Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives
Abstract Background Bipolar 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-Sah...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-01-01
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| Series: | International Journal of Bipolar Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40345-022-00276-2 |
| _version_ | 1797958846958796800 |
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| author | Dung Ezekiel Jidong M. Ishrat Husain Tarela J. Ike Nusrat Husain Maigari Yusufu Taru Nwoga Charles Nnaemeka Christopher Francis David B. Jack Shadrack B. Mwankon Siqi Xue Juliet Y. Pwajok Pam P. Nyam Maisha Murshed |
| author_facet | Dung Ezekiel Jidong M. Ishrat Husain Tarela J. Ike Nusrat Husain Maigari Yusufu Taru Nwoga Charles Nnaemeka Christopher Francis David B. Jack Shadrack B. Mwankon Siqi Xue Juliet Y. Pwajok Pam P. Nyam Maisha Murshed |
| author_sort | Dung Ezekiel Jidong |
| collection | DOAJ |
| description | Abstract Background Bipolar 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. Design We 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. Methods In 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. Results In 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. Conclusions This 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. |
| first_indexed | 2024-04-11T00:25:42Z |
| format | Article |
| id | doaj.art-f49caea3105b4bb8a0f81029e2647550 |
| institution | Directory Open Access Journal |
| issn | 2194-7511 |
| language | English |
| last_indexed | 2024-04-11T00:25:42Z |
| publishDate | 2023-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Bipolar Disorders |
| spelling | doaj.art-f49caea3105b4bb8a0f81029e26475502023-01-08T12:03:28ZengSpringerOpenInternational Journal of Bipolar Disorders2194-75112023-01-011111910.1186/s40345-022-00276-2Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectivesDung Ezekiel Jidong0M. Ishrat Husain1Tarela J. Ike2Nusrat Husain3Maigari Yusufu Taru4Nwoga Charles Nnaemeka5Christopher Francis6David B. Jack7Shadrack B. Mwankon8Siqi Xue9Juliet Y. Pwajok10Pam P. Nyam11Maisha Murshed12Department of Psychology, Nottingham Trent UniversityCampbell Family Mental Health Research Institute, Centre for Addiction and Mental HealthDepartment of Criminology & Sociology, Teesside UniversityDepartment of Psychiatry, University of ManchesterDepartment of Psychiatry, Jos University Teaching HospitalDepartment of Psychiatry, Jos University Teaching HospitalDepartment of Psychology, Nottingham Trent UniversityGlobal Mental Health, Dung Jidong FoundationDepartment of Psychology, Nottingham Trent UniversityCampbell Family Mental Health Research Institute, Centre for Addiction and Mental HealthDepartment of Psychology, University of JosDepartment of Psychology, Nottingham Trent UniversityDepartment of Psychology, Nottingham Trent UniversityAbstract Background Bipolar 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. Design We 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. Methods In 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. Results In 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. Conclusions This 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.https://doi.org/10.1186/s40345-022-00276-2Bipolar disordersCaregiversPatientsMental healthPsychological interventionNigeria |
| spellingShingle | Dung Ezekiel Jidong M. Ishrat Husain Tarela J. Ike Nusrat Husain Maigari Yusufu Taru Nwoga Charles Nnaemeka Christopher Francis David B. Jack Shadrack B. Mwankon Siqi Xue Juliet Y. Pwajok Pam P. Nyam Maisha Murshed Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives International Journal of Bipolar Disorders Bipolar disorders Caregivers Patients Mental health Psychological intervention Nigeria |
| title | Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives |
| title_full | Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives |
| title_fullStr | Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives |
| title_full_unstemmed | Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives |
| title_short | Bipolar disorders in Nigeria: a mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives |
| title_sort | bipolar disorders in nigeria a mixed methods study of patients family caregivers clinicians and the community members perspectives |
| topic | Bipolar disorders Caregivers Patients Mental health Psychological intervention Nigeria |
| url | https://doi.org/10.1186/s40345-022-00276-2 |
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