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Prevalence and Determinants of Depression and Generalized Anxiety Disorder among Female Patients Diagnosed with Breast Cancer Attending Two Referral Health Care Centres in Kano State, Nigeria 尼日利亚卡诺州两家转诊保健中心诊断为乳腺癌的女性患者中抑郁症和广泛性焦虑症的患病率及其决定因素
Pub Date : 2025-01-01 DOI: 10.4236/ojpsych.2025.154020
Alwadai Raed Ibrahim, Auwalu Sani Salihu, Habib Zaharaddeen Garba, Abdullahi Aminu Taura, Aghukwa Nkerewem Chikaodiri, Umar Musa Usman, Gudaji Mustapha Ibrahim, Mudassir Muhammad Danjumma, Desola Shakirah Owolabi, Abubakar Suleiman, Yakubu Anas Ibrahim, Haruna Yakub, Asma’ul-Husna Abba Garko, Galadi Mubarak Alhassan, Maimuna Nasir Sani
Background: Breast cancer is a major public health concern worldwide, with significant psychological implications. Depression and generalized anxiety disorder (GAD) are common comorbidities among cancer patients, potentially affecting treatment adherence, prognosis, and quality of life. Despite the increasing burden of breast cancer in Nigeria, limited research exists on the prevalence and determinants of these mental health disorders, particularly in Kano State, therefore, understanding the prevalence and determinants of these psychiatric disorders in this population is crucial for integrating mental health care into oncology services. Aim: This study aimed to determine the prevalence and determinants of depression and generalized anxiety disorder among female breast cancer patients attending two referral healthcare centers in Kano State, Nigeria. Materials and Methods: This cross-sectional study was conducted among 240 female breast cancer patients attending SOPD clinics at Aminu Kano Teaching Hospital and Murtala Muhammad Specialist Hospital, Kano. Participants were assessed using the Mini International Neuropsychiatric Interview (MINI Version 7.0) for depression and GAD. Socio-demographic (e.g., age, marital status, education) and clinical data (e.g., cancer stage, treatment type) were collected. Descriptive statistics were used to determine prevalence rates, while chi-square and Fisher’s exact test were used to analyze associations between depression and GAD. Factors that were significant in the bivariate analysis were subjected to binary logistic regression to determine independent determinants of depression and GAD. Statistical significance was set at p Results: The prevalence of depression among the participants was 63.7% (95% CI: 57.4 - 69.7%), and GAD was 23.1% (95% CI: 16.4 - 27%). Age at diagnosis (≥45 years) was the only independent determinant of depression (AOR: 1.994, 95% CI: 1.076 - 3.679, p = 0.028). Conclusion: This study revealed a high prevalence of depression and GAD among female patients with breast cancer with age at diagnosis as the only independent determinant of depression among the participants.
背景:乳腺癌是世界范围内主要的公共卫生问题,具有重要的心理影响。抑郁症和广泛性焦虑症(GAD)是癌症患者常见的合并症,可能影响治疗依从性、预后和生活质量。尽管尼日利亚的乳腺癌负担日益加重,但对这些精神健康障碍的患病率和决定因素的研究有限,特别是在卡诺州,因此,了解这一人群中这些精神疾病的患病率和决定因素对于将精神保健纳入肿瘤学服务至关重要。目的:本研究旨在确定在尼日利亚卡诺州两家转诊医疗中心就诊的女性乳腺癌患者中抑郁症和广泛性焦虑症的患病率和决定因素。材料与方法:本横断面研究对240名在卡诺Aminu Kano教学医院和Murtala Muhammad专科医院SOPD诊所就诊的女性乳腺癌患者进行了研究。参与者使用Mini国际神经精神病学访谈(Mini Version 7.0)评估抑郁和广泛性焦虑症。收集社会人口统计数据(如年龄、婚姻状况、教育程度)和临床数据(如癌症分期、治疗类型)。描述性统计用于确定患病率,而卡方检验和Fisher精确检验用于分析抑郁症和广泛性焦虑症之间的关系。在双变量分析中有显著意义的因素进行二元逻辑回归,以确定抑郁症和广谱性焦虑症的独立决定因素。结果:参与者中抑郁症患病率为63.7% (95% CI: 57.4 ~ 69.7%),广泛性焦虑症患病率为23.1% (95% CI: 16.4 ~ 27%)。诊断年龄(≥45岁)是抑郁症的唯一独立决定因素(AOR: 1.994, 95% CI: 1.076 ~ 3.679, p = 0.028)。结论:本研究揭示了女性乳腺癌患者中抑郁症和广泛性焦虑症的高患病率,而诊断年龄是参与者中抑郁症的唯一独立决定因素。
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引用次数: 0
Gut microbiota and psychiatric disorders. 肠道微生物群与精神疾病。
Pub Date : 2022-07-01 Epub Date: 2024-02-28 DOI: 10.5958/2394-2061.2022.00016.7
Sweta Jaiswal, Arundhati Bag, Samrat Singh Bhandari

