Menstrual disorder is a common health problem among females in their reproductive years. It has psychosocial effects on the sufferer and her interactions with others during such periods. In Nigeria, menstrual disorder has received little research attention especially in the public health agenda. This study combines quantitative and qualitative approaches in investigating the prevalence of dysmenorrhoea and menorrhagia and their psychosocial effects by focusing on the daily activities of female undergraduates at the Obafemi Awolowo University, Ile-Ife, Nigeria. A multi-stage sampling technique was employed to select 415 female undergraduates at the University. A snowball sampling technique was used in selecting 37 informants for the in-depth interviews. Results showed a high prevalence of dysmenorrhoea (64%) among respondents within 3 months prior to this study. Dysmenorrhoea was significant among female students who reported dizziness, headache, depression and irritation; and those whose menstrual disorder ever called for medical attention (P<0.05). Similarly, menorrhagia was less frequent (21%) than dysmenorrhoea (64%), but occurred more significantly with dizziness, headache and depression, and those whose menstrual disorderliness ever called for medical attention or even surgical intervention (P<0.05). Menstrual disorder was experienced as an objective and subjective reality among those interviewed. Both dysmenorrhoea and menorrhagia were significant predictors of psychosocial relationship of the female students (P<0.05). Those with dysmenorrhoea reported one and a half times of depression than those without. However, menorrhagia appeared as the principal factor affecting their daily school activities and relationship with colleagues. Menstrual disorders prevalence is high among young undergraduates and appropriate enlightenment and treatment should be made available to young females.
Caregivers of patients with schizophrenia experience immense burden. Public health education as well as targeted interventions in the area of employment, financial and other support for persons with mental disorders would help to ameliorate this burden.
Infertile women are more vulnerable to psychological distress and require psychological support. There is a need to incorporate mental health screening and treatment in the routine care of infertile women in Nigeria.
SMS reminders of appointments were an effective intervention to improve clinic attendance among persons treated for first-episode psychosis at the Federal Neuro-Psychiatric Hospital in Benin City, Nigeria.
Objective To ascertain the current and lifetime prevalence of depression among adults with sickle cell disease and identify relevant socio-demographic and clinical correlates. Method A cross-sectional study of 205 stable adult out-patient attendees at a treatment center in southern Nigeria between April and September, 2014. A socio-demographic questionnaire, the depression module of Mini International Neuropsychiatric Interview, and the eight-item Morisky Medication Adherence Scale were administered. Categorical and continuous variables associated with a diagnosis of depression were tested using chi-squared and t-tests respectively. Level of significance was set a priori at P < 0.05. Results Prevalence of current depression was 16.6%, while lifetime prevalence was 29.8%. Current depression was significantly associated with frequent analgesic use ( P < 0.03), unemployment ( P = 0.04), low income ( P < .04), low educational status ( P < 0.01), and subjective pain ( P < 0.001). Subjective pain was nearly twice as likely to predict a current depressive episode (AOR: 1.81, 95%CI: 1.42-2.02, P < 0.03). Conclusions Depression is common among adults with sickle cell disease and is significantly associated with severity of subjective pain.
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