Peter Omoniyi Ajiboye
Verified @unilorin.edu.ng
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University of Ilorin
EDUCATION
MB;BS, MHPM, MD, FWACP(Psych)
RESEARCH, TEACHING, or OTHER INTERESTS
Psychiatry and Mental health, Behavioral Neuroscience, Biological Psychiatry
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
O.A. Ige, I.K. Kolawole, and P.O. Ajiboye
African Journals Online (AJOL)
Introduction: It is recognized that ICU patients are exposed to massive stresses both from their life-threatening illness and the necessary intensive medical procedures they are subjected to. These stresses may lead to psychological problems like depression, anxiety and post-traumatic stress disorder. However, the psychological demands and impact of the ICU on the relatives of these patients are often not appreciated. We aimed to determine the prevalence of anxiety and depression and the influence of ICU specific interventions on the development of psychological symptoms in relatives of ICU patients. Methods: This prospective, descriptive, questionnaire-based study was conducted on all consenting primary caregivers of patients on admission in the intensive care unit during the study period. The Hospital Anxiety and Depression Scale and the General Health Questionnaire were used to determine the presence of psychological disorders during this study.Result: In this study, GHQ demonstrated a 72.5% prevalence of psychological illness in relatives of ICU patients. The prevalence of psychological illness using Hospital Anxiety and Depression Scale (HADS) was 56.3% on the anxiety scale and 55% on the depression scale.Conclusion: Critical care can result in the development of psychological disorders among primary caregivers of ICU patients. Intensive care physicians need to pay more attention to their care's impact on the psychological health of their patients’ relatives.
Peter Omoniyi Ajiboye, Olatunji Alao Abiodun, and Alexander Ikponmwosa Ogbebor
African Journals Online (AJOL)
Objective To evaluate the relevance of Electroencephalography (EEG) in the management of various neuropsychiatric conditions in University of Ilorin Teaching Hospital (UITH), Ilorin. Background EEG is still relevant in the diagnosis and management of patients with seizure disorders and extends to other neuropsychiatric conditions. However, very few studies have examined the use of EEG in developing countries, including Nigeria. Methods The EEG records of 154 patients between January 2012 and December 2012 were reviewed. EEG unit's records, including EEG request forms and EEG reports were examined. Socio demographic data, clinical data and the neurologist's comments on the EEG recordings were extracted and recorded on the proforma form. Results A total of 142(92.2%) of the patients out of 154 had complete records and were studied. Majority (84.5%) of the patients were below the age of 30 years. Various types of seizure disorders accounted for 80% of the provisional diagnosis. The EEG diagnosis based on the interpretation of the EEG records showed that 96 (67.6%) of the patients had normal records. Conclusion EEG still plays a very important role in the investigation of neuropsychiatric conditions especially epilepsy in developing countries. EEG facilities should be readily available.
EO Sanya, PM Kolo, OO Desalu, OA Bolarinwa, PO Ajiboye, and MF Tunde-Ayinmode
Medknow
BACKGROUND
Available evidences seem to suggest increasing trend in sleep deficit among teenagers worldwide, and there is limited information on this among Nigerian teenagers. This study was carried out to determine the basic sleep schedule and sleep duration among schooling teenagers in Ilorin, Nigeria.
METHODS
This is a descriptive cross-sectional study conducted among 20 selected public secondary schools in Ilorin, Nigeria. A multistage sampling technique was used to randomly select participating schools.
RESULT
A total of 1033 students participated in the study; of these 47.3% were males and 51.7% females. Students mean age (standard deviation) was 15.3 ± 1.6 years with a range of 12-19 years. Majority (76.2%) of participants co-share bed with at least one person and some (23.8%) slept alone in bed. The three leading reasons given for going to bed were: Tiredness - 31.1%, completion of house assignment - 20.5%, and parental directive - 12.4%. 10% of teenagers do make regular phone calls at night and 5.5% surf internet and use computers at night. Regular habits of daytime sleepiness were reported by 8.2% of study participants. Students' mean sleep duration during school days was 9.33 ± 2.29 h compared to 10.09 ± 1.32 h at weekend (P < 0.05). The duration of night time sleep was adequate (>9 h) in 41% of students; borderline (8-9 h) in 44.3% while 13.3% of the students had insufficient nighttime sleep duration (<8 h) P < 0.05.
