nach oben

Psychiatric Quarterly

Erschienen in:

24.08.2021 | Review Article

Prevalence of Mental Disorders in Uganda: a Systematic Review and Meta-Analysis

verfasst von: John Nelson Opio, Zachary Munn, Edoardo Aromataris

Erschienen in: Psychiatric Quarterly | Ausgabe 1/2022

Einloggen, um Zugang zu erhalten

Abstract

This systematic review was conducted to determine the prevalence of mental disorders among children and adults in Uganda. A comprehensive systematic search for relevant studies reporting prevalence of mental disorders in children or adults in Uganda was conducted in PubMed, Embase, PsycINFO, Scopus, Web of Science databases and grey literature sources. Study was eligible if, validated instrument based on the International Classification of Diseases or Diagnostic and Statistical Manual of Mental Disorders criteria to assess a mental disorder was used. Eligible studies were critically appraised, prevalence data extracted and pooled using the random-effects model. Certainty in the pooled prevalence estimates was evaluated using the Grading of Recommendation, Assessment, Development and Evaluation approach. A total of 632 records were obtained, of which 26 articles from 24 studies conducted in Uganda were included in the review. Overall and with moderate level of certainty, the prevalence of any mental disorder in Uganda was 22.9% (95% C.I 11.0% – 34.9%) in children and 24.2% (95% C.I 19.8% – 28.6%) in adults. Prevalence of anxiety disorders was 14.4% (95% C.I 4.9% – 24.0%) in children and 20.2% (95% C.I 14.5% – 25.9%) in adults. The prevalence of current depressive disorders was 22.2% (95% C.I 9.2% – 35.2%) in children and 21.2% (95% C.I 16.8% – 25.6%) in adults. Eating disorder and psychotic syndrome disorder were also reported. Our findings suggest that depression and anxiety disorders are common mental disorders in Uganda, affecting approximately one in four persons. The findings provide essential insights for health service planning, clinical practice, and future epidemiological research in Uganda.

Nur mit Berechtigung zugänglich

WHO. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1993.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington DC: American Psychiatric Association; 2013.CrossRef

Charlson FJ, Baxter AJ, Dua T, Degenhardt L, Whiteford HA, Vos T. Excess mortality from mental, neurological and substance use disorders in the global burden of disease study 2010. Epidemiol Psychiatr Sci. 2015;24(2):121–40. https://doi.org/10.1017/s2045796014000687.CrossRefPubMed

Fekadu A, Medhin G, Kebede D, Alem A, Cleare AJ, Prince M, Hanlon C, Shibre T. Excess mortality in severe mental illness: 10-year population-based cohort study in rural Ethiopia. Br J Psychiatry. 2015;206(4):289–96.CrossRefPubMed

Thornicroft G, Newman SC, Bland RC, Wahlbeck K, Westman J, Nordentoft M, Gissler M, Laursen TM, McCreadie RG, Leucht S, Burkard T, Henderson J, Maj M, Sartorius N, Inskip HM, Harris EC, Barraclough B, Tiihonen J, Lonnqvist J, Wahlbeck K, Klaukka T, Niskanen L, Tanskanen A, Howard LM, Barley EA, Davies E, Rigg A, Lempp H, Rose D, Desai MM, Rosenheck RA, Druss BG, Perlin JB, Sullivan G, Han X, Moore S, Kotrla K, Thornicroft G, Brohan E, Rose D, Sartorius N. Physical health disparities and mental illness: the scandal of premature mortality. Br J Psychiatry. 2011;199(6):441–2. https://doi.org/10.1192/bjp.bp.111.092718.CrossRefPubMed

GBD. Disease and injury incidence and prevalence collaborators (2017) global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the global burden of disease study 2016. Lancet. 2016;390(10100):1211–59. https://doi.org/10.1016/s0140-6736(17)32154-2.CrossRef

Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of disease study 2010. PLoS One. 2015;10(2): e0116820. https://doi.org/10.1371/journal.pone.0116820.CrossRefPubMedPubMedCentral

Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015;56(3):345–65. https://doi.org/10.1111/jcpp.12381.CrossRefPubMed

WHO. Adolsecent mental health. The World Health Organization. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health (2018). Accessed 10 Dec 2018.

10.

WHO. Depression and other common mental disorders Global: health estimates. Geneva: World Health Organization; 2017. p. 1–24.

