Common psychiatric disorders in glaucoma patients as seen at the University of Benin Teaching Hospital, Benin City, Nigeria

Dawodu, OA; Otakpor, AN; Ukponmwan, CU

doi:10.4314/jmbr.v3i1.10655

Cited by 6 publications

(30 citation statements)

References 5 publications

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“…From the total of 20 possible score measured by the tool, score of ≥11 was observed in 94 (23.21%) of study subjects. Almost similar finding was reported in Kenya (21.7%) [21] and Nigeria (22%) [14] and relatively higher than reported in hospital based studies among general medical disease in different departments in Ethiopia (6.8–18%) [22]. The higher prevalence in the current study might reflect the particular psycho-social stresses experienced by this group of patients.…”

Section: Discussionsupporting

confidence: 88%

Prevalence of Common Mental Disorders and Associated Factors among People with Glaucoma Attending Outpatient Clinic at Menelik II Referral Hospital, Addis Ababa, Ethiopia

Bedasso¹,

Bedaso

Feyera

et al. 2016

PLoS ONE

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BackgroundThe burden of blindness from glaucoma is high. Therefore, people suffering from a serious eye disease such as glaucoma, which can lead to blindness, usually have an emotional disturbance on the patient. Untreated psychiatric illness is associated with increased morbidity and increased costs of care.ObjectiveThis study aimed to assess prevalence of common mental disorders and associated factors among people with Glaucoma attending Menelik II referral hospital, Addis Ababa, Ethiopia, 2014.MethodsInstitution based Cross-sectional study design was conducted in the Department of Ophthalmology Menelik II Referral Hospital from April 10 to May 15, 2014. 423 participants who had undergone through investigation, examination and diagnosed as patients of glaucoma were selected randomly from the glaucoma clinic. Data were collected through face to face interview using Self Reporting Questionnaire consisted of 20 items. Study subjects who scored ≥11 from SRQ-20 were considered as having common mental disorders. Bivariate and multivariable logistic regression analysis with 95% CI were done and variables with P<0.05 in the final model were identified as independent factors associated with common mental disorders.ResultsFour hundred five patients with glaucoma were included in our study with response rate of 95.7% and 64.5% were males. The average age was 59±13.37 years. Common mental disorders were observed in 23.2% of Glaucoma patients. It is quite obvious that levels of CMDs were high among patients with glaucoma. There was a significant association between age, sex, chronic physical illness, income and duration of illness at P < 0.05.Conclusion and RecommendationSymptoms of common mental disorders were the commonest comorbidities among patients with glaucoma. It will be better to assess and treat Common mental disorders as a separate illness in patients with glaucoma.

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Section: Discussionsupporting

confidence: 88%

Prevalence of Common Mental Disorders and Associated Factors among People with Glaucoma Attending Outpatient Clinic at Menelik II Referral Hospital, Addis Ababa, Ethiopia

Bedasso¹,

Bedaso

Feyera

et al. 2016

PLoS ONE

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“…The high prevalence of depression and anxiety disorders in this study was not different from studies conducted in community and hospital settings [10]. This further supported a call to identify and manage common psychiatric disorders in non-psychiatric settings.…”

Section: Discussionsupporting

confidence: 80%

“…In adults with vision impairments requiring ophthalmic surgery, factors like the burden of visual impairment, poverty, unemployment, age, and access to health care may worsen QoL and initiate common psychiatric disorders [11,15,[44][45][46]. Usually, common psychiatric disorders like depression and anxiety have been reported to co-occur with physical conditions including vision impairment with prevalence ranging from 3% to 60% [10,47,49,[51][52][53][54]57].…”

Section: Discussionmentioning

confidence: 99%

“…Vision function-specific distress has been reported as a direct predictor of common psychiatric disorders [8,9]. Common psychiatric disorders reported in adults with vision impairment are anxiety and depression [4,10,11]. In addition, other factors associated with common psychiatric disorders among visually impaired adults requiring ophthalmic surgery include those inherent with surgical treatment, fear of the unknown outcome of the surgery, fear of losing visual functions, inadequate information about the cause of the visual impairment, inability to pay for the surgical operation, ongoing psychosocial problems that result from or get worse with the presence of visual impairment, frequent and multiple hospital visits, cost of drugs and use of transportation systems [10,12,13].…”

Section: Background Informationmentioning

confidence: 99%

“…HADs is useful to assess the impact of physical illness on the psychological wellbeing of the individual as it is devoid of somatic symptoms. It has been validated in Nigeria for use with primary care patients and the general population with no difference to the original[10,24].The Mini InternationalNeuro-Psychiatric Interview (DSM-IV) M.I.N.I Plus: The M.I.N.I. Plus [25] was designed as a brief structured interview for diagnosis of the major Axis 1 Psychiatric disorder in DSM IV and ICD10.…”

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confidence: 99%

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The effect of ophthalmic surgery on quality of life, depression, and anxiety disorders in visually impaired adults, National Eye Center, Kaduna, Nigeria.

