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The prolonged Boko Haram crises in North-East Nigeria caused serious displacement and left the survivors with multiple psychological consequences such as Posttraumatic stress disorder (PTSD). A high prevalence rate of PTSD among Internally Displaced Persons (IDPs) has been reported across literatures. This study aimed to determine the factors that are associated with PTSD and its relationship with functional disability among IDPs in Yobe State, Nigeria. This was a cross sectional study of 450 respondents, recruited using a systematic sampling method. We used Harvard Trauma Questionnaire to screen for symptoms of PTSD and definite diagnosis made with WHO Composite International Diagnostic Interview (CIDI), PTSD Module. Hopkins Symptom Checklist was used for symptoms of depression and definite diagnosis made with CIDI Depression Module. The WHO Disability Assessment Schedule 2.0 was used to measure functional disability. There were 192 (45.5%) males and 230(54.5%) female respondents. The mean age of respondents was 39.4±18.50 years with range of 18-80 years. Significant PTSD symptoms were found among 159(37.7%) of the IDPs while Clinical interview gave a definite prevalence of 18.5%. Two hundred and forty-four (57.8%) of the respondents had disability scores in the mild range, 17.5% in the moderate range while 20.7% were in the severe range. Majority of those with disability scores in the severe range had PTSD. Factors significantly associated with PTSD were age, marital status, duration of displacement, type of abode, general living condition, self-reported general health, and disability score. A High prevalence rate of PTSD was found among IDPs and the severity of disability correlated well with having diagnosis of PTSD in the study.

Depression has been consistently associated with cardiovascular disease (CVD), it is also known to play an essential role in the initiation and exacerbation of CVD. This study was aimed to determine the prevalence and correlates of depression among patients attending the cardiology clinic of the Benue State University Teaching Hospital (BSUTH), Makurdi. The study was conducted among one hundred and six (106) consenting patients attending the cardiology unit of BSUTH from June to August 2017. The result shows that, 52(49.1%) were males while the remaining 54(50.9%) were females. The mean age of the respondents was 53.48±14.77years, twenty-eighty respondents representing 26.4% were married at the time of the study, 15(14.2%) were single while the remaining 63(59.4%) were previously married. Thirty-seven (34.9%) of the study subjects had no formal education and eighty-two (77.4%) of the presentation at the clinic were having a diagnosis of hypertension, 8(7.5%) were being treated for Rheumatic Heart Disease (RHD), 9(8.5%) were diagnosed with cardiomyopathies, 3(2.8%) were diagnosed heart failure and 4 (3.8%) had other cardiovascular diseases. The prevalence of depression was found to be 45.3% in this study, there was a statistically significant relationship between the diagnoses of depression and gender status (p=0.001), marital status (p=0.01), partner relationship (p=0.001), substance abuse (p=0.001). No statistically significant relationship was found between depression and occupational status (p=0.167), level of educational attainment (p=0.401), respondents’ weight (p=0.06), and the nature of cardiovascular diagnoses (p=0.951). We recommended early detection and treatment of depression among patients with cardiovascular diseases.

A common factor in the development of mental disorders, including depression, is exposure to trauma. Boko Haram crisis has ravaged the North East part of Nigeria and has left indelible traumatic effect on the inhabitants especially the Internally Displaced People (IDPs) who fled their homes for survival. Previous studies reported high rates of depression and disability among IDPs. We set out to investigate the prevalence of depression, disability and correlates among the IDPs in two selected camps in Yobe state. We carried out a cross sectional study among 422 adult IDPs selected through a systematic sampling method. One hundred and ninety two (45.5%) were males. The mean age of the subjects was 39.4±18.50 years with range of 18-80 years. Of the 422 IDPs, 166(39.3%) had probable depression and 76(18.0%) had definite depression. Factors significantly associated with diagnosis of depression were; age (p=0.028), marital status (p=0.001), living condition (p=0.001), general health (p=0.001) and WHODAS 2.0 scores (p=0.001). Logistic regression revealed that age

The study of the pattern of inpatients referral to consultation-liaison unit is important as significant proportion of patients with physical illnesses also suffer from psychiatric disorder. It will help in designing better consultation-liaison services that is geared toward holistic health care. The study was aimed at determining the psychiatric morbidity, referral patterns and sociodemographic profiles of in-patients referred to consultation-liaison unit of Jos University Teaching Hospital. It was a descriptive prospective study of all consenting patients. A total of 142 patients were referred to consultation-liaison unit during the study period of August 2014 to July 2015. The referral rate was 1.7%. The mean age+SD of referred patients was 38+16.59 years. There were more females 84(59.2%) than males 58(40.8%). Among the referred patients majority had secondary education 60(42.3%) and were never-married 67(47.2%). The major source of referral 97(68.3%) was from medical ward and reasons for referral were; to help in management 68.3%, previous psychiatric contact 12.0% and abnormal behavior 10.6%. The predominant psychiatric diagnoses using ICD-10 criteria were depression 27(19.0%), acute organic brain syndrome 18(12.7%), alcohol dependence 15(10.6%) and puerperal psychosis/depression 12(8.5%). Co-morbid physical conditions were present in 123(86.6%) mainly, infections 25(17.6%), retroviral infections 18(12.7%), neurological conditions 8(5.6%), trauma/head injury 13(9.2%) and cardiovascular diseases 12(8.5%). The low referral rate and reasons for referral revealed the referring physicians scope of the understanding of psychiatry. Therefore, clinicians should be adequately exposed to basic knowledge of psychiatry and should be able to recognize common psychiatric conditions and referred appropriately for a holistic healthcare.

Quality of life (QoL) is probably the most desired outcome of all health care policies and monitoring. This concept is seldom used on women in the postpartum, especially in the developing world.This study aimed at determining the independent socio-clinical variables associated with the perception of QoL of women with postpartum depression.A two-stage cross-sectional procedure was used to recruit 550 participants, out of whom 531 participants completed the questionnaires with 116 participants found to have postpartum depression and were the studied population, in Nigeria. The Socio-demographic questionnaire, the Edinburgh Postnatal Depression Scale, the World Health Organization Quality of Life-Bref-26 and the Depression Module of the Structured Clinical Interview for DSM-IV axis I Diagnosis were used.Participants with postpartum depression had significantly poor perception of QoL in all the four domains of the WHOQoL-BREF-26. The independent socio-demographic and clinical correlate associated with poor perception for both rating of QoL and satisfaction with health was education (β = 0.321, p .001 and β = 0.0326, p = .002, respectively); for physical domain [(modes of delivery) (β = -0.28, p = .016)]; psychological domain [(age35years) (β = 0.391, p = .010)] and for social relationships [(complications during delivery) (β = 0.257, p = .043)].The determination of the predictors of QoL, which is an indicator of disease outcome will improve service delivery to women of childbearing age.