11.

Charlson FJ, Diminic S, Lund C, Degenhardt L, Whiteford HA. Mental and substance use disorders in Sub-Saharan Africa: predictions of epidemiological changes and mental health workforce requirements for the next 40 years. PLoS One. 2014;9(10): e110208. https://doi.org/10.1371/journal.pone.0110208.CrossRefPubMedPubMedCentral

12.

Baxter AJ, Patton G, Scott KM, Degenhardt L, Whiteford HA. Global epidemiology of mental disorders: what are we missing? PLoS One. 2013;8(6): e65514. https://doi.org/10.1371/journal.pone.0065514.CrossRefPubMedPubMedCentral

13.

Ferrari AJ, Baxter AJ, Whiteford HA. A systematic review of the global distribution and availability of prevalence data for bipolar disorder. J Affect Disord. 2011;134(1):1–13. https://doi.org/10.1016/j.jad.2010.11.007.CrossRefPubMed

14.

Kigozi F, Ssebunnya J, Kizza D, Cooper S, Ndyanabangi S. An overview of Uganda’s mental health care system: results from an assessment using the world health organization’s assessment instrument for mental health systems (WHO-AIMS). Int J Ment Health Syst. 2010;4:1–1. https://doi.org/10.1186/1752-4458-4-1.CrossRefPubMedPubMedCentral

15.

Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, Charlson FJ, Norman RE, Flaxman AD, Johns N, Burstein R, Murray CJL, Vos T. Global burden of disease attributable to mental and substance use disorders: findings from the global burden of disease study 2010. Lancet. 2013;382(9904):1575–86. https://doi.org/10.1016/S0140-6736(13)61611-6.CrossRefPubMed

16.

Laufer N, Zilber N, Jecsmien P, Maoz B, Grupper D, Hermesh H, Gilad R, Weizman A, Munitz H. Mental disorders in primary care in Israel: prevalence and risk factors. Soc Psychiatry Psychiatr Epidemiol. 2013;48(10):1539–54. https://doi.org/10.1007/s00127-012-0620-8.CrossRefPubMed

17.

Merikangas KR, Nakamura EF, Kessler RC. Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci. 2009;11(1):7–20.CrossRefPubMedPubMedCentral

18.

Lemogne C, Nabi H, Melchior M, Goldberg M, Limosin F, Consoli SM, Zins M. Mortality associated with depression as compared with other severe mental disorders: a 20-year follow-up study of the GAZEL cohort. J Psychiatr Res. 2013;47(7):851–7. https://doi.org/10.1016/j.jpsychires.2013.03.015.CrossRefPubMed

19.

Mulugeta W, Xue H, Glick M, Min J, Noe MF, Wang Y. Burden of mental illness and non-communicable diseases and risk factors for mental illness among refugees in Buffalo, NY, 2004–2014. J Racial Ethn Health Disparities. 2019;6(1):56–63. https://doi.org/10.1007/s40615-018-0498-6.CrossRefPubMed

20.

Murthy RS, Lakshminarayana R. Mental health consequences of war: a brief review of research findings. World Psychiatry. 2006;5(1):25–30.PubMedPubMedCentral

21.

Paardekooper B, de Jong JT, Hermanns JM. The psychological impact of war and the refugee situation on South Sudanese children in refugee camps in Northern Uganda: an exploratory study. J Child Psychol Psychiatry. 1999;40(4):529–36.CrossRefPubMed

22.

Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537–49. https://doi.org/10.1001/jama.2009.1132.CrossRefPubMed

23.

Chapman DP, Whitfield CL, Felitti VJ, Dube SR, Edwards VJ, Anda RF. Adverse childhood experiences and the risk of depressive disorders in adulthood. J Affect Disord. 2004;82(2):217–25. https://doi.org/10.1016/j.jad.2003.12.013.CrossRefPubMed

24.

Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of dsm-iv disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62(6):593–602. https://doi.org/10.1001/archpsyc.62.6.593.CrossRefPubMed

25.

GBD. Disease and injury incidence and prevalence collaborators (2016) global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the global burden of disease study 2015. Lancet. 2015;388(10053):1545–602. https://doi.org/10.1016/S0140-6736(16)31678-6.CrossRef

26.

Ministry of Local Government. Statistical abstract 2018. Ministry of Local Government, Uganda Kampala; 2018.

27.

