Magnitude and associated factors of aggressive behaviour among patients with bipolar disorder at Amanual Mental Specialized Hospital, outpatient department, Addis Ababa, Ethiopia: cross-sectional study

Abstract

BackgroundAggressive behavior is a challenging behavior among bipolar patients that causes poor social interaction and hospitalization. But, there is no information regards of the magnitude and contributing factors for aggressive behaviour among bipolar patients in Ethiopia. Therefore, this study was designed to assess the prevalence and associated factors of aggressive behaviour among patients with bipolar disorder.MethodAn institutional based cross sectional study was conducted at Amanual Mental Specialized Hospital from May 1 to June 1, 2015 among 411 participants who were selected by systematic random sampling technique. Data was collected by interview technique by using Modified Overt Aggression Scale, entered and analyzed by using Epi Data 3.1 and Statistical Package for Social Science version 20, respectively. Adjusted Odd Ratio (AOR) with 95% Confidence Interval (CI) were used to show the odd and P-value <0.05 was considered as statistically significant.ResultsA total of 411 bipolar patients were included in the study and the prevalence of aggressive behaviour was 29.4%. Significant associated factors for aggression were, having two or more episode [AOR = 2.35 95% CI (1.18, 4.69)], previous history of aggression, [AOR = 3.72, 95% CI (1.54, 8.98)], depressive symptoms [AOR = 3.63, 95% CI (1.89, 6.96)], psychotic symptoms [AOR = 5.41,95% CI (2.88, 10.1)], manic symptoms [AOR = 3.85,95% CI (2.06, 7.19)], poor medication adherence [AOR = 3.73 95% CI (1.71, 8.13)], poor social support [AOR = 2.99 95% CI (1.30, 6.91)] and current use of substance[AOR = 2.17 95% CI (1.16, 4.06)].ConclusionPrevalence of aggression is high among bipolar patients and associated with many factors. So it needs public health attention to decrease aggression among bipolar patients.

Seclusion Room in Psychiatric Setting (National Center for Mental Health): Policy Analysis

“…Aggressive events considered one of the most challenging issues for healthcare team in psychiatric inpatient units [12]. Aggression is defined as a forceful and complex behavior or attitude that is physically or verbally toward oneself or against others [13]. The interventions to control of aggressive associated with an increased incidence of injury to both patient and health care providers who deal with them [14].…”

Prevalence and determinants of aggressive behavior among adults with problematic substance use in Northwest Ethiopia: a cross-sectional survey

“…In Ethiopia, the prevalence of aggressive behavior among schizophrenia and bipolar patients was 26.6% and 29.4% respectively [ 39 , 40 ]. But there is no study is conducted to assess the magnitude of aggressive behavior in problematic substance use.…”

Effectiveness of a Home Based Training Program on Caregivers Knowledge in Managing Aggressive Behavior of Patients With Mental Illness

“…3,4 The risk of aggression is 2 times higher in schizophrenia and bipolar disorder during manic phase than general population. 5,6 Mostly aggression is caused by the unmet needs of the patient which goes through a series of escalating stages, confused state of mind to an urge of fight and flee response. 7 Major factors that causes aggression among mentally ill are psychosis and medication non-adherence.…”

“…7 Major factors that causes aggression among mentally ill are psychosis and medication non-adherence. 5,8,9 Most common form of aggression is verbal aggression (42.6%) followed by aggression toward property(23.8%) and toward others (23.7%). 10 With the evolution in medical treatment focus of care is changed for mental illness.…”