BackgroundMany patients with chronic illness have sexual dysfunction that may be related to the condition itself, drug side effects, emotional sequel, or a combination of those factors. Patients with epilepsy are no exception. Men and women with epilepsy are frequently complaining sexual dysfunction and they appear to have a higher incidence of sexual dysfunction than peoples with other chronic neurologic illness. These problems can have a substantial impact on their sexuality thus; it needs careful study and evaluation.MethodsHospital based cross sectional study was conducted from January to July, 2016 among Patient with Epilepsy at Amanuel Mental Specialty Hospital. Interviewer administered Changes in Sexual Functioning Questionnaire (CSFQ-14) was used in order to assess the sexual problems. Finally, the data was analyzed by using Statistical Package for Social Science (SPSS) V-20. Descriptive statistics and logistic regression were used to describe the variables. Levels of significance of association determined at < 0.05.ResultsA total of 694 respondents participated, with response rate 99.14%. Among them 576 completed all items. The result showed that 363 subjects (63.9, 95%CI = 59.5–67.7) had global sexual dysfunction. Furthermore, the rate of sexual dysfunction was reported as 55.6% (95%CI = 49.1–62.6) and 67.4% (95%CI = 62.8–72.1) in female and male participants, respectively. Among domains of sexual dysfunction; sexual arousal problem (97.8% (95%CI = 95.8–98.3)) and sexual pain problem (11.3% (95%CI = 8.8–13.9)) were the most and the least prevalent sexual dysfunctions respectively. Concerning associated factors; age grouped > 51, depression, being out of relationship or not satisfied with non-sexual aspect of relationship, being jobless and khat use has positive association with sexual dysfunction. By the other side alcohol use, level of education & age groups 18–21 years associated negatively.ConclusionsThe prevalence of sexual dysfunction among patients with epilepsy is very high; its prevalence is more among males than females. Sexual arousal problem and sexual pain problem were the most and the least prevalent sexual dysfunctions respectively.Electronic supplementary materialThe online version of this article (10.1186/s12883-019-1432-1) contains supplementary material, which is available to authorized users.

Background: Housemaids are part of women with low socioeconomic status and most of them are migrant from rural to central part of Ethiopia, less educated, either with poor, separated, single or divorced family and/or dead parents. Housemaid may experience problems like depression and anxiety more than other groups of women. Therefore, the aim of this study was to assess the magnitude and determinants of those problems among housemaids. Objective: To assess the magnitude and determinants of depression & anxiety among housemaids in Addis Ababa; Ethiopia; 2018. Methods: Community based cross-sectional study was conducted from May 1 to August 30, 2018 among housemaids working in Addis Ababa, Ethiopia. Multistage sampling technique was applied with a total of 826 samples. Quantitative data was employed by using structured questionnaires. The collected data was coded, entered in to Epi-Info version 7 and analyzed by using SPSS version 20. Descriptive, analytical statistical procedures; bivariate and multivariate binary logistic regressions with odds ratios and 95% confidence interval was employed. The statistical significance was declared at p value < 0.05. Results: This study enrolled 862 participants with response rate 99.5%, 99.5% refers to the number of people who actually completed the interview. The result showed prevalence of depression and anxiety among housemaids 27.5% and 32.3% respectively. Among all participants 44.6% (95% CI= 41.0-47.9) have mild, 18.5% (95% CI= 15.7-21.2) have moderate and 6.1% (95% CI= 4.5-7.8) have severe form of comorbid anxiety with depression. Depression (44.9%) and anxiety (41.9%) found more prevalent among the age group 16 to 20. In this study history of parental divorce, participant's divorce, physical violence and sexual violence are positively associated. Other factors; being less educated and living with relatives; were associated negatively. Conclusion: The prevalence of Depression and Anxiety is found high among housemaid; its prevalence is more among age group 16 to 20 than other age groups. Violence, participant's divorce, history of parental divorce and contraceptive use has positively associated with depression and anxiety.

