Magnitude and associated factors of aggressive behaviour among patients with bipolar disorder at Amanual Mental Specialized Hospital, outpatient department, Addis Ababa, Ethiopia: cross-sectional study

BMC Psychiatry

Research Article

Tolesa Fanta¹  Takele Shimelash²  Tilahun Tewabe³  Habte Belete⁴  Solomon Yimer⁵  Tilahun Ali⁶  Haregwoin Mulat⁷ 

[1] Amanual Mental Specialized Hospital, Addis Ababa, Ethiopia;Felegehiwot Referral Hospital, Bahir Dar, Ethiopia;Nursing Department, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia;Psychiatry Department, College of Medicine and Health Science, Bahir Dar University, PO box 79, Bahir Dar, Ethiopia;Psychiatry Department, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia;Psychiatry Department, College of Medicine and Health Science, Haromaya University, Harrer, Ethiopia;Psychiatry Department, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia;

关键词: Aggressive behaviour;    Bipolar disorder;    Ethiopia;   

DOI  :  10.1186/s12888-016-1151-8

 received in 2016-01-25, accepted in 2016-12-01,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAggressive behavior is a challenging behavior among bipolar patients that causes poor social interaction and hospitalization. But, there is no information regards of the magnitude and contributing factors for aggressive behaviour among bipolar patients in Ethiopia. Therefore, this study was designed to assess the prevalence and associated factors of aggressive behaviour among patients with bipolar disorder.MethodAn institutional based cross sectional study was conducted at Amanual Mental Specialized Hospital from May 1 to June 1, 2015 among 411 participants who were selected by systematic random sampling technique. Data was collected by interview technique by using Modified Overt Aggression Scale, entered and analyzed by using Epi Data 3.1 and Statistical Package for Social Science version 20, respectively. Adjusted Odd Ratio (AOR) with 95% Confidence Interval (CI) were used to show the odd and P-value <0.05 was considered as statistically significant.ResultsA total of 411 bipolar patients were included in the study and the prevalence of aggressive behaviour was 29.4%. Significant associated factors for aggression were, having two or more episode [AOR = 2.35 95% CI (1.18, 4.69)], previous history of aggression, [AOR = 3.72, 95% CI (1.54, 8.98)], depressive symptoms [AOR = 3.63, 95% CI (1.89, 6.96)], psychotic symptoms [AOR = 5.41,95% CI (2.88, 10.1)], manic symptoms [AOR = 3.85,95% CI (2.06, 7.19)], poor medication adherence [AOR = 3.73 95% CI (1.71, 8.13)], poor social support [AOR = 2.99 95% CI (1.30, 6.91)] and current use of substance[AOR = 2.17 95% CI (1.16, 4.06)].ConclusionPrevalence of aggression is high among bipolar patients and associated with many factors. So it needs public health attention to decrease aggression among bipolar patients.

【 授权许可】

CC BY   
© The Author(s). 2016