Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia

Zelalem Belayneh,1 Wagaye Alemu,2 Birhanie Mekuriaw,1 Zegeye Abebe3 1Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 2Department of Epidemiology and Biostatistics, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 3Departme...

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Autores principales:	Belayneh Z, Alemu W, Mekuriaw B, Abebe Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Bipolar Spectrum Disorder HIV/AIDS Mental Health Ethiopia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bbf89a750f3a495c9573bfea7a6c9964
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spelling	oai:doaj.org-article:bbf89a750f3a495c9573bfea7a6c99642021-12-02T07:58:12ZBipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia1178-2021https://doaj.org/article/bbf89a750f3a495c9573bfea7a6c99642019-02-01T00:00:00Zhttps://www.dovepress.com/bipolar-spectrum-disorders-and-associated-factors-among-adults-attendi-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Zelalem Belayneh,1 Wagaye Alemu,2 Birhanie Mekuriaw,1 Zegeye Abebe3 1Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 2Department of Epidemiology and Biostatistics, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 3Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Background: Bipolar spectrum disorders (BPSDs) are more common among HIV-positive individuals than the general population. Although BPSDs have very diverse and devastating consequences (immune suppression, cognitive impairment and poor medication adherence), little is known about BPSDs among HIV-positive individuals in Ethiopia. Therefore, this study was aimed to assess the prevalence and associated factors of BPSDs among adults attending antiretroviral therapy (ART) clinics in Gedeo zone health centers, southern Ethiopia. Patients and methods: An institutional-based cross-sectional study was conducted by screening 412 randomly selected HIV-positive individuals using Mood Disorder Questionnaire. SPSS version 20 was used for data analysis. Bivariable and multivariable logistic regression models were fitted to identify factors associated with BPSDs. Adjusted OR (AOR) with corresponding 95% CI was computed to determine the association. Results: Of the total 412 participants, 11.2% were screened positive for BPSDs. Lower CD4 count (AOR =2.97; 95% CI: 1.11, 7.90), past history of mental health problem (AOR =3.35; 95% CI: 1.576, 7.144), poor social support (AOR =2.6; 95% CI: 1.06, 6.63) and poor ART drug adherence (AOR =3.59; 95% CI: 1.78, 7.21) had a positive association with BPSDs. Conclusion: In this study, the prevalence of BPSDs was high among adult patients attending ART clinics in Gedeo zone health centers. Poor social support, poor ART drug adherence, lower CD4 level and history of mental illness had statistically significant association with BPSDs. This demonstrates a need for the integration of Mental Health and Psycho Social Support with HIV/AIDS care services. Moreover, establishing good social support and controlling ART adherence were found to be very crucial too. Keywords: bipolar spectrum disorder, HIV/AIDS, mental health, Ethiopia, mood disorders, Gedeo, DillaBelayneh ZAlemu WMekuriaw BAbebe ZDove Medical PressarticleBipolar Spectrum DisorderHIV/AIDSMental HealthEthiopiaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 503-509 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bipolar Spectrum Disorder HIV/AIDS Mental Health Ethiopia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Bipolar Spectrum Disorder HIV/AIDS Mental Health Ethiopia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Belayneh Z Alemu W Mekuriaw B Abebe Z Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia
description	Zelalem Belayneh,1 Wagaye Alemu,2 Birhanie Mekuriaw,1 Zegeye Abebe3 1Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 2Department of Epidemiology and Biostatistics, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 3Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Background: Bipolar spectrum disorders (BPSDs) are more common among HIV-positive individuals than the general population. Although BPSDs have very diverse and devastating consequences (immune suppression, cognitive impairment and poor medication adherence), little is known about BPSDs among HIV-positive individuals in Ethiopia. Therefore, this study was aimed to assess the prevalence and associated factors of BPSDs among adults attending antiretroviral therapy (ART) clinics in Gedeo zone health centers, southern Ethiopia. Patients and methods: An institutional-based cross-sectional study was conducted by screening 412 randomly selected HIV-positive individuals using Mood Disorder Questionnaire. SPSS version 20 was used for data analysis. Bivariable and multivariable logistic regression models were fitted to identify factors associated with BPSDs. Adjusted OR (AOR) with corresponding 95% CI was computed to determine the association. Results: Of the total 412 participants, 11.2% were screened positive for BPSDs. Lower CD4 count (AOR =2.97; 95% CI: 1.11, 7.90), past history of mental health problem (AOR =3.35; 95% CI: 1.576, 7.144), poor social support (AOR =2.6; 95% CI: 1.06, 6.63) and poor ART drug adherence (AOR =3.59; 95% CI: 1.78, 7.21) had a positive association with BPSDs. Conclusion: In this study, the prevalence of BPSDs was high among adult patients attending ART clinics in Gedeo zone health centers. Poor social support, poor ART drug adherence, lower CD4 level and history of mental illness had statistically significant association with BPSDs. This demonstrates a need for the integration of Mental Health and Psycho Social Support with HIV/AIDS care services. Moreover, establishing good social support and controlling ART adherence were found to be very crucial too. Keywords: bipolar spectrum disorder, HIV/AIDS, mental health, Ethiopia, mood disorders, Gedeo, Dilla
format	article
author	Belayneh Z Alemu W Mekuriaw B Abebe Z
author_facet	Belayneh Z Alemu W Mekuriaw B Abebe Z
author_sort	Belayneh Z
title	Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia
title_short	Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia
title_full	Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia
title_fullStr	Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia
title_full_unstemmed	Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia
title_sort	bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in gedeo zone health centers, southern ethiopia
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/bbf89a750f3a495c9573bfea7a6c9964
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Bipolar spectrum disorders and associated factors among adults attending an antiretroviral therapy clinic in Gedeo zone health centers, southern Ethiopia

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