Depression is a common psychiatric disorder among diabetic subjects in this environment. It was suggested that diabetic patients be screened for depression to allow for early detection and treatment.
Background:The role of gender in psychiatry disorders is becoming increasingly important. This study is therefore, aimed at identifying gender pattern of admissions to a public mental health centre with regards to demographic characteristic, psychiatry diagnosis and length of stay on admission. Method: In this retrospective study Hospital records of 388 patients admitted at the psychiatric section of the Federal Medical Centre (FMC) Makurdi, between January, 2004 and December, 2008 were studied for gender differences regarding demographic attributes, length of stay and psychiatry diagnoses. Results: Findings revealed that more men than women were admitted overall. Most men (56%) were less than 30 years old whereas 60.6% of women were within 30-59 years aged bracket. For men the main diagnosis was schizophrenia (30.5%), followed by substance related disorders (16.5%) then depression (14.0%); for women the main diagnosis was also schizophrenia (30.3%), this was followed by depression (24.5%), only one woman was diagnosed with substance related disorder. A statistically significant association was also found between having a personality disorder and being a male (p=0.009). Most female were single and belong to the lowest occupational group. There was no significant difference in the gender distribution of patients with respect to length of stay on admission (p=0.161).
Conclusion:The results revealed how psychiatry diagnosis is significantly influence by gender issues. We therefore recommend that; for a more effective psychiatry formulation, it is imperative to pay attention to gender issues that may affect the development of psychopathology.
A common factor in the development of mental disorders, including depression, is exposure to trauma. Boko Haram crisis has ravaged the North East part of Nigeria and has left indelible traumatic effect on the inhabitants especially the Internally Displaced People (IDPs) who fled their homes for survival. Previous studies reported high rates of depression and disability among IDPs. We set out to investigate the prevalence of depression, disability and correlates among the IDPs in two selected camps in Yobe state. We carried out a cross sectional study among 422 adult IDPs selected through a systematic sampling method. One hundred and ninety two (45.5%) were males. The mean age of the subjects was 39.4±18.50 years with range of 18-80 years. Of the 422 IDPs, 166(39.3%) had probable depression and 76(18.0%) had definite depression. Factors significantly associated with diagnosis of depression were; age (p=0.028), marital status (p=0.001), living condition (p=0.001), general health (p=0.001) and WHODAS 2.0 scores (p=0.001). Logistic regression revealed that age <20years (OR=8.4;p=0.001), being an IDP in the camp irrespective of the living condition (OR=3.6;p=0.001), being single/unmarried (OR=10.0;p=0.048) and comorbid PTSD predicted diagnosis of depression. Having a disability score in the severe range (OR=5.7;p=0.001) strongly correlated with having depression in the study. There is a high rate of depression among IDPs in North-east, Nigeria. Having a diagnosis of depression correlated well with the severity of disability in study. We recommend regular psychiatric services as part of routine medical services to IDPs as health cannot be complete without mental health.
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