Uganda Bureau of Statistics. Demographics: Population & Censuses. Statistical Datasets. Uganda Bureau of Statistics Kampala, Uganda. https://www.ubos.org/explore-statistics/statistical-datasets/6133/ 2018. Accessed 31 Aug 2018.

28.

Uganda Bureau of Statistics. The national population and housing census 2014: Main report. Uganda Bureau of Statistics, Kampala; 2016.

29.

Dalal S, Beunza JJ, Volmink J, Adebamowo C, Bajunirwe F, Njelekela M, Mozaffarian D, Fawzi W, Willett W, Adami H-O. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol. 2011;40(4):885–901.CrossRefPubMed

30.

McNamara K. Seeking justice in Ugandan courts: amnesty and the case of Thomas Kwoyelo. Wash U Global Stud L Rev. 2013;12:653.

31.

Pham PN, Vinck P, Stover E. Returning home: Forced conscription, reintegration, and mental health status of former abductees of the Lord’s Resistance Army in northern Uganda. BMC Psychiatry. 2009;9. https://doi.org/10.1186/1471-244X-9-23.

32.

Munn Z, Moola S, Lisy K, Riitano D. Chapter 5: Systematic reviews of prevalence and incidence. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer's Manual: JBI. [Internet]. 2017 [cited 2019 Aug 29]. Available from: https://synthesismanual.jbi.global.

33.

Oleske DM. Epidemiology and the delivery of health care services: methods and application. Springer; 2014.

34.

World Health Organization. Mental Health Gap Action Programme - Scaling up care for mental, neurological, and substance use disorders. Geneva: World Health Organization; 2008.

35.

World Health Organization. Mental Health Action Plan (2013–2020). Geneva: World Health Organization; 2013.

36.

Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc. 2015;13(3):147–53. https://doi.org/10.1097/xeb.0000000000000054.CrossRefPubMed

37.

Moher D, Liberati A, Tetzlaff J, Altman DG, The PG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7): e1000097. https://doi.org/10.1371/journal.pmed.1000097.CrossRefPubMedPubMedCentral

38.

Opio JN, Tufanaru C, Aromataris E. Prevalence of mental disorders in Uganda: a systematic review protocol. JBI Database System Rev Implement Rep. 2018;16(8):1613–20. https://doi.org/10.11124/jbisrir-2017-003626.CrossRefPubMed

39.

Munn Z, Aromataris E, Tufanaru C, Stern C, Porritt K, Farrow J, Lockwood C, Stephenson M, Moola S, Lizarondo L, McArthur A, Peters M, Pearson A, Jordan Z. The development of software to support multiple systematic review types: the Joanna Briggs institute system for the unified management, assessment, and review of information (JBI SUMARI). Int J Evid Based Healthc. 2018;17(1):36–43. https://doi.org/10.1097/xeb.0000000000000152.CrossRef

40.

Munn Z, Moola S, Riitano D, Lisy K. The development of a critical appraisal tool for use in systematic reviews addressing questions of prevalence. Int J Health Policy Manag. 2014;3(33):123–8. https://doi.org/10.15171/ijhpm.2014.71.CrossRefPubMedPubMedCentral

41.

Mwesiga EK, Mugenyi L, Nakasujja N, Moore S, Kaddumukasa M, Sajatovic M. Depression with pain co morbidity effect on quality of life among HIV positive patients in Uganda: a cross sectional study. Health Qual Life Outcomes. 2015;13(1). https://doi.org/10.1186/s12955-015-0403-5.

42.

Abbo C, Kinyanda E, Kizza RB, Levin J, Ndyanabangi S, Stein DJ. Prevalence, comorbidity and predictors of anxiety disorders in children and adolescents in rural north-eastern Uganda. Child Adolesc Psychiatry Ment Health. 2013;7(1). https://doi.org/10.1186/1753-2000-7-21.

43.

Kinyanda E, Kizza R, Abbo C, Ndyanabangi S, Levin J. Prevalence and risk factors of depression in childhood and adolescence as seen in four districts of North-Eastern Uganda. BMC Int Health Hum Rights. 2013;13:19. https://doi.org/10.1186/1472-698x-13-19.CrossRefPubMedPubMedCentral

44.

