Background: Depression is one of the leading causes of disability including impairment in the subjective Quality of Life (QOL) of the patient. Unfortunately, only a fraction receives the correct diagnosis and treatmen...Background: Depression is one of the leading causes of disability including impairment in the subjective Quality of Life (QOL) of the patient. Unfortunately, only a fraction receives the correct diagnosis and treatment in general practice. This study aims to determine the subjective Quality of Life of depressed patients. Method: A representative sample of adults, 18 years and above (100 each for cases and controls), were assessed for QOL using the World Health Organization Quality of Life instrument (WHOQOL-BREF). Respondents were also evaluated for socio-demographic factors. Major depressive disorder was assessed using the Mini International Neuropsychiatric Interview. Severity of depression was measured using Hamilton’s Rating Scale for Depression and global functioning was assessed with the Global Assessment of Functioning scale. Results: Majority of the participants were females (62.0%) and young with a mean age of 39.11 ± 12.40 years. Overall subjective QOL (P P P P P P Conclusion: The finding of the study showed that depression is a serious illness that affects the patient’s perception of the quality of his/her life. It is therefore very necessary to innovate better treatment modalities to reduce its burden.展开更多
Owing to the fact that the major challenge of predicting the risk of having bipolar is the absence of a gold standard to distinguish between true cases and false positive;this study employed the extension of cubic spl...Owing to the fact that the major challenge of predicting the risk of having bipolar is the absence of a gold standard to distinguish between true cases and false positive;this study employed the extension of cubic spline function to the multinomial model to explore the risk tendency of unnoticed early bipolar across three different groups of mood disorder. The intermediate group was used to accommodate for false negative and false positive while mapping the true value of bipolar risk tendency across the three groups to a scale. Hence for all distributions of “yes” ticked in a mood disorder questionnaire, the study predicts the bipolar risk tendency while simultaneously accommodating for the patients response bias. The coefficients of the polynomial are obtained using the maximum likelihood method. The spline graph reveals how bipolar disorder build up slowly and lingers in the body for long without been noticed due to fluctuations in risk tendency of the mood scores.展开更多
The COVID-19 pandemic has changed the way healthcare services are delivered. These changes will likely persist as countries recover from the economic crises following lockdowns. In developing countries, services for s...The COVID-19 pandemic has changed the way healthcare services are delivered. These changes will likely persist as countries recover from the economic crises following lockdowns. In developing countries, services for substance use disorders (SUDs) are inadequate and as countries prioritize infectious diseases, individuals with SUDs may suffer further neglect. This paper is a narrative review of peer-reviewed and grey literature on the current challenges with SUD treatment in Nigeria assesses how telehealth may positively affect access to evidence-based treatments and suggests strategies for implementation considering the unique challenges and opportunities in the country. If prioritized in her policy, telehealth has the potential to improve treatment outcomes for SUDs in Nigeria.展开更多
文摘Background: Depression is one of the leading causes of disability including impairment in the subjective Quality of Life (QOL) of the patient. Unfortunately, only a fraction receives the correct diagnosis and treatment in general practice. This study aims to determine the subjective Quality of Life of depressed patients. Method: A representative sample of adults, 18 years and above (100 each for cases and controls), were assessed for QOL using the World Health Organization Quality of Life instrument (WHOQOL-BREF). Respondents were also evaluated for socio-demographic factors. Major depressive disorder was assessed using the Mini International Neuropsychiatric Interview. Severity of depression was measured using Hamilton’s Rating Scale for Depression and global functioning was assessed with the Global Assessment of Functioning scale. Results: Majority of the participants were females (62.0%) and young with a mean age of 39.11 ± 12.40 years. Overall subjective QOL (P P P P P P Conclusion: The finding of the study showed that depression is a serious illness that affects the patient’s perception of the quality of his/her life. It is therefore very necessary to innovate better treatment modalities to reduce its burden.
文摘Owing to the fact that the major challenge of predicting the risk of having bipolar is the absence of a gold standard to distinguish between true cases and false positive;this study employed the extension of cubic spline function to the multinomial model to explore the risk tendency of unnoticed early bipolar across three different groups of mood disorder. The intermediate group was used to accommodate for false negative and false positive while mapping the true value of bipolar risk tendency across the three groups to a scale. Hence for all distributions of “yes” ticked in a mood disorder questionnaire, the study predicts the bipolar risk tendency while simultaneously accommodating for the patients response bias. The coefficients of the polynomial are obtained using the maximum likelihood method. The spline graph reveals how bipolar disorder build up slowly and lingers in the body for long without been noticed due to fluctuations in risk tendency of the mood scores.
文摘The COVID-19 pandemic has changed the way healthcare services are delivered. These changes will likely persist as countries recover from the economic crises following lockdowns. In developing countries, services for substance use disorders (SUDs) are inadequate and as countries prioritize infectious diseases, individuals with SUDs may suffer further neglect. This paper is a narrative review of peer-reviewed and grey literature on the current challenges with SUD treatment in Nigeria assesses how telehealth may positively affect access to evidence-based treatments and suggests strategies for implementation considering the unique challenges and opportunities in the country. If prioritized in her policy, telehealth has the potential to improve treatment outcomes for SUDs in Nigeria.