Babalola¹,

Alhassan²,

Nuhu³

2020

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Introduction: Visual impairment caused severe disability in 2.2 billion people globally in 2010. This disability, which interacts with the physical, social, or attitudinal environment, spans across the lifecycle, and is associated with psychological distress and poor quality of life. This study aimed at describing the effect of surgery on blindness, QoL, anxiety and depressive disorders.Methods A one arm pre – post study was conducted among systematically-selected visually impaired adults (> 18 years) requiring surgery at the National Eye Centre (NEC), Nigeria. Trained research assistants used a pre-tested semi-structured questionnaire to interview participants at pre – and 10–12 week’s post-surgery. The visual function was measured with presenting visual acuity. Presence of psychological distress was defined by a scores ≥ 8 on the Hospital Anxiety and Depression scale (HADs), and confirmed the presence of anxiety, and depression using Mini International Neuropsychiatric Interview (MINI) questionnaire. The World Health Organization Quality of Life-Bref questionnaire was used to assess the quality of life. Descriptive analysis for frequency and proportions was carried out while Chi square McNemar test used to detect the effect of surgery on blindness, anxiety, depression and QoL. Statistically significant was set at p Value < 0.05.Results Of the 180 respondents, males accounted for 56.7%, and 72.2% had Cataract. Pre-surgical psychological distress, anxiety and depression were 38.9%, 25.6%, and 30.0%, respectively. Pre-surgery, a third had poor QoL on social relationship domain of WHOQoL-Bref. Ophthalmic surgery significantly improved blindness, anxiety, and social relationship QoL. No significant effect on depression.Conclusions Ophthalmic surgery influences social relationships QoL, and anxiety. It however has no effect on depression. Apart from surgical interventions, holistic care of vision impairment should involve mental care to improve QoL.

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Prevalence of common mental disorders and associated factors among adults with Glaucoma attending University of Gondar comprehensive specialized hospital tertiary eye care and training center, Northwest, Ethiopia 2020

et al. 2021

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Purpose This study aimed to assess the prevalence of common mental disorders and associated factors among adults with glaucoma at Gondar university comprehensive specialized hospital tertiary eye care and training center. Glaucoma predisposes patients to common mental problems and leads to wasteful, costly and inefficient use of medical services and complications of the diagnoses. So, determining the level and factors associated with common mental disorders among glaucoma patient would help to improve and integrate comprehensive ophthalmic services which address common mental disorder in a follow-up visit. Methods An institution-based cross-sectional study was conducted on 495 glaucoma patients selected by using systematic random sampling. Data were collected through face-to-face interview and chart review. Self-reported questionnaire (SRQ-20) was used to assess the presence of common mental disorders. Binary logistic regression analysis was done to identify factors associated with common mental disorders. Variables with P<0.05 were considered as factors significantly associated with common mental disorders. Result Four hundred sixty-eight patients were included in this study with a response rate of 94.54%. The mean age of the participant was 58 ± 14.11 years. The prevalence of common mental disorders was found to be 29.5% (95% CI 25.4–33.3). Female sex (AOR = 3.79, 95% CI: 1.66–8.62) (p-value = 0.001), average monthly income of less than 1200 birr (AOR = 6.05 95% CI: 2.26–16.22) (p-value = 0.001), poor level of social support (AOR = 17.39 95% CI: 7.79–38.82) (p-value = 0.001), moderate and high risk of alcohol use (AOR = 10.42 95%CI: 2.74–39.54) (p-value = 0.001), presence of chronic medical illness (AOR = 3.85 95% CI: 2.07–7.16) (p-value = 0.001), receiving both drug and surgical treatment (AOR = 2.50, 95%CI: 1.30–4.83) (p-value = 0.006) and presence of systemic carbonic anhydrase inhibitors use (AOR = 3.16, 95%CI: 1.65–6.06) (p-value = 0.001) were significantly associated with increased level of common mental disorders. Conclusion Significant numbers of glaucoma patients have CMD and found significantly associated with socio-economic, ocular and systemic clinical factors. Therefore, the integration of psychosocial care into the current treatment of patients with glaucoma would have a significant advantage to help these patients.

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Common psychiatric disorders in glaucoma patients as seen at the University of Benin Teaching Hospital, Benin City, Nigeria

Cited by 6 publications

References 5 publications

Prevalence of Common Mental Disorders and Associated Factors among People with Glaucoma Attending Outpatient Clinic at Menelik II Referral Hospital, Addis Ababa, Ethiopia

Prevalence of Common Mental Disorders and Associated Factors among People with Glaucoma Attending Outpatient Clinic at Menelik II Referral Hospital, Addis Ababa, Ethiopia

The effect of ophthalmic surgery on quality of life, depression, and anxiety disorders in visually impaired adults, National Eye Center, Kaduna, Nigeria.

Prevalence of common mental disorders and associated factors among adults with Glaucoma attending University of Gondar comprehensive specialized hospital tertiary eye care and training center, Northwest, Ethiopia 2020

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