Psychiatric morbidity in a Nigerian paediatric primary care service: a comparison of two screening instruments

Omigbodun, Olayinka; Gureje, Oye; Ikuesan, Benson A.; Gater, Richard; Adebayo, Emmanuel

doi:10.1007/bf00785766

Cited by 21 publications

(33 citation statements)

References 17 publications

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“…This is further supported by the findings that the items that occurred significantly more often in children with conduct disorders and emotional disorders 8 are the items that were extracted in the factor analysis as conduct and emotional factors.…”

Section: Discussionsupporting

confidence: 55%

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Factor analysis of the Children's Behaviour Questionnaire in a Nigerian paediatric primary care population

Omigbodun

Gureje

2004

S. Afr. J. Psych.

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The Rutter scales are two short screening instruments used to collect information from parents and teachers about the behaviour of children in their care. A number of studies looking at the factor structure of these scales have been reported. 1 3 The results have varied, depending in part on the site at which data samples were obtained. When used on an entirely normal population of children, two dimensions emerged after principal factor analysis with varimax rotation. 2 The first factor extracted was charac-

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Section: Discussionsupporting

confidence: 55%

“…8 The CBQ was administered in its Yoruba version derived by the iterative back-translation method. Because of the high rate of illiteracy in the population, the questions were read aloud by medical students who had received prior training in the screening process.…”

Section: Methodsmentioning

confidence: 99%

Factor analysis of the Children's Behaviour Questionnaire in a Nigerian paediatric primary care population

Omigbodun

Gureje

2004

S. Afr. J. Psych.

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“…4 Early onset bipolar disorder, especially in the adolescent period is associated with more co-morbidity, impairment in functioning and poor quality of life. 5 Despite the high prevalence and enormity of mood disorders among Nigerian children and adolescents 6,7,8 , information is lacking on functioning and factors influencing functioning in children and adolescents with bipolar disorder in this environment.…”

Section: Introductionmentioning

confidence: 99%

Functional status and its associated factors in Nigerian adolescents with bipolar disorder

Bakare

Agomoh

Eaton³

et al. 2011

Afr. J. Psych

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Objective: This study assessed general functioning in Nigerian adolescents with bipolar disorder. It also determined the factors associated with functioning in these adolescents. Methods: Adolescents with bipolar disorder diagnosed over one year or more attending the outpatient unit of Federal Neuro-Psychiatric Hospital, Enugu (FNHE), Nigeria for follow-up visits were interviewed with a socio-demographic questionnaire and their functioning was rated with the Children Global Assessment Scale (C-GAS) based on the clinical information obtained from the children and their care givers during a one year follow-up period. Further information such as history of sexual risk behavior, pre-morbid peer relationship, relationship with siblings, level of religion activities among others were also obtained through clinical interview. Results: A total of 46 adolescents with bipolar disorder were followed up. Minimal to moderate impairment in functioning in the past year was found in these adolescents. The mean score on C-GAS was 68.41 ± 16.63. Factors including co-morbidity, pre-morbid peer relationship, relationship with siblings, level of religion activities and history of sexual risk behavior were significantly associated with functioning (p = 0.000), while marital status of the parents showed a weak association with functioning in these adolescents (p = 0.068). Negative correlation was also found between mean number of hospital admissions in the past year during follow up and mean score on C-GAS (r = -0.908, p = 0.000). Conclusion: Functional impairments complicate bipolar disorder in Nigerian adolescents. To ensure good overall outcome in these adolescents, attention needs to be focused on promoting those factors that help good functioning. Future longitudinal follow up studies that would assess long-term outcome and its correlates in children and adolescents with bipolar disorder in this environment are desirable.

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“…CBQ is an instrument that has been tested and used in many countries of the world and has been found to be acceptable and valid. 19,21,22 CBQ has two versions, parents (Scale A) and teachers (Scale B). The teachers' version consists of 26-items and parents version 31-items, investigating the child's behaviour at school and at home respectively.…”

mentioning

confidence: 99%

“…In the present study a cut-off of 7 as suggested by a validation study by Omigbodun et al 19 was used. In their study the threshold of 7 on the scale, gave the best trade-off between a high sensitivity and a low false-positive rate.…”

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confidence: 99%

Children with bronchial asthma assessed for psychosocial problems in a teaching hospital in Nigeria

Tunde-Ayinmode¹

2015

Afr H. Sci.

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Abstract:Background: Paediatric bronchial asthma causes respiratory related mortality and morbidity globally and elevates the risk of psychological and social problems (psychosocial problems); which may result in poorer asthma control. The rate of and associated factors for psychosocial problems among our asthmatic children was assessed in this study. Methods: Seventy five (75) children aged 7 to 14 years with bronchial asthma who were attending clinics at the University of Ilorin Teaching Hospital, Ilorin, Nigeria, were assessed with Child behaviour questionnaire and a semi-structured questionnaire. Results: Probable psychological morbidity was present in 25% of the children. The most frequently reported social impairments associated with the disease were: interference with play (60%), domestic work (49%), fear of dying anytime (29%) and feeling of being a burden on the family (25%). Psychological morbidity was significantly associated with lower maternal education (p=0.020) and occupation (p=0.038), polygamy (p=0.012), fathers having more than 5 children (p=0.027) and mothers having inadequate spousal support (p=0.012). Inadequate spousal support and lower maternal occupational level were the significant predictors of morbidity following logistic regression. Conclusion: Routine psychosocial assessment and care for children with asthma needs to be introduced into our clinics to help protect them and their families from avoidable suffering.

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Psychiatric morbidity in a Nigerian paediatric primary care service: a comparison of two screening instruments

Cited by 21 publications

References 17 publications

Factor analysis of the Children's Behaviour Questionnaire in a Nigerian paediatric primary care population

Factor analysis of the Children's Behaviour Questionnaire in a Nigerian paediatric primary care population

Functional status and its associated factors in Nigerian adolescents with bipolar disorder

Children with bronchial asthma assessed for psychosocial problems in a teaching hospital in Nigeria

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