Assessment of sexual dysfunction and associated factors among patients with schizophrenia in Ethiopia, 2017

Fanta, Tolesa; Haile, Kibrom; Angaw, Dessie Abebaw; Assefa, Dawit; Hibdye, Getahun

doi:10.1186/s12888-018-1738-3

Cited by 37 publications

(65 citation statements)

References 18 publications

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“…In our study, regarding the socio-demographic variables, being divorced (β = −0.72, p = 0.02) and having no formal education (β = −0.69, p = 0.001) was significantly inversely associated with physical health domain of quality of life among people with schizophrenia. This result is inline to the previous study in which marital status and educational status were significantly associated with quality of life [17,28,29] and also inline to the study which reported that people with schizophrenia those with a low level of education report better quality of life [13]. Different studies reported different results regarding the association between educational status and quality of life.…”

Section: Discussionsupporting

confidence: 88%

“…Different studies reported different results regarding the association between educational status and quality of life. People with schizophrenia who are unable to read and write are more likely to have a poor quality of life compared to those who are degree and above [17]. Other studies have also revealed an association between low educational status in schizophrenia and quality of life, whereby a better educational level was associated with better psychopathological status in the disease evolution [29].…”

Section: Discussionmentioning

confidence: 99%

“…This study was aimed to assess the overall quality of life profile with its domains and associated factors among people with schizophrenia and attending follow up service at Jimma University Medical Center, psychiatry clinic, Southwest Ethiopia. To the best of our knowledge, this study was the first study designed to examine the association between quality of life and psychiatric symptoms in Ethiopia, as the available study did not include psychiatric symptoms [17].…”

Section: Discussionmentioning

confidence: 99%

“…In Ethiopia, only limited national wide studies conducted on the quality of life and associated factors among people with schizophrenia and there is no study conducted specifically in the study area. Even the available studies in Ethiopia did not try to see the association between quality of life and psychiatric symptoms of people with schizophrenia [17]. Therefore, this study aimed to assess the profile of quality of life and its association with psychiatric symptoms and socio-demographic variables among people with schizophrenia and attending follow up service at Jimma University Medical Center, psychiatry clinic, Southwest Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: A hospital-based cross-sectional study

2020

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Objectives To identify sociodemographic and illness-related factors associated with quality of life among people with Schizophrenia. Methods A hospital-based cross-sectional study design was employed among 351 people with schizophrenia and attending the followup service at Jimma University Medical Center, psychiatric clinic during the study period. Participants were recruited using a systematic random sampling method and a sample fraction of two was used after the first person was identified by a lottery method. Data entry was done using EpiData version 3.1 and then exported to Statistical Package for Social Sciences version 25 for analysis. Multiple regression analysis was used to determine the statistically significant association between quality of life and independent variables. Results Among the four domains of quality of life, respondents scored the lowest mean in the social relationships domain (10.14 ± 3.12). Final adjusted multiple regression model revealed, being divorced was negatively associated with the physical domain (β = −0.72, p = 0.02), having no formal education was negatively associated with physical health domain (β = −0.69, p = 0.001) and age was positively associated with the psychological domain (β = 0.371, p = 0.071). Being rural resident was negatively associated with physical domain (β = −0.48, p = 0.01), with environmental domain (β = −0.64, p = 0.03), with social relationships domain (β = −0.45, p = 0.04), and with overall quality of life (β = −1.93, p = 0.006). Positive symptoms (β = −0.22, p = 0.001), negative symptoms (β = −0.36, p = 0.001), and general

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: A hospital-based cross-sectional study

2020

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“…6 BDI has a high degree of sensitivity (0.98) and specificity (0.95) for detecting depression. 27 It is valid and reliable to assess the presence and absence of depression. 24 The internal consistency (Cronbach's α) was higher in many countries ranging from 0.75 to 0.92.…”

Section: Data Collection Procedures and Toolsmentioning

confidence: 99%

<p>Suicidal Behavior and Associated Factors Among Students in Mettu University, South West Ethiopia, 2019: An Institutional Based Cross-Sectional Study</p>