The impact of gut microbiota in mental health has been one of the most exciting and probably one of the most discussed topics of psychiatric research in the last decade. The gut microbiota may play an important role in the development of neuropsychiatric diseases, according to a growing body of research. Gut microbiota is a key regulator of gut-brain axis and may shape our brain physiology; thus, any change in its composition may change our behaviour due to altered psychiatric conditions. Relationship of gut microbiota with different mental illnesses is discussed in this article.

肠道微生物群对心理健康的影响是近十年来精神病学研究中最令人兴奋的话题之一,也可能是讨论最多的话题之一。越来越多的研究表明,肠道微生物群可能在神经精神疾病的发展过程中扮演着重要角色。肠道微生物群是肠道-大脑轴的关键调节器,可能会影响我们的大脑生理;因此,其组成的任何变化都可能会改变我们的行为,从而导致精神状况的改变。本文将讨论肠道微生物群与不同精神疾病的关系。
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引用次数: 0
Gearing up to tackle mental health issues in the post-COVID-19 world. 准备好应对covid -19后世界的精神卫生问题。
Pub Date : 2021-01-01 Epub Date: 2020-10-26 DOI: 10.5958/2394-2061.2021.00002.1
Nikhil Nayar, Shijo John Joseph, Samrat Singh Bhandari, Sanjiba Dutta, Sheikh Shoib
An earth-shattering crisis like this pandemic has shook the foundations of our identity, leaving all of us to feel different and pushing us to acclimatise to the “new normal”. We were probably not sufficiently equipped at the arrival of the coronavirus disease 2019 (COVID-19) pandemic, and we seem to be less geared for the post-COVID-19 era. Therefore, addressing the need areas for psychological support, building appropriate strategies, formulating target-based interventions, and getting the best out of ongoing research work is necessary before it is too late.
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引用次数: 7
Profile of distress callers and service utilisation of tele-counselling among the population of Assam, India: an exploratory study during COVID-19. 印度阿萨姆邦人口中遇险呼叫者概况和远程咨询服务利用情况:2019冠状病毒病期间的探索性研究
Pub Date : 2021-01-01 DOI: 10.5958/2394-2061.2021.00001.x
Mythili Hazarika, Bornali Das, Shyamanta Das, Atanu Baruah, Nivedita Sharma, Chandamita Barua, Jayashree Das, Sandamita Choudhury, Dyuksha Hazarika, Phulen Sarma, Samrat Singh Bhandari

Background: The coronavirus disease 2019 (COVID-19) pandemic has affected people globally by causing psychological, social, and economic chaos. The Assam Police, India started telephone helplines to address the psychological issues.

Aims: To evaluate the sociodemographic profile of the distress callers, their psychosocial concerns, the interventions provided by the service provider, and whether the service users were satisfied with the intervention(s) or not.

Method: It was a cross-sectional study done during the period of lockdown (7-24 April 2020). All the callers who called the helpline were screened for anxiety, depression, suicidal thoughts (when required), and the psychosocial issues which they were facing were explored. They were provided the psychological intervention(s) at the appropriate time, and they were asked to rate their experience at the end.

