One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda.
<h4>Introduction</h4>Hospital based studies for psychotic disorders are scarce in low and middle income countries. This may impact on development of intervention programs.<h4>Objective</h4>We aimed to determine the burden of psychotic disorders among first treatment contact p...
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doaj-b4a4f51b266849f2918c187f81f20bf92021-03-04T11:19:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01151e021884310.1371/journal.pone.0218843One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda.Emmanuel Kiiza MwesigaNoeline NakasujjaJuliet NakkuAnnet NanyongaJoy Louise GumikirizaPaul BangiranaDickens AkenaSeggane Musisi<h4>Introduction</h4>Hospital based studies for psychotic disorders are scarce in low and middle income countries. This may impact on development of intervention programs.<h4>Objective</h4>We aimed to determine the burden of psychotic disorders among first treatment contact patients at the national psychiatric referral hospital in Uganda.<h4>Methods</h4>A retrospective patient chart-file review was carried out in March 2019 for all patients presenting to the hospital for the first time in the previous year. Patients were categorised into those with and without psychotic disorders. We collected sociodemographic data on age, gender, occupation, level of education, ethnicity, religion and home district. We determined the one year prevalence of psychotic disorders among first treatment contact patients. Using logistic regression models, we also determined the association between psychotic disorders and various exposure variables among first treatment contact patients.<h4>Results</h4>In 2018, 63% (95% CI: 60.2-65.1) of all first time contact patients had a psychosis related diagnosis. Among the patients with psychotic disorders, the median age was 29 years (IQR 24-36). Most of the patients were male (62.8%) and unemployed (63.1%). After adjusting for patients' residence, psychotic disorders were found to be more prevalent among the female gender [OR 1.58 (CI1.46-1.72)] and those of Pentecostal faith [OR 1.25 (CI 1.10-1.42)].<h4>Conclusion</h4>Among first treatment contact patients in Uganda, there is a large burden of psychotic disorders. The burden was more prevalent among females as well as people of Pentecostal faith who seemed to use their church for faith-based healing. Incidence studies are warranted to determine if this phenomenon is replicated at illness onset.https://doi.org/10.1371/journal.pone.0218843 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Emmanuel Kiiza Mwesiga Noeline Nakasujja Juliet Nakku Annet Nanyonga Joy Louise Gumikiriza Paul Bangirana Dickens Akena Seggane Musisi |
spellingShingle |
Emmanuel Kiiza Mwesiga Noeline Nakasujja Juliet Nakku Annet Nanyonga Joy Louise Gumikiriza Paul Bangirana Dickens Akena Seggane Musisi One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda. PLoS ONE |
author_facet |
Emmanuel Kiiza Mwesiga Noeline Nakasujja Juliet Nakku Annet Nanyonga Joy Louise Gumikiriza Paul Bangirana Dickens Akena Seggane Musisi |
author_sort |
Emmanuel Kiiza Mwesiga |
title |
One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda. |
title_short |
One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda. |
title_full |
One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda. |
title_fullStr |
One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda. |
title_full_unstemmed |
One year prevalence of psychotic disorders among first treatment contact patients at the National Psychiatric Referral and Teaching Hospital in Uganda. |
title_sort |
one year prevalence of psychotic disorders among first treatment contact patients at the national psychiatric referral and teaching hospital in uganda. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2020-01-01 |
description |
<h4>Introduction</h4>Hospital based studies for psychotic disorders are scarce in low and middle income countries. This may impact on development of intervention programs.<h4>Objective</h4>We aimed to determine the burden of psychotic disorders among first treatment contact patients at the national psychiatric referral hospital in Uganda.<h4>Methods</h4>A retrospective patient chart-file review was carried out in March 2019 for all patients presenting to the hospital for the first time in the previous year. Patients were categorised into those with and without psychotic disorders. We collected sociodemographic data on age, gender, occupation, level of education, ethnicity, religion and home district. We determined the one year prevalence of psychotic disorders among first treatment contact patients. Using logistic regression models, we also determined the association between psychotic disorders and various exposure variables among first treatment contact patients.<h4>Results</h4>In 2018, 63% (95% CI: 60.2-65.1) of all first time contact patients had a psychosis related diagnosis. Among the patients with psychotic disorders, the median age was 29 years (IQR 24-36). Most of the patients were male (62.8%) and unemployed (63.1%). After adjusting for patients' residence, psychotic disorders were found to be more prevalent among the female gender [OR 1.58 (CI1.46-1.72)] and those of Pentecostal faith [OR 1.25 (CI 1.10-1.42)].<h4>Conclusion</h4>Among first treatment contact patients in Uganda, there is a large burden of psychotic disorders. The burden was more prevalent among females as well as people of Pentecostal faith who seemed to use their church for faith-based healing. Incidence studies are warranted to determine if this phenomenon is replicated at illness onset. |
url |
https://doi.org/10.1371/journal.pone.0218843 |
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