A Two-Phase Survey of Psychiatric Morbidity among Females with Infertility in a Tertiary Hospital in North-Western Nigeria

T. Abiola — 2024-04-14

ABSTRACT
Background: The inability of couples to conceive or infertility has been identified as a major source of psychiatric morbidity. In several studies in sub-Saharan Africa, the psychological burden, often higher among females, is mostly assessed through screening measures and hardly by diagnostic instruments. This study evaluated the prevalence and clinical pattern of psychiatric morbidity among adult female patients attending Aminu Kano Teaching Hospital (AKTH) infertility clinic using the two-phase survey method.
Methods: In the first phase, 281 respondents were assessed using sociodemographic, clinical, and the 12-item General Health Questionnaire (GHQ-12). The second phase was by using the World Health Organization Schedule for Clinical Assessment in Neuropsychiatry (SCAN) to interview all probable cases on the GHI-12 with a score of 3 or more, and 10% of non-cases. Psychiatric diagnosis was made in accordance with the diagnostic criteria of the 10th edition of the International Classification of Diseases (ICD-10).
Results: The point prevalence of psychiatric morbidity in this study was 29.2% with a weighted prevalence rate of 64.8% projected onto the infertile population seeking medical help within the 3-month study period. Depression (21%) was the most occurring diagnosis. Generalized Anxiety Disorder and Somatisation were diagnosed in 6% and 2% respectively. There was a significant relationship between psychiatric morbidity and age, educational status, religion, and the duration of marriage (p<0.05).
Conclusion: About one-third of infertile women in this study had psychiatric morbidity with depression being the most prevalent diagnosis. Psychiatric morbidity was significantly associated with increasing age, high educational attainment, religion and longer duration of marriage. The study demonstrated the need to include Consultation-Liaison Mental Health Practitioners in the management of women with infertility in order to meet their unmet mental health needs.

A 2-Year Audit Report of the Socio-Demographics and Clinical Profile of ‘One-Way’ Traffic Offenders Referred to the Federal Neuropsychiatric Hospital Benin

A.O. Lawani — 2024-04-12

Background: Wrong-way driving, sometimes referred to as ‘one-way’ driving, is a common offence, however, the role mental illness plays is unknown. This study aims to determine the socio-demographic and clinical profile, in addition to the prevalence of mental disorders, among arrested wrong-way traffic offenders in the Benin metropolis.

Methods: Socio-demographic and clinical correlate data was obtained from the records of 18 one-way traffic offenders who were referred to the Federal Neuropsychiatric Hospital, Benin City, Nigeria for evaluation within the last 24 months.

Results: All offenders were males, with an age range of 23-63 years. None of the traffic offenders had a past psychiatric disorder, neither was there any significant finding in their mental state examination. Only three of the offenders tested positive for cannabinoids in a urine toxicology screen.

Conclusion: Mental illness did not contribute remarkably to traffic offending in the sample of offenders sent for psychiatric evaluation. Rather than refer, appropriate punishment should be meted out on offenders to serve as deterrence.

Nigerian Journal of Psychiatry

A Two-Phase Survey of Psychiatric Morbidity among Females with Infertility in a Tertiary Hospital in North-Western Nigeria

A 2-Year Audit Report of the Socio-Demographics and Clinical Profile of ‘One-Way’ Traffic Offenders Referred to the Federal Neuropsychiatric Hospital Benin