Kinyanda E, Weiss HA, Mungherera M, Onyango-Mangen P, Ngabirano E, Kajungu R, Kagugube J, Muhwezi W, Muron J, Patel V. Psychiatric disorders and psychosocial correlates of high HIV risk sexual behaviour in war-affected Eastern Uganda. AIDS Care – Psychol Socio-Med Asp AIDS/HIV. 2012;24(11):1323–32. https://doi.org/10.1080/09540121.2011.647676.CrossRef

45.

Akena D, Kadama P, Ashaba S, Akello C, Kwesiga B, Rejani L, Okello J, Mwesiga EK, Obuku EA. The association between depression, quality of life, and the health care expenditure of patients with diabetes mellitus in Uganda. J Affect Disord. 2015;174:7–12. https://doi.org/10.1016/j.jad.2014.11.019.CrossRefPubMed

46.

Devries KM, Child JC, Allen E, Walakira E, Parkes J, Naker D. School violence, mental health, and educational performance in Uganda. Pediatrics. 2014;133(1):e129-137. https://doi.org/10.1542/peds.2013-2007.CrossRefPubMed

47.

Jordans M, Rathod S, Fekadu A, Medhin G, Kigozi F, Kohrt B, Luitel N, Petersen I, Shidhaye R, Ssebunnya J, Patel V, Lund C. Suicidal ideation and behaviour among community and health care seeking populations in five low- and middle-income countries: a cross-sectional study. Epidemiol Psychiatr Sci. 2017;1–10. https://doi.org/10.1017/S2045796017000038.

48.

Kemigisha E. High prevalence of depressive symptoms among adolescents living with HIV/AIDS in Uganda. J Adolesc Health. 2018;62(2):S21–2.CrossRef

49.

Lloyd CE, Nouwen A, Sartorius N, Ahmed HU, Alvarez A, Bahendeka S, Basangwa D, Bobrov AE, Boden S, Bulgari V, Burti L, Chaturvedi SK, Cimino LC, Gaebel W, de Girolamo G, Gondek TM, de Braude MG, Guntupalli A, Heinze MG, Ji L, Hong X, Khan A, Kiejna A, Kokoszka A, Kamala T, Lalic NM, Lecic Tosevski D, Mankovsky B, Li M, Musau A, Mussig K, Ndetei D, Rabbani G, Srikanta SS, Starostina EG, Shevchuk M, Taj R, Vukovic O, Wolwer W, Xin Y. Prevalence and correlates of depressive disorders in people with Type 2 diabetes: results from the international prevalence and treatment of diabetes and depression (INTERPRET-DD) study, a collaborative study carried out in 14 countries. Diabet Med. 2018. https://doi.org/10.1111/dme.13611.CrossRefPubMed

50.

Malamba SS, Muyinda H, Spittal PM, Ekwaru JP, Kiwanuka N, Ogwang MD, Odong P, Kitandwe PK, Katamba A, Jongbloed K, Sewankambo NK, Kinyanda E, Blair A, Schechter MT. "The Cango Lyec Project - healing the elephant": HIV related vulnerabilities of post-conflict affected populations aged 13–49 years living in three Mid-Northern Uganda districts. BMC Infect Dis. 2016;16(1). https://doi.org/10.1186/s12879-016-2030-0.

51.

Odokonyero RF. Prevalence and associated factors of axis I psychiatric disorders presenting at the accident and emergency department of Mulago hospital. Makerere University; 2011.

52.

Okello J, De Schryver M, Musisi S, Broekaert E, Derluyn I. Differential roles of childhood adversities and stressful war experiences in the development of mental health symptoms in post-war adolescents in northern Uganda. BMC Psychiatry. 2014;14(1). https://doi.org/10.1186/s12888-014-0260-5.

53.

Okello J, Nakimuli-Mpungu E, Klasen F, Voss C, Musisi S, Broekaert E, Derluyn I. The impact of attachment and depression symptoms on multiple risk behaviors in post-war adolescents in northern Uganda. J Affect Disord. 2015;180:62–7.CrossRefPubMed

54.

Umeh GC, Bangirana P. Cognitive and social predictors of generalized anxiety disorder symptoms among fresh undergraduates in Uganda. Tanzan J Health Res. 2017;19(1). https://doi.org/10.4314/thrb.v19i1.3.

55.

DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7(3):177–88.CrossRefPubMed

56.

Barendregt JJ, Doi SA, Lee YY, Norman RE, Vos T. Meta-analysis of prevalence. J Epidemiol Commun Health. 2013;67(11):974–78. https://doi.org/10.1136/jech-2013-203104.

