Patterns Of Aggression Among Psychiatric In-Patients At The Jos University Teaching Hospital

Chukwujekwu, DC; Stanley, P C

doi:10.4314/jmt.v10i1.35213

Cited by 5 publications

(6 citation statements)

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“…Verbal aggression was the most prevalent and aggression towards self the least, similar to earlier reports. [ 22 29 ] Respondents with a history of aggressive behavior were more likely to miss their appointments compared to others, and the strength of the evidence was not strong ( P < 0.08). Chukwujekwu and Stanley had reported that aggression was targeted at relatives.…”

Section: Discussionmentioning

confidence: 99%

“…[ 19 ] Stigma, substance abuse and type of diagnosis have all been identified as factors associated with increased rates of missed appointments. [ 20 21 ] A history of aggressiveness,[ 22 ] having comorbidity,[ 1 23 ] having a poor family support system and having no previous history of psychiatric disorder[ 14 ] have also been implicated. Treatment satisfaction in relation to keeping scheduled appointments and service utilization is important.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and correlates of missed first appointments among outpatients at a Psychiatric Hospital in Nigeria

Akhigbe¹,

Morakinyo²,

Lawani³

et al. 2014

Ann Med Health Sci Res

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Background:Missed appointments are common in psychiatric practice. It compromises quality of care, results in poor treatment outcomes and drains financial resources. In Nigeria, where mental health services are poorly organized, missed appointments and its resultant consequences may be burdensome.Aim:This study sought to determine the prevalence and factors (sociodemographic and clinical) associated with missed clinic appointments at a regional psychiatric hospital.Subjects and Methods:A study on a cohort of patients attending the Outpatient Clinics for the first time between June and September 2011 was conducted. We interviewed each participant at their first presentation then tracked through case records to determine adherence to scheduled first clinic appointments after 4 weeks. A questionnaire was used in eliciting sociodemographic characteristics, clinical variables, and patient/caregiver satisfaction with treatment. Descriptive statistics were used to summarize the data and inferential statistics to test associations using the SPSS 16.Results:Three hundred and ten patients were recruited over the study period. The prevalence of missed first appointment was 32.6% (101/310). Participants who were single (P = 0.04), living alone (P < 0.01) or aggressive (P < 0.01) were more likely to miss their first appointment. However, having received previous treatment for a psychiatric illness (P = 0.02) and having comorbidity (P = 0.05) was associated with less likelihood to miss a first appointment. A binary logistic regression analysis showed that having received previous treatment independently predicted a less likelihood to miss first appointment (P = 0.03).Conclusion:Quite a proportion (32.6%) of patients attending outpatient clinics miss scheduled clinic appointments. Receiving previous psychiatric care predicted adherence to scheduled appointment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of missed first appointments among outpatients at a Psychiatric Hospital in Nigeria

Akhigbe¹,

Morakinyo²,

Lawani³

et al. 2014

Ann Med Health Sci Res

View full text Add to dashboard Cite

show abstract

“…This is not surprising because ignorance, myth solely based on tradition and superstition, negatively shape the attitude of most people towards the etiology and solutions of most illnesses, especially mental disorders in this part of the world [9].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Medication Non-Adherence among Psychiatric Patients in a Tertiary Hospital in Nigeria

Chukwujekwu¹,

Adesokun²

2017

JBM

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Background: The consequences of non-adherence to prescribed medications by psychiatric patients for both patients and the health care system are myriad and grave. Aim: The study was designed to ascertain the prevalence of medication non-adherence among psychiatric patients and identify factors that aid this malady. Methods: This prospective, cross-sectional study was carried out within a 4 month period at the out-patient psychiatric clinic of the University of Port Harcourt Teaching Hospital; using the Medication Adherence Rating Scale (MARS) and a self designed questionnaire containing socio-demographic and psychiatric illness variables. Results: A total number of 111 patients who participated in the study were analyzed. The cohort comprises 22 (19.8%) schizophrenics, 38 (34.2%) mood disorder patients, 24 (21.6%) anxiety disorder patients, 10 (9.0%) patients suffering from substance abuse and 17 (15.3%) with other psychiatric diagnoses (somatoform and personality disorders). Most of the patients were male (53; 47.7%), aged between 21 -30 yrs (44; 39.6%), unemployed (38; 34.2%), as single (58; 52.3%). The prevalence of non-adherence to medications among the cohort studied is 39.6%. There was a significant association between consistency in taking one's medications and MARS scores but none between socio-demographic variables and MARS score. Conclusion: The rate of medication non adherence among the subjects in this study was 39.6%. The three most important reasons reported for this behaviour include: Feeling that they had recovered from their illness and hence have been cured, belief that their illness was of a spiritual origin and hence would not be amenable to orthodox medicine and the side effects of the medications. Non adherence to medication increases the risk of psychiatric morbidity and mortality and efforts at curbing this trend must be eclectic.

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“…Nevertheless there's paucity of work on this subject in the underdeveloped world, unfortunately ignorance and myth solely based on tradition and superstition have affected negatively the proper handling of patients in this part of the world. [17] Using MBSDS, the minimum social distance one can have toward the mentally ill is 7. This is because score of 1indicatesno social distance; hence a total score of 7 for the 7domains of the MBSDS.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Socio-demographic Variables and Social Distance Towards the Mentally Ill

Donald

Judith²,

Omamurhomu³

2016

AJPN

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This prospective study was designed to identify if there is any relationship between socio-demographic variables and social distance towards the mentally ill. It was carried out at the Madonna University Teaching Hospital over a 10 month period. Two hundred and sixty nine consenting subjects were enlisted in the study. However, only 254 completed it. The 254 subjects comprise 87 males (34.3%) and 167 females (65.7%). The minimum MBSDS score of 7 and the maximum of 35 were recorded in the study. It was established that there is significant association between literacy and MBSDS score. Literate subjects showed lesser MBSDS score compared to illiterate ones. Younger patients (less than 45yrs old) showed higher MBSDS scores on the average compared with older patients. The cause, management and eventual outcome of a patient's mental illness are greatly hampered by social stigma. Sustained public education and sustained advocacy against stigma towards the mentally ill cannot be overemphasized.

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Patterns Of Aggression Among Psychiatric In-Patients At The Jos University Teaching Hospital

Cited by 5 publications

References 0 publications

Prevalence and correlates of missed first appointments among outpatients at a Psychiatric Hospital in Nigeria

Prevalence and correlates of missed first appointments among outpatients at a Psychiatric Hospital in Nigeria

Prevalence of Medication Non-Adherence among Psychiatric Patients in a Tertiary Hospital in Nigeria

Relationship Between Socio-demographic Variables and Social Distance Towards the Mentally Ill

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