Magnitude and associated factors of aggressive behaviour among patients with bipolar disorder at Amanual Mental Specialized Hospital, outpatient department, Addis Ababa, Ethiopia: cross-sectional study.

Journal: BMC psychiatry

Volume: 16

Issue: 1

Year of Publication: 2017

Affiliated Institutions:  Psychiatry Department, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, PO box , Ethiopia. habte.belete@gmail.com. Psychiatry Department, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Amanual Mental Specialized Hospital, Addis Ababa, Ethiopia. Psychiatry Department, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia. Felegehiwot Referral Hospital, Bahir Dar, Ethiopia. Psychiatry Department, College of Medicine and Health Science, Haromaya University, Harrer, Ethiopia. Nursing Department, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

Abstract summary 

Aggressive behavior is a challenging behavior among bipolar patients that causes poor social interaction and hospitalization. But, there is no information regards of the magnitude and contributing factors for aggressive behaviour among bipolar patients in Ethiopia. Therefore, this study was designed to assess the prevalence and associated factors of aggressive behaviour among patients with bipolar disorder.An institutional based cross sectional study was conducted at Amanual Mental Specialized Hospital from May 1 to June 1, 2015 among 411 participants who were selected by systematic random sampling technique. Data was collected by interview technique by using Modified Overt Aggression Scale, entered and analyzed by using Epi Data 3.1 and Statistical Package for Social Science version 20, respectively. Adjusted Odd Ratio (AOR) with 95% Confidence Interval (CI) were used to show the odd and P-value <0.05 was considered as statistically significant.A total of 411 bipolar patients were included in the study and the prevalence of aggressive behaviour was 29.4%. Significant associated factors for aggression were, having two or more episode [AOR = 2.35 95% CI (1.18, 4.69)], previous history of aggression, [AOR = 3.72, 95% CI (1.54, 8.98)], depressive symptoms [AOR = 3.63, 95% CI (1.89, 6.96)], psychotic symptoms [AOR = 5.41,95% CI (2.88, 10.1)], manic symptoms [AOR = 3.85,95% CI (2.06, 7.19)], poor medication adherence [AOR = 3.73 95% CI (1.71, 8.13)], poor social support [AOR = 2.99 95% CI (1.30, 6.91)] and current use of substance[AOR = 2.17 95% CI (1.16, 4.06)].Prevalence of aggression is high among bipolar patients and associated with many factors. So it needs public health attention to decrease aggression among bipolar patients.

Authors & Co-authors:  Belete Habte H Mulat Haregwoin H Fanta Tolesa T Yimer Solomon S Shimelash Takele T Ali Tilahun T Tewabe Tilahun T

Study Outcome 

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Statistics
Citations :  American Psychiatric Association. Diagnostic and statistical manual of mental disorders, (DSM-5®). Arlington: American Psychiatric Pub; 2013.
Authors :  7
Identifiers
Doi : 443
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Aggressive behaviour;Bipolar disorder;Ethiopia
Study Design
Cross Sectional Study,
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
England