57.

Wallace BC, Dahabreh IJ, Trikalinos TA, Lau J, Trow P, Schmid CH. Closing the gap between methodologists and end-users: R as a computational back-end. J Stat Softw. 2012;1(5).

58.

Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557–60. https://doi.org/10.1136/bmj.327.7414.557.CrossRefPubMedPubMedCentral

59.

Higgins JP. Commentary: heterogeneity in meta-analysis should be expected and appropriately quantified. Int J Epidemiol. 2008;37(5):1158–60. https://doi.org/10.1093/ije/dyn204.CrossRefPubMed

60.

Mugisha J, Muyinda H, Malamba S, Kinyanda E. Major depressive disorder seven years after the conflict in northern Uganda: burden, risk factors and impact on outcomes (The Wayo-Nero Study). BMC Psychiatry. 2015a;15:48. https://doi.org/10.1186/s12888-015-0423-z.CrossRefPubMedPubMedCentral

61.

Mugisha J, Muyinda H, Wandiembe P, Kinyanda E. Prevalence and factors associated with Posttraumatic Stress Disorder seven years after the conflict in three districts in northern Uganda (The Wayo-Nero Study). BMC Psychiatry. 2015b;15(1). https://doi.org/10.1186/s12888-015-0551-5.

62.

Saile R, Ertl V, Neuner F, Catani C. Children of the postwar years: a two-generational multilevel risk assessment of child psychopathology in northern Uganda. Dev Psychopathol. 2016;28(2):607–20. https://doi.org/10.1017/S0954579415001066.CrossRefPubMed

63.

Meyer SR, Steinhaus M, Bangirana C, Onyango-Mangen P, Stark L. The influence of caregiver depression on adolescent mental health outcomes: findings from refugee settlements in Uganda. BMC Psychiatry. 2017;17(1):405. https://doi.org/10.1186/s12888-017-1566-x.CrossRefPubMedPubMedCentral

64.

Iorio A, Spencer FA, Falavigna M, Alba C, Lang E, Burnand B, McGinn T, Hayden J, Williams K, Shea B, Wolff R, Kujpers T, Perel P, Vandvik PO, Glasziou P, Schunemann H, Guyatt G. Use of GRADE for assessment of evidence about prognosis: rating confidence in estimates of event rates in broad categories of patients. BMJ. 2015;350: h870. https://doi.org/10.1136/bmj.h870.CrossRefPubMed

65.

Akena D, Musisi S, Joska J, Stein DJ. The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda. PLoS One. 2012;7(11): e48671. https://doi.org/10.1371/journal.pone.0048671.CrossRefPubMedPubMedCentral

66.

Ashaba S, Rukundo GZ, Beinempaka F, Ntaro M, LeBlanc JC. Maternal depression and malnutrition in children in southwest Uganda: a case control study. BMC Public Health. 2015;15:1303. https://doi.org/10.1186/s12889-015-2644-y.CrossRefPubMedPubMedCentral

67.

Dokkedah S, Oboke H, Ovuga E, Elklit A. ICD-11 trauma questionnaires for PTSD and complex PTSD: validation among civilians and former abducted children in Northern Uganda. Afr J Psychiatry (Johannesbg). 2015;18(6). https://doi.org/10.4172/2378-5756.1000335.

68.

Gyagenda JO, Ddumba E, Odokonyero R, Kaddumukasa M, Sajatovic M, Smyth K, Katabira E. Post-stroke depression among stroke survivors attending two hospitals in Kampala Uganda. Afr Health Sci. 2015;15(4):1220–31. https://doi.org/10.4314/ahs.v15i4.22.CrossRefPubMedPubMedCentral

69.

Irvine SL. Posttraumatic Stress Prevalence for Children Orphaned by AIDS in Rural Sub-Saharan Africa. Dissertation, Walden University, Ann Arbor; 2012.

70.

Kakyo TA, Muliira JK, Mbalinda SN, Kizza IB, Muliira RS. Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda. Midwifery. 2012;28(3):374–9. https://doi.org/10.1016/j.midw.2011.05.001.CrossRefPubMed

71.

Kinyanda E, Hoskins S, Nakku J, Nawaz S, Patel V. Prevalence and risk factors of major depressive disorder in HIV/AIDS as seen in semi-urban Entebbe district. Uganda BMC Psychiatry. 2011;11. https://doi.org/10.1186/1471-244X-11-205

72.