CONCLUSION
A substantial number of students had borderline nighttime sleep duration and so had potentials to transit into the problematic insufficient range. To prevent this, there is a need to educate schooling teenagers on the dangers associated with prolonged sleep insufficiency.
IdayatA Durotoye, BabaA Issa, Abayomi Fadeyi, AbdullahD Yussuf, AlakijaK Salami, OlasunkanmiA Shittu, PeterO Ajiboye, HannahO Olawumi, OlusholaA Adegunloye, Charles Nwabuisi,et al.
Medknow
BACKGROUND
Mentally ill persons are vulnerable to sexually transmitted infections including hepatitis B and C because of their high level risky behaviors. This study is aimed at establishing the sero-prevalence of hepatitis B and C among the mentally ill individuals (MII) attending psychiatric clinic of the University of Ilorin Teaching Hospital (UITH), Nigeria since it has not been documented.
METHODS
A total of 350 MII were recruited. HBsAg testing was by immunoassay test strip (Grand Medical Diagnostic R USA) while hepatitis C was tested by commercially prepared kits from ACON, R USA. Healthy adults who presented as donors in the blood bank of the hospital were used as controls.
RESULTS
A total of 700 participants including 350 MII and 350 blood donors (BDs) were recruited for the study. The mean ages of MII and control participants were 36.5 ± 12.3 and 31.4 ± 8.3, respectively.The sero-prevalence of hepatitis B and C among patients with mental illness was 10.0 and 12.6%, respectively, as compared to 10.9% and 1.1% of the blood donors. There was a significant difference in the prevalence of HCV among mentally ill when compared with the blood donors (P = 0.001, χ2 = 33.97; OR (CI) =12.44 (5.33-29.03).
CONCLUSION
Mentally ill patients attending UITH were significantly infected with hepatitis C virus. There is need for interventional measures to reduce the prevalence of hepatitis C among the mentally ill population such as health education and early screening of mentally ill in our setting.
Mosunmola Florence Tunde-Ayinmode, Olatunji Alao Abiodun, Peter Omoniyi Ajiboye, Oluwabunmi Ideraoluwa Nimat Buhari, and Emmanuel Olatunde Sanya
Elsevier BV
PO Ajiboye, OA Abiodun, MF Tunde-Ayinmode, OIN Buhari, EO Sanya, and KW Wahab
African Journals Online (AJOL)
BACK GROUND
Stroke produces a wide range of mental and emotional disorders. Neuropsychiatric complications associated with stroke may have negative effects on the social functioning, overall quality of life and the recovery of motor functioning of stroke survivors.
OBJECTIVE
To determine the prevalence and nature of psychiatric morbidity among stroke patients attending neurology outpatient clinic of the University of Ilorin Teaching Hospital (UITH), Ilorin-Nigeria.
METHODS
All patients with stroke aged 18 years and above at an outpatient neurology clinic in Ilorin, Nigeria were assessed for mental and emotional disorders using the Schedule for Clinical Assessment in Neuropsychiatry (SCAN) over one year (March 2009 to February 2010).
RESULTS
Overall prevalence of psychiatric morbidity was 36.0% (30/83) among 83 patients who constituted the study population. Specific diagnoses recorded were depression (19.2%), generalised anxiety disorder (9.6%), harmful alcohol use (2.4%); dementia, somatoform disorder, phobia and delusional disorder each had a prevalence of 1.2%. Clinical and sociodemographic variables were not significantly associated with psychiatric morbidity.
