Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives

International Journal of Bipolar Disorders

Research

M. Ishrat Husain¹  Siqi Xue¹  Tarela J. Ike²  Maigari Yusufu Taru³  Nwoga Charles Nnaemeka³  Nusrat Husain⁴  Dung Ezekiel Jidong⁵  Christopher Francis⁵  Pam P. Nyam⁵  Shadrack B. Mwankon⁵  Maisha Murshed⁵  Juliet Y. Pwajok⁶  David B. Jack⁷ 

[1] Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada;Department of Criminology & Sociology, Teesside University, Middlesbrough, UK;Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria;Department of Psychiatry, University of Manchester, Manchester, UK;Department of Psychology, Nottingham Trent University, 50 Shakespeare Street, NG1 4FQ, Nottingham, UK;Department of Psychology, University of Jos, Jos, Nigeria;Global Mental Health, Dung Jidong Foundation, Jos, Nigeria;

关键词: Bipolar disorders;    Caregivers;    Patients;    Mental health;    Psychological intervention;    Nigeria;   

DOI  :  10.1186/s40345-022-00276-2

 received in 2022-08-04, accepted in 2022-11-14,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundBipolar Disorders (BDs) are chronic mental health disorders that often result in functional impairment and contribute significantly to the disability-adjusted life years (DALY). BDs are historically under-researched compared to other mental health disorders, especially in Sub-Saharan Africa and Nigeria.DesignWe adopted a mixed-methods design. Study 1 examined the public knowledge of BDs in relation to sociodemographic outcomes using quantitative data whilst Study 2 qualitatively assessed the lived experiences of patients with BDs, clinicians, and family caregivers.MethodsIn Study 1, a non-clinical sample of n = 575 participants responded to a compact questionnaire that examined their knowledge of BDs and how they relate to certain sociodemographic variables. One-way ANOVA was used to analyse quantitative data. Study 2 interviewed N = 15 participants (n = 5 patients with BDs; n = 7 clinicians; n = 3 family caregivers). These semi-structured interviews were audio-recorded, transcribed, and thematically analysed.ResultsIn Study 1, findings showed no statistically significant differences, suggesting low awareness of BDs, especially among vulnerable populations such as young people and older adults. However, there was a trajectory in increased knowledge of BDs among participants between the ages of 25–44 years and part-time workers compared to other ages and employment statuses. In Study 2, qualitative findings showed that BDs are perceived to be genetically and psycho-socially induced by specific lived experiences of patients and their family caregivers. Although psychotropic medications and psychotherapy are available treatment options in Nigeria, cultural and religious beliefs were significant barriers to treatment uptake.ConclusionsThis study provides insight into knowledge and beliefs about BDs, including the lived experiences of patients with BDs, their caregivers and clinicians in Nigeria. It highlights the need for further studies assessing Nigeria's feasibility and acceptability of culturally adapted psychosocial interventions for patients with BDs.

【 授权许可】

CC BY   
© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023