subjects were those who agreed with the purposes of the study and signed a formal term. Results: it was observed that the prevalence of TMC was significantly higher in those workers with monthly income above six minimum wages, job security, with and between those who work in coronary unit. Conclusion: the findings demonstrate the need for preventive actions aimed at better quality of life in promotion workplace and mental health for employees of nursing sectors of intensive care. Descriptors: stress; mental health; mental disorders.  RESUMO Objetivo: identificar a prevalência de transtornos mentais comuns e analisar fatores relacionados entre trabalhadores de enfermagem. Método: trata-se de um levantamento realizado com 80 trabalhadores de cuidados intensivos em um hospital público universitário de grande porte do Rio de Janeiro. Os transtornos mentais comuns foram avaliados por meio do Self-Reporting Questionnaire (SRQ-20). Foram descritas variáveis sócio-demográficas, variáveis laborais, a prevalência de TMC por meio de análises univariadas e bivariadas. O Teste do Qui-quadrado foi empregado para verificar o grau de significância estatística. O estudo foi aprovado pelo Comitê de Ética em Pesquisa sob o nº 030/08 e os sujeitos foram os que consentiram com os propósitos do estudo e assinaram termo formal. Resultados: foi observado que a prevalência de TMC esteve significativamente maior em trabalhadores que com renda mensal acima de seis salários mínimos, com vínculo estável e entre aqueles que trabalham em unidade coronariana. Conclusão: os achados demonstram a necessidade de ações preventivas que visem a melhor qualidade de vida no trabalho e promoção à saúde mental para os trabalhadores de enfermagem de setores de cuidados intensivos. Descritores: estresse; saúde mental; transtorno mental.  RESUMEN Objetivo: identificar la prevalecía de trastornos mentales comunes y analizar los factores relacionados en el personal de enfermería. Método: se trata de un estudio de encuesta con 80 trabajadores en cuidados intensivos en un hospital público universitario en el ciudad de Río de Janeiro, Brasil. Los trastornos mentales comunes se evaluaron utilizando el Self Reporting Questionnaire (SRQ-20). Se describen las variables socio demográficas, la labor de la prevalecía de CMD a través de análisis univariado y bivariado. La prueba de Chi cuadrado para evaluar el nivel de significación estadística. El estudio fue aprobado por el Comité de Ética en la Investigación con nº 030/08 y los participantes fueron los que estuvieron de acuerdo con los propósitos del estudio y firmaron un formulario de consentimiento. Resultados: hemos observado que la prevalecía de CMD fue significativamente mayor en los trabajadores con ingresos de más de seis veces el salario mínimo, con una estable y entre quienes trabajan en la unidad de cuidados coronarios. Conclusión: los resultados demuestran la necesidad de medidas preventivas destinadas a mejorar la calidad de la vida laboral y la promoción de la salud mental para el personal de enfer estrés; saludmería de los sectores de cuidados intensivos. Descriptores: mental; trastornos mentales.


2013 ◽  
Vol 202 (4) ◽  
pp. 294-300 ◽  
Author(s):  
Traolach S. Brugha ◽  
Ruth Matthews ◽  
Jordi Alonso ◽  
Gemma Vilagut ◽  
Tony Fouweather ◽  
...  

BackgroundHealth expectancies, taking into account both quality and quantity of life, have generally been based on disability and physical functioning.AimsTo compare mental health expectancies at age 25 and 55 based on common mental disorders both across countries and between males and females.MethodMental health expectancies were calculated by combining mortality data from population life tables and the age-specific prevalence of selected common mental disorders obtained from the European Study of the Epidemiology of Mental Disorders (ESEMeD).ResultsFor the male population aged 25 (all countries combined) life expectancy was 52 years and life expectancy spent with a common mental disorder was 1.8 years (95% CI 0.7-2.9),3.4% of overall life expectancy. In comparison, for the female population life expectancy at age 25 was higher (57.9 years) as was life expectancy spent with a common mental disorder (5.1 years, 95% CI 3.6-6.6) and as a proportion of overall life expectancy, 8.8%. By age 55 life expectancy spent with a common mental disorder had reduced to 0.7 years (males) and 2.3 years (females).ConclusionsAge and gender differences underpin our understanding of years spent with common mental disorders in adulthood. Greater age does not mean living relatively more years with common mental disorder. However, the female population spends more years with common mental disorders and a greater proportion of their longer life expectancy with them (and with each studied separate mental disorder).


2020 ◽  
Author(s):  
Norito Kawakami ◽  
Maiko Fukasawa ◽  
Kiyomi Sakata ◽  
Ruriko Suzuki ◽  
Hiroaki Tomita ◽  
...  

Abstract Background: People living in temporary housing for long periods after a disaster are at risk of poor mental health. This study investigated the post-disaster incidence and remission of common mental disorders among adults living in temporary housing for the three years following the 2011 Great East Japan Earthquake.Methods: Three years after the disaster, face-to-face interviews were conducted with 1,089 adult residents living in temporary housing in the disaster area, i.e., the shelter group, and a random sample of 852 community residents from non-disaster areas of East Japan. The World Health Organization Composite International Diagnostic Interview was used to diagnose DSM-IV mood, anxiety, and alcohol use disorders. Information on demographic variables and disaster experiences was also collected. Results: Response rates were 49% and 46% for the shelter group and the community residents, respectively. The incidence of mood/anxiety disorder in the shelter group was elevated only in the first year post-disaster compared to that of the general population. The rate of remission for mood and anxiety disorders was significantly lower in the shelter group than in the community residents. The proportion seeking medical treatment was higher in the shelter group.Conclusions: The onset of common mental disorders increased in the first year, but then levelled off in the following years among residents in temporary housing after the disaster. Remission from incident post-disaster mental disorders was slower in the shelter group than in the general population. Post-disaster mental health service could consider the greater incidence in the first year and prolonged remission of mental disorders among survivors with a long-term stay in temporary housing after a disaster.


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