CONCLUSION
Psychiatric disorders are often associated with stroke. Identifying and treating stroke patients with these psychiatric co-morbidities could thus help to improve the overall quality of life of these patients.
PO Ajiboye and AD Yusuf
African Journals Online (AJOL)
Historically, the term Monosymptomatic Hypochondriacal Psychosis (MHP) was first used by Munro in 1978. MHP isclassified as a somatic type of delusional disorder in DSM-IV and is defined as an erroneous conviction of bodily disease, abnormality or alteration. It includes delusional beliefs about bodily sensations or functions; such as feeling malodorous, being infected by parasites, having dysmorphic features, or that a certain organ is no longer functioning. MHP has been divided into 4 main categories: Delusions of infestation (including parasitosis); delusions of dysmorphophobia, such as of misshapenness, personal ugliness, or exaggerated size of body parts (this seems closest to that of body dysmorphic disorder); delusions of foul body odours or halitosis or delusional bromosis (also known as olfactory reference syndrome); and a miscellaneous group.
PeterO Ajiboye, OluwabunmiN Buhari, KazeemA Ayanda, OlatunjiA Abiodun, OluwatosinM Adefalu, and LukmanO Adegboye
Medknow
BACKGROUND/OBJECTIVES
Alcohol use disorders exist in a high proportion of hospitalized patients and this often complicates patient management, but a large proportion of them still go unrecognized by the managing clinicians. The objective was to provide data on the proportion of inpatients 18 years and above with alcohol-related disorders, and ability of the managing clinicians to detect these disorders.
MATERIALS AND METHODS
Alcohol use disorders were assessed in 339 consecutive patients admitted into medical and surgical wards of University of Ilorin Teaching Hospital (UITH), Ilorin, using the Structured Clinical Interview for DSM-IV Disorders (SCID) -- Alcohol module, for a period of 5 months. They were also assessed for the presence or absence of alcohol-related problems (physical, psychological, and social) by direct questioning. In addition, patients' case notes were scrutinized for additional information on alcohol-related problems and ability of managing clinicians to detect alcohol-related problems in their patients.
RESULTS
All patients with alcohol use disorders were males. The point prevalence for alcohol abuse and alcohol dependence using DSM-IV criteria were 16.4% and 8.5%, respectively among males while another 1.2% who did not meet DSM-IV criteria for abuse and dependence, had alcohol-related problems. Marital disharmony, financial problems, and deteriorating work performance were the most common psychosocial problems among the drinkers. Gastritis occurred in 18.5% of cases with alcohol abuse and 21.4% of cases with alcohol dependence. Other physical problems among drinkers included liver cirrhosis, malnutrition, and various injuries. Significantly more patients aged (45-64 years) and patients of low educational status compared to abstainers had alcohol use disorders and alcohol-related problems. In addition, significantly more patients with alcohol use disorders/alcohol-related problems compared to abstainers were observed to have physical and psychosocial health problems. Alcohol-related problems were detected in only 10.9% of the alcohol users by the managing clinicians.
CONCLUSION
There is a considerable case load of patients with alcohol-related disorders in the hospital. There is therefore the need to improve ability of the managing clinicians to detect and manage cases of alcohol-related disorders, with referrals where appropriate.
AD Yussuf, BA Issa, PO Ajiboye, and OIN Buhari
African Journals Online (AJOL)
OBJECTIVES
This study was prompted by the heightened concerns about the stress inherent in medical education evident from the incessant requests for suspension of studies due to psychological problems. The objectives of the study were to: (i) survey the students for possible psychological problems at admission, and follow them up till exit for possible changes in morbidity, and (ii) ascertain possible risk factors, and coping strategies.
METHOD
This is a preliminary 2-stage cross-sectional report, which is part of a longitudinal survey. It involves first year medical students of the College of Health Sciences of University of Ilorin between March and April, 2011. Questionnaires used included socio demographic, sources of stress, the general health questionnaire-12 (GHQ-12), Maslach's burnout inventory (MBI), and Brief COPE. Data were analysed using SPSS version 15 at 5% significance level. Chi-square, frequency distributions, Pearson's correlation, Odd ratios, and Confidence Intervals were calculated to determine the levels of risk.