Results: A total of 239 callers used the tele-counselling services. The majority of callers were male (79.1%). Most of the callers were between 19-35 years of age group (66.5%), married (52.5%), and graduates (31%). Two-thirds of the callers called to seek guidance for their own issues and one-third for their relatives or friends. Callers had anxiety (46%), depressive disorder (8.3%), and depressive symptoms not qualifying for depressive disorder (14%), and suicidal thoughts (5.44%). The commonest intervention provided to the callers was supportive (77.8%), followed by psychoeducation (30.5%), cognitive behaviour therapy (24.7%), relaxation (23.6%) and behaviour therapy (13.4%). Most of the callers utilised more than one type of therapy. Overall, most of the callers were satisfied and appreciated the tele-counselling services.

Conclusion: The findings could help in formulating psychological interventions to improve the mental health of vulnerable groups in the post-COVID-19 period to reduce psychiatric morbidity and mortality.

背景:2019冠状病毒病(COVID-19)大流行通过造成心理、社会和经济混乱,影响了全球人民。印度阿萨姆邦警方开通了热线电话来解决心理问题。目的:评估求助者的社会人口学特征、心理社会问题、服务提供者提供的干预措施以及服务使用者对干预措施是否满意。方法:这是一项在封锁期间(2020年4月7日至24日)进行的横断面研究。所有拨打求助热线的人都接受了焦虑、抑郁、自杀念头(必要时)的筛查,并探讨了他们面临的社会心理问题。他们在适当的时间接受心理干预,并在结束时被要求对他们的经历进行评分。结果:239人使用了电话咨询服务。来电者以男性居多(79.1%)。大多数来电者年龄在19-35岁之间(66.5%),已婚(52.5%)和大学毕业生(31%)。三分之二的人打电话是为了寻求自己问题的指导,三分之一的人打电话是为了寻求亲戚或朋友的指导。来电者有焦虑(46%)、抑郁症(8.3%)、不属于抑郁症的抑郁症状(14%)和自杀念头(5.44%)。最常见的干预措施是支持(77.8%),其次是心理教育(30.5%)、认知行为治疗(24.7%)、放松(23.6%)和行为治疗(13.4%)。大多数打电话的人使用了不止一种治疗方法。总的来说,大多数来电者对电话咨询服务感到满意和赞赏。结论:本研究结果有助于制定心理干预措施,改善弱势群体后疫情时期的心理健康状况,降低精神疾病的发病率和死亡率。
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引用次数: 11
Out of the closet. 出柜了。
Pub Date : 2020-07-01 Epub Date: 2020-04-07
Mythili Hazarika, Shyamanta Das, Bornali Das, Milin Dutta, Samrat Singh Bhandari

An editorial on lesbian, gay, bisexual, and transgender (LGBT) community and the initiatives of an activist for the community with those of the Society for Mental Health in LAMIC (SoMHiL) as well as the Open Journal of Psychiatry & Allied Sciences (OJPAS®).

一篇关于女同性恋、男同性恋、双性恋和变性人(LGBT)社区的社论,以及与LAMIC心理健康协会(SoMHiL)以及精神病学与相关科学开放杂志(OJPAS®)的社区活动家的倡议。
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引用次数: 0
The cacophony of emotions in a mental health professional from the isolation ward during coronavirus disease 2019 (COVID-19) pandemic. 2019冠状病毒病(COVID-19)大流行期间,隔离病房的精神卫生专业人员情绪不和谐。
Pub Date : 2020-07-01 Epub Date: 2020-05-05
Mythili Hazarika

This is a narrative of the thoughts of a first-line healthcare worker, and the psychological overview of the same while working in isolation ward and being in quarantine during coronavirus disease 2019 (COVID-19) pandemic.

这是一名一线医护人员在2019冠状病毒病(COVID-19)大流行期间在隔离病房工作和隔离期间的心理概述。
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引用次数: 0
Tele-mental health during the coronavirus disease 2019 (COVID-19) pandemic. 2019冠状病毒病(COVID-19)大流行期间的远程精神卫生。
Pub Date : 2020-07-01 Epub Date: 2020-06-04 DOI: 10.5958/2394-2061.2020.00023.3
Mythili Hazarika, Suresh Bada Math

This editorial highlights the origin of telemedicine in India, and discusses the present and explores the possibilities in the future in the context of the ongoing coronavirus disease 2019 (COVID-19) pandemic.

