Introduction Antenatal depression is a syndrome, in which women experience depressed mood, excessive anxiety, insomnia, and change in weight during the period of pregnancy. Maternal depression negatively influences child outcomes and maternal health. Antenatal depression was measured by different rating scales, namely, BDI, EPDS, and PHQ. The objective of this systematic review was to synthesize logical evidence about the prevalence and potential risk factors of antenatal depression in Ethiopia. Methods Our team explored multiple databases including PSYCHINFO, MEDLINE, Embase, Google Scholar, and Google Search to detect studies published with data on the prevalence of antenatal depression. We found 246 research papers on antenatal depression, of which 210 did not correspond to the title and 27 were duplicates. Subsequently, nine articles were used for synthesis prevalence, of which four studies were selected in the analysis of the effect of unplanned pregnancy on antenatal depression. Figures were extracted from published reports and grey literature, and any lost information was requested from investigators. Estimates were pooled using random-effects meta-analyses. Results The pooled prevalence of antenatal depression for five studies selected, which had used BDI, was 25.33 (20.74, 29.92). The other four studies that had included other screening tools (3 EPDS and 1 PHQ) had the prevalence decreased to 23.56 (19.04, 28.07), and the pooled effect of unplanned pregnancy on antenatal depression was 1.93 (1.81, 2.06). Factors such as age, marital status, income, occupation, history of the previous mental disorder, antenatal follow-up, unplanned pregnancy, complication during to pregnancy, age of mother during pregnancy, conflict, and social support were associated with antenatal depression. Conclusions Antenatal depression is a common maternal problem; further attention should be given to the effect of unplanned pregnancy, social support, pregnancy-related complications, family conflicts, and violence on pregnant women. All these are possible risk factors for antenatal depression.

No abstract

No abstract

Background: Schizophrenia is a brain disorder which affects the way a person acts, thinks, and sees the world and causes difficulties in socializing with others creates a feeling of inability or inadequacy. Social support has an impact on mental and physical health throughout the life span. Lower social support has been associated with poor treatment outcomes. Poor social function has been found to increase admission rates.but in this study setting there is no evidence which shows the level of perceived social support and associated factors among people with schizophrenia. Objective: The aim of this study is to assess Level of perceived social support and associated factors among peoples with Schizophrenia at Amanuel mental specialized hospital, Addis Ababa, 2017. Method: An institutional based cross sectional study was conducted from May-to June-2017. Systematic random sampling technique was used to select study participants. Structured questionnaire with systematic random sampling approach followed by face to face interview technique were used. Epic-info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Descriptive statistics were employed to describe the data. Data were fitted with bivariate and multivariate Ordinal logistic regression. Statistical significance were declared 95% confidence interval and P value <0.05. Results: A total of 410 study participants were participated. The study showed that; low perceived social support, medium perceived social support and high perceived social support account for 21.5%, 58.5% and 20% respectively. Poor medication adherence (AOR=3.61(95% CI; 2.10, 6.18), greater than 3 hospital admission (AOR=0.46(95% CI; 0.27, 0.79), primary (AOR=0.45(95%CI; 0.24, 0.82) and secondary level of education (AOR=0.53(95%CI; 0.31, 0.91) were found to be statistically significant associated with the outcome. Conclusion and Recommendation: This study showed that people with schizophrenia have lower and medium perceived social support. Health care providers should screen all schizophrenic patients for their medication adherence on a regular basis.

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.