RESULTS
79 students returned completed questionnaires. 12 (15.2%) were ghq-12 cases (i.e., scored ≥ 3). Students who had morbidity were 9 times at risk of being stressed consequent upon 'competing with their peers' and 4 times at risk due to 'inadequate learning materials'. Morbidity was significantly more likely to engender use of 'religion', 4 times less likely to engender use of 'positive reframing' with a trend in the use of 'self blame' as coping strategies.
CONCLUSION
Aside from psychosocial/personal issues in this cohort, academic demand was an additional source of psychological problems thereby causing those who had morbidity to utilize 'religion' and 'positive reframing' to cope. There is therefore an apparent need to incorporate the principle of mental health promotion in medical education.
B. A. Issa, A. D. Yussuf, P. O. Ajiboye, and O. I. N. Buhari
Emerald
Studies have reported increased psychiatric morbidity among young detainees, with as many as three‐quarters reported to have one or more psychiatric disorders. Despite this, however, there is a dearth of published work among young inmates of prisons, remand homes or borstal institutions in Nigeria. The aim of this study was to assess possible psychiatric morbidity among young inmates of a borstal institution in Nigeria and to determine the factors that may be associated with this morbidity. Fifty‐three inmates of one of the two existing borstal institution in Nigeria were assessed for psychiatric morbidity using the 12‐item General Health Questionnaire (GHQ‐12). The GHQ‐12 scores were compared with the socio‐demographic factors of the respondents. Twenty‐eight (52.8%) of the inmates were over 18 years old, 35.8% were in the middle position within the family, 62.3% were of Christian faith, and 64.2% had their parents still living together. Seventeen (32.1%) of the inmates were from Hausa ethnic extraction, 58.5% stayed for more than 6 months at the borstal institution, and 81.1% were brought to the institution by their parents. The mean age of the inmates was 17.3 years (range, 14‐23 years) and 26 (49.1%) of them were GHQ‐positive. There was no statistically significant difference between the mean age of GHQ‐positive and GHQ‐negative inmates (F=1.73, p=0.19), and none of the socio‐demographic variables were significantly associated with psychiatric morbidity (i.e. GHQ‐12 positivity). The study observed a high prevalence of undetected psychiatric morbidity among inmates at the borstal institution. Efforts should be intensified by the authority responsible for managing the Nigerian prison services (including the borstal institutions) to improve mental health services.
AD Yussuf, SA Kuranga, OR Balogun, PO Ajiboyed, BA Issa, O Adegunloye, and MT Parakoyi
African Journals Online (AJOL)
OBJECTIVE
Little is known about predictors of readmission of psychiatric patients in the study environment. Knowledge of this, we believe could aid effective management of psychiatric patients, as well as judicious and equitable utilization of the limited mental health facilities in the North-central zone. The aim was to identify factors that may be predictive of readmissions to an in-patient psychiatric facility of a Nigerian University Teaching Hospital.
METHOD
A retrospective record review of all admissions and discharges to/from the psychiatric inpatient ward of University of Ilorin Teaching Hospital, (UITH) between May 2000 and April 2005. Patients and clinical characteristics were recorded and all the data were characterized according to age, gender, marital status, occupational status, length of stay on admission, number of admissions, and medication compliance. Data were analyzed with SPSS version 11 to derive the chi square figures, Pearson's correlation, and logistic regression. The level of statistical significance was set at 5%.
RESULTS
Within the study period, 41.4% of cases were readmissions. Young age, longer length of stay, multiple admissions and the diagnosis of schizophrenia were predictive of readmission while medication non-compliance was not predictive.
CONCLUSION
Provision of psycho-education to both the patients and their families, identification of early symptoms of relapse, application of immediate and appropriate measures, and adequate record-keeping by health institutions are advocated.