这篇社论强调了印度远程医疗的起源,并在2019年冠状病毒病(COVID-19)大流行的背景下讨论了目前的情况,并探讨了未来的可能性。
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引用次数: 2
Psychological concerns and musculoskeletal pain amidst the COVID-19 lockdown. COVID-19封锁期间的心理担忧和肌肉骨骼疼痛。
Pub Date : 2020-01-01 Epub Date: 2020-06-12
Shijo John Joseph, Sheikh Shoib, Thejaswi Sg, Samrat Singh Bhandari
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引用次数: 0
Policy of the Open Journal of Psychiatry & Allied Sciences (OJPAS®) related to plagiarism. 精神病学与相关科学开放杂志(OJPAS®)的抄袭政策。
Pub Date : 2019-01-01 Epub Date: 2019-01-16 DOI: 10.5958/2394-2061.2019.00019.3
Samrat Singh Bhandari, Shyamanta Das

This editorial highlights the pertinent issue of intentionally or unintentionally using other sources without proper citation in scientific literature and how the journal stringently tries to follow zero tolerance towards such practice with the active cooperation of the authors, reviewers, and editors.

这篇社论强调了在科学文献中有意或无意地使用其他来源而没有适当引用的相关问题,以及该杂志如何在作者、审稿人和编辑的积极合作下严格遵循对这种做法的零容忍。
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引用次数: 0
Father and son attachment styles in alcoholic and non-alcoholic families. 酗酒和非酗酒家庭中的父子依恋类型。
Pub Date : 2018-01-01 Epub Date: 2017-10-30 DOI: 10.5958/2394-2061.2018.00003.4
Mythili Hazarika, Dipesh Bhagabati

Background: The theory of attachment is important to understand a lot of human behaviour. Styles of attachment could be important predictors in developing dependence on alcoholism. Insecure attachment patterns could be significant risk factors for future alcohol use.

Methods: Participants for this study consist of fathers with alcohol dependence syndrome (ADS) from treatment centres and fathers from the community with no dependency on alcohol, and their sons (n=200). The Michigan Alcoholism Screening Test (MAST), socioeconomic status scale were administered, and attachment styles were derived by the Attachment Style Questionnaire (ASQ). We hypothesised a prior concept reflecting theoretical predictions for the association between attachment styles and alcohol in both the generations.

Results: Statistics on SPSS-16 was used to test our hypotheses. As predicted, fathers with ADS had insecure attachments styles in comparison to the control group. Substance abuse/dependence and treatment participation were at an all-time low for the secure group.

Conclusion: The findings from this study identify attachment styles as an influential factor in understanding the divergence between alcohol dependence in treatment seekers. The findings further imply that differential treatment may need to be provided taking into account one's attachment representation to promote successful recovery. It also highlights the need to develop secure ties in children of alcoholic parents to protect them from use of substances as a coping and a learned mechanism. Limitations of the study and suggestions for further research are highlighted and implications for diagnosis and treatment are discussed.

背景:依恋理论对于理解很多人类行为都很重要。依恋类型可能是对酒精依赖的重要预测因素。不安全的依恋模式可能是未来饮酒的重要风险因素。方法:本研究的参与者包括来自治疗中心的酒精依赖综合征(ADS)父亲和来自社区的无酒精依赖的父亲及其儿子(n=200)。采用密歇根酒精中毒筛查试验(MAST)、社会经济地位量表,并采用依恋风格问卷(ASQ)得出依恋风格。我们假设了一个先前的概念,反映了两代人的依恋类型和酒精之间关系的理论预测。结果:SPSS-16的统计数据对我们的假设进行了检验。正如预测的那样,与对照组相比,患有ADS的父亲有不安全的依恋风格。药物滥用/依赖和治疗参与在安全组中处于历史最低点。结论:本研究发现依恋类型是理解寻求治疗者酒精依赖差异的一个影响因素。研究结果进一步表明,考虑到一个人的依恋表征,可能需要提供不同的治疗,以促进成功的康复。它还强调需要在酗酒父母的子女中建立安全的联系,以保护他们不使用物质作为一种应对和学习机制。强调了研究的局限性和进一步研究的建议,并讨论了诊断和治疗的意义。
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引用次数: 0
期刊
Open Journal of Psychiatry and Allied Sciences
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