Background Studies have suggested that developing good trends in clinical practices in adherence to the recommended processes and guidelines for basic care have been associated with good health outcomes. However, no previous studies have explored trends in psychiatric practices and their impact on relapse among patients with severe mental disorders. Methods: We conducted a retrospective chart review of 401 patients with severe psychiatric disorders selected by systematic random sampling technique. Trends in clinical practice were assessed by a tool adapted from published evidence based on advice from well-known experts in psychiatric practice. A univariable and multivariable logistic regression model was used to investigate the association between psychiatric practices and relapse. Results This study provided evidence of a significant deficit in adherence to the recommended practices of basic care. The vast majority of professionals were not following the appropriate psychiatry history-taking format at first contact (73.6%), not documented the reasons for drug discontinuation (88.5%), did not follow the correct guideline of shifting across psychrotrophic medications (86.8%), and did not put their name or signature on the chart (61.8%). In multivariable analysis, not following psychiatric history taking format at first contact 1.63 (1.04, 2.56)], the diagnosis of bipolar disorders [4.85 (2.01, 8.36)], drug discontinuation after a short duration of treatment [1.21 (1.02, 2.42)], poor documentation of patient data during follow up [3.10 (2.35, 4.43)], absence of name and signature of treating physician on the chart [7.58 (2.64, 21.79)], and failing to treat medication side effect [2.55 (1.02, 6.39)] were found to significant predictors of relapse among the participants. Conclusions The findings provided evidence of notably higher rates of deficits in adherence to the existing guideline of basic psychiatric care, which resulted in a higher risk of relapse among patients with severe psychiatric disorders.

Background: Housemaids are part of women with low socioeconomic status and most of them are migrant from rural to central part of Ethiopia, less educated, either with poor, separated, single or divorced family and/or dead parents. Housemaid may experience problems like depression and anxiety more than other groups of women. Therefore, the aim of this study was to assess the magnitude and determinants of those problems among housemaids. Objective: to assess the magnitude and determinants of depression & anxiety among housemaids in Addis Ababa; Ethiopia; 2018.Methods: community based cross-sectional study was conducted from May 1 to August 30, 2018 among housemaids working in Addis Ababa, Ethiopia. Multistage sampling technique was applied with a total of 826 samples. Quantitative data was employed by using structured questionnaires. The collected data was coded, entered in to Epi-Info version 7 and analyzed by using SPSS version 20. Descriptive, analytical statistical procedures; bivariate and multivariate binary logistic regressions with odds ratios and 95% confidence interval was employed. The statistical significance was declared at p value < 0.05.Results: This study enrolled 862 participants with response rate 99.5%, 99.5% refers to the number of people who actually completed the interview. The result showed prevalence of depression and anxiety among housemaids 27.5% and 32.3% respectively. Among all participants 44.6% (95% CI= 41.0 – 47.9) have mild, 18.5% (95% CI= 15.7 – 21.2) have moderate and 6.1% (95% CI= 4.5 – 7.8) have severe form of comorbid anxiety with depression. Depression (44.9%) and anxiety (41.9%) found more prevalent among the age group 16 to 20. In this study history of parental divorce, divorce, physical violence and sexual violence are positively associated. Other factors; being less educated and living with relatives; were associated negatively. Conclusion: The prevalence of Depression and Anxiety is found high among housemaid; its prevalence is more among age group 16 to 20 than other age groups. Violence, divorce, history of parental divorce and contraceptive use has positively associated with depression and anxiety.

Background: Housemaids are part of women’s with low socioeconomic status and most of them are migrant from rural to central part of Ethiopia, less educated, either with poor, separated, single or divorced family and/or dead parents. Housemaid may experience problems like depression and anxiety more than other groups of women. Therefore, the aim of this study was to assess the magnitude and determinants of those problems among housemaids. Objective: to assess the magnitude and determinants of depression & anxiety among housemaids in Addis Ababa; Ethiopia; 2018. Methods: community based cross-sectional study was conduct from January 2018 – August 2018 housemaid working in Addis Ababa, Ethiopia. Multistage sampling technique was applied with a total of 826 samples. Quantitative data was employed by using structured questionnaires. The collected data was coded, entered in to Epi-Info version 7 and analyzed by using SPSS version 20. Descriptive, analytical statistical procedures; bivariate and multivariate binary logistic regressions with odds ratios and 95% confidence interval was employed. The statistical significance was declared at p value < 0.05. Results: This study enrolled 862 participants with response rate 99.5%. The result showed that prevalence of depression and anxiety found 27.5% (95% CI= 24.3 – 30.40) and 32.3% (95% CI= 29.3 - 35.4) respectively. Among all participants 44.6% (95% CI= 41.0 – 47.9) have mild, 18.5% (95% CI= 15.7 – 21.2) have moderate and 6.1% (95% CI= 4.5 – 7.8) have severe form of comorbid anxiety with depression. Both depression and anxiety found more (44.9% & 41.9% respectively) prevalent among age group 16 to 20. In this study history of parental divorce, divorce, physical violence and sexual violence are positively associated. Other factors; being less educated (not educated, 1 ry & 2 ry level of education) and living with relatives; were associated negatively. Conclusion: The prevalence of Depression and Anxiety is found high among housemaid; its prevalence is more among age group 16 to 20 than other age groups. Violence, divorce, history of parental divorce and no contraceptive use have positively associated with depression and anxiety.