Abdu

Hajure

Desalegn

2020

PRBM

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Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/VnFTiTuzCpI Background: Suicidal behavior is a leading cause of injury and death worldwide. It is a public health issue that is estimated to contribute more than 2.4% to the global burden of disease by the year 2020. University and college students are among groups affected more than the general population. However, there is a scarcity of studies on the magnitude and associated factors of suicidal behavior among University students in Ethiopia, particularly in Mettu University. Therefore, we assessed the prevalence of suicidal behavior and associated factors among Mettu University students. Methods: Institution-based multistage stratified cross-sectional study design was conducted among 523 regular main campus students of Mettu University. The Suicidal Behaviors Questionnaire Revised (SBQ-R) was used to screen the presence of suicidal behavior symptoms. Data analysis was done using SPSS version 20. Results: Lifetime prevalence of suicidal ideation, plan, and attempt was 58.3%, 37.3%, and 4.4%, respectively, with one-year prevalence of suicidal ideation at 34%. The multivariate logistic regression analysis revealed that the odds of suicidal ideation were higher among female gender, students who had poor social support, family history of suicide attempt, lifetime alcohol use, rural residence, and less frequently engaging in religious practice; these factors were significantly associated with suicidality. Conclusion: Nearly one-fourth of respondents report suicidal behavior. Prevalence of suicide was found to be higher. Prevention and coping actions regarding identified factors to reduce burden of suicide are needed.

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Sexual Dysfunction in Schizophrenia

Korchia,

Achour,

Faugere

et al. 2023

JAMA Psychiatry

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ImportanceIn individuals with schizophrenia, antipsychotic-induced dysfunctions are frequent but often underexplored in clinical practice.ObjectiveTo synthetize the data of observational studies exploring the prevalence of sexual dysfunction in individuals with schizophrenia-spectrum disorders as well as associated factors.Data SourcesA systematic literature search without language or time restrictions was conducted in Google, Google Scholar, PubMed/MEDLINE, Science Direct, and Université Sorbonne Paris Cité for studies published up to June 8, 2022.Study SelectionAll observational studies reporting a prevalence of sexual dysfunction in schizophrenia-spectrum disorder were included.Data Extraction and SynthesisThe MOOSE guidelines with independent extraction by 2 observers and random-effects models were used.Main Outcomes and MeasuresThe prevalence of sexual dysfunction and each specific dysfunction.ResultsA total of 72 of 1119 studies from 33 countries on 6 continents published from inception to June 2022 were included with a total of 21 076 participants with schizophrenia. The pooled global prevalence of sexual dysfunctions was 56.4% (95% CI, 50.5-62.2), with a prevalence of 55.7% (95% CI, 48.1-63.1) for men and 60.0% (95% CI, 48.0-70.8) for women. The most frequent sexual dysfunction was erectile dysfunction in men (44%; 95% CI, 33.5-55.2), followed by loss of libido in men (41%; 95% CI, 30.7-51.4), ejaculation dysfunction in men (39%; 95% CI, 26.8-51.8), orgasm dysfunction in women (28%; 95% CI, 18.4-40.2), and amenorrhea in women (25%; 95% CI, 17.3-35.0). Factors associated with heterogeneity were study design, time and location, sociodemographic data, alcohol use disorder, psychiatric diagnosis, illness severity, and the use of antidepressants and anxiolytics. Sexual dysfunctions were more frequent in schizophrenia vs schizoaffective disorders, and erectile disorders were less frequent in individuals with longer illness duration. Antidepressant and mood stabilizer prescriptions were associated with lower rates of erection disorders (β, −6.30; 95% CI, −10.82 to −1.78); P = .006 and −13.21; 95% CI, −17.59 to −8.83; P &lt; .001, respectively) and ejaculation disorders (β, −6.10; 95% CI, −10.68 to −1.53; P = .009 and β, −11.57; 95% CI, −16.34 to −6.80; P &lt; .001, respectively). No obvious improvements in the rates of sexual dysfunction at other times were found, and there were conflicting results regarding antipsychotic classes.Conclusions and RelevanceThis systematic review and meta-analysis found a high prevalence of sexual dysfunction among individuals with schizophrenia, with considerable heterogeneity in associated factors. The findings also suggest that some dysfunctions may be explained by schizophrenia. The association between lower rates of dysfunction and antidepressant use suggests that treating comorbid depression could be an effective strategy to improve sexual health. A lack of data on metabolic parameters and physical health in general was also noted, while these issues are frequent in the care of schizophrenia.

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Assessment of sexual dysfunction and associated factors among patients with schizophrenia in Ethiopia, 2017

Cited by 37 publications

References 18 publications

Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: A hospital-based cross-sectional study

Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: A hospital-based cross-sectional study

<p>Suicidal Behavior and Associated Factors Among Students in Mettu University, South West Ethiopia, 2019: An Institutional Based Cross-Sectional Study</p>

Sexual Dysfunction in Schizophrenia

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