Kinyanda E, Kuteesa M, Scholten F, Mugisha J, Baisley K, Seeley J. Risk of major depressive disorder among older persons living in HIV-endemic central and southwestern Uganda. AIDS Care – Psychol Socio-Med Asp AIDS/HIV. 2016;28(12):1516–21. https://doi.org/10.1080/09540121.2016.1191601.CrossRef

73.

Perkins JM. Conducting social network and social norm research in low-resource settings: Food insecurity, depression, and HIV testing in rural Uganda. Health & Mental Health Treatment & Prevention 3300, ProQuest Information & Learning: US. Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:17467207 2016. Accessed 28 Aug 2019.

74.

Kinyanda E, Nakasujja N, Levin J, Birabwa H, Mpango R, Grosskurth H, Seedat S, Patel V. Major depressive disorder and suicidality in early HIV infection and its association with risk factors and negative outcomes as seen in semi-urban and rural Uganda. J Affect Disord. 2017;212:117–27. https://doi.org/10.1016/j.jad.2017.01.033.CrossRefPubMed

75.

Wagner GJ, Holloway I, Ghosh-Dastidar B, Kityo C, Mugyenyi P. Understanding the influence of depression on self-efficacy, work status and condom use among HIV clients in Uganda. J Psychosom Res. 2011;70(5):440–8. https://doi.org/10.1016/j.jpsychores.2010.10.003.CrossRefPubMed

76.

Nakimuli-Mpungu E, Musisi S, Katabira E, Nachega J, Bass J. Prevalence and factors associated with depressive disorders in an HIV plus rural patient population in southern Uganda. J Affect Disord. 2011;135(1–3):160–7. https://doi.org/10.1016/j.jad.2011.07.009.CrossRefPubMed

77.

Nakimuli-Mpungu E, Mojtabai R, Alexandre PK, Musisi S, Katabira E, Nachega JB, Treisman G, Bass JK. Lifetime depressive disorders and adherence to anti-retroviral therapy in HIV-infected Ugandan adults: a case-control study. J Affect Disord. 2013;145(2):221–6.CrossRefPubMed

78.

Musinguzi K, Obuku A, Nakasujja N, Birabwa H, Nakku J, Levin J, Kinyanda E. Association between major depressive disorder and pro-inflammatory cytokines and acute phase proteins among HIV-1 positive patients in Uganda. BMC Immunol. 2018;19(1):1. https://doi.org/10.1186/s12865-017-0239-3.CrossRefPubMedPubMedCentral

79.

Huang KY, Abura G, Theise R, Nakigudde J. Parental depression and associations with parenting and children’s physical and mental health in a Sub-Saharan African setting. Child Psychiatry Hum Dev. 2017;48(4):517–27. https://doi.org/10.1007/s10578-016-0679-7.CrossRefPubMedPubMedCentral

Titel: Prevalence of Mental Disorders in Uganda: a Systematic Review and Meta-Analysis
verfasst von: John Nelson Opio
Zachary Munn
Edoardo Aromataris
Publikationsdatum: 24.08.2021
Verlag: Springer US
Erschienen in: Psychiatric Quarterly / Ausgabe 1/2022
Print ISSN: 0033-2720
Elektronische ISSN: 1573-6709
DOI: https://doi.org/10.1007/s11126-021-09941-8

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Prevalence of Mental Disorders in Uganda: a Systematic Review and Meta-Analysis

Abstract

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

Wartezeit nicht kürzer, aber Arbeit flexibler

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Psychiatrie

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2022

The Association Between Service Connection and Treatment Outcome in Veterans Undergoing Residential PTSD Treatment

Exploring Discharge Outcomes and Readmission Rates of Mothers Admitted to a Psychiatric Mother and Baby Unit

Methods and Strategies for Reducing Seclusion and Restraint in Child and Adolescent Psychiatric Inpatient Care

COVID-19 and its impact on the brain and Mind- A conceptual model and supporting evidence

Use of Spirituality in the Treatment of Depression: Systematic Literature Review

Plasma Soluble P-selectin, Interleukin-6 and S100B Protein in Patients with Schizophrenia: a Pilot Study

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

Wartezeit nicht kürzer, aber Arbeit flexibler

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Psychiatrie