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Evaluation of Suicidal Risk in Sickle Cell Patients Monitored at the Hubert Koutoukou Maga National University Hospital Center in Cotonou in 2022

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Open Journal of Psychiatry 2023年第S2期13卷 479-491页

作者： Guy-Gérard Aza-Gnandji ireti nethania elie ataïgba Sènan Gratias Koukoubou Kokou Messanh Agbémèlé Soedje Tchedié Etdéchié Elvyre Klikpo Josiane Ezin Houngbe Département de santé Mentale Faculté des Sciences de la santé de l’Université d’Abomey-Calavi Cotonou Bénin Centre National Hospitalier Universitaire Hubert Koutoukou Maga Cotonou Bénin Faculté de Médecine Université de Parakou Parakou Bénin Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Département de santé Mentale Faculté des Sciences de la santé de l’Université de Lomé Lomé Togo Centre Hospitalier Universitaire Sylvanus Olympio de Lomé Lomé Togo

Introduction: According to the WHO, suicide is a real public health problem worldwide, and several risk factors have been identified, including pain and chronic illness. Objective: The aim of this study was to assess the suicidal risk in sickle-cell patients. Method: This was a descriptive and analytical cross-sectional study of sickle-cell patients followed up at the University Clinic of Blood Diseases of Hubert Koutoukou Maga National University Hospital Center from August 2022 to November 2022. The instrument used was the Ducher suicide risk self-assessment scale. Results: A total of 65 patients were included. Mean age was 27.04 ± 1.95 years, with extremes of 16 and 50 years, and a peak of 47.69% in the 20 - 30 age group. Women predominated (58.46%), with a sex ratio of 0.71. Somatic complaints accounted for 41.54% of patients’ visits, including 21.54% for pain. Suicidal risk was positive in 44.62%, including 13.85% for severe suicidal risk, and 20% attributed their desire to die to pain. The factor associated with positive suicidal risk was single parenthood (p = 0.02). Of those with a positive suicidal risk, 46% had shared the intention with close relatives (family and friends), but none had used medical services. Conclusion: These data demonstrate the high prevalence of suicidal risk among people with sickle cell disease, and therefore the need for psychosocial intervention in this specific population in Benin.

关键词： Suicidal Risk Sickle Cell Disease Chronic Disease

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Prevalence and Factors Associated with HIV Serodiscordance among Infected Couples in the City of Parakou (Benin)

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Open Journal of Internal Medicine 2023年第4期13卷 351-363页

作者： Sègnon Eurydice Elvire Djossou Charles Sossa Georgia Barikissou Damien Rhonel Ahanhanzo-Glèlè Ignace Tokpanoudé Gottfried Agballa Ariano Vigniavo Nouatin ireti nethania elie ataïgba Eric Dettin Badirou Aguemon Public Health Unit of the Faculty of Health Sciences (FHS) University of Abomey-Calavi (UAC) Cotonou Benin Comlan Alfred Quenum Regional Institute of Public Health University of Abomey-Calavi (UAC) Ouidah Bénin Regional Center for Prospective Information and Advice on HIV and STD of Borgou/Alibori Parakou Bénin Institute of Nursing and Obstetrics Training University of Parakou School of Medicine Parakou Bénin Department of Psychiatry Departmental University Hospital of Borgou and Alibori Parakou Bénin Internal Medicine Department Armed Forces Training Hospital—University Hospital Parakou Bénin

Introduction: Achieving the goal of “zero new human immunodeficiency virus (HIV) infections by 2030” requires the elimination of HIV transmission within serodiscordant couples. In Benin, the phenomenon of HIV serodiscordance remains poorly documented. Objective: the aim of this study was to determine the prevalence of HIV serodiscordance and its associated factors among infected couples in the city of Parakou. Study Framework and Method: This was a descriptive cross-sectional study with an analytical focusing on qualitative and quantitative plans. It was carried out on thirty approved sites in the city of Parakou between July and December 2022. We used a non-exhaustive convenience sample of people living with HIV (PLHIV) whose partner’s status was known. Data collection took place in two phases: an interview phase during which sociodemographic, economic, behavioral and marital/social data were collected. The second phase focused on clinical and therapeutic data which were collected from the patients’ personal records. Results: A total of 417 study subjects were recruited. The average age (SD) of the subjects was 38.17 (±10.25) years [37.19 - 39.16]. Females accounted for the largest proportion (79.62%). Most respondents (74.11%) were married. Monogamous unions were the most frequent, involving 67.87% of participants, most of whom (44.60%) had been infected for between 1 and 5 years. Couples in union for less than 10 years were the most numerous (218 people or 52.28%). The respondent was head of household among only 140 respondents (33.57%) of which 84 men (60.00%) and 56 women (40.00%). Female heads of household were mainly divorcees and widows. Around 75% of PLHIV had monthly incomes of less than 50,000F CFA (81.16 USD). Prevalence of HIV serodiscordance was 71.70%. It was 70.91% [65.54% - 76.28%] at care sites and 73.24% [65.95% - 80.52%] at sites involved in preventing mother-to-child transmission (PMTCT sites). Potential predictors of HIV serodiscordance were: h

关键词： Serodiscordance HIV Prevalence Associated Factors Benin

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Problematic Use of Video Games in Schools in Northern Benin (2023)

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Open Journal of Psychiatry 2024年第2期14卷 120-141页

作者： ireti nethania elie ataigba David Sinet Koivogui Damega Wenkourama Marcos Tohou Eurydice Elvire Djossou Anselme Djidonou Francis Tognon Tchegnonsi Prosper Gandaho Josiane Ezin Houngbe Faculté de Médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Bénin Service de Psychiatrie Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Organisation Non Gouvernementale de Soutien Réhabilitation Insertion et Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences et Techniques de Santé Université Gamal Abder Nasser de Conakry Conakry Guinée Faculté des Sciences de la Santé Université de Kara Kara Togo Service de Psychiatrie Centre Hospitalier Universitaire de Kara Kara Togo Facultés des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin Centre Nationale Hospitalier Universitaire Hubert Koutoucou Maga de Cotonou Cotonou Bénin

Objective: To study the problematic use of video games among secondary school students in the city of Parakou in 2023. Methods: Descriptive cross-sectional study conducted in the commune of Parakou from December 2022 to July 2023. The study population consisted of students regularly enrolled in public and private secondary schools in the city of Parakou for the 2022-2023 academic year. A two-stage non-proportional stratified sampling technique combined with simple random sampling was adopted. The Problem Video Game Playing (PVP) scale was used to assess problem gambling in the study population, while anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Results: A total of 1030 students were included. The mean age of the pupils surveyed was 15.06 ± 2.68 years, with extremes of 10 and 28 years. The [13 - 18] age group was the most represented, with a proportion of 59.6% (614) in the general population. Females predominated, at 52.8% (544), with a sex ratio of 0.89. The prevalence of problematic video game use was 24.9%, measured using the Video Game Playing scale. Associated factors were male gender (p = 0.005), pocket money under 10,000 cfa (p = 0.001) and between 20,000 - 90,000 cfa (p = 0.030), addictive family behavior (p ata and serves as a reminder of the need to focus on this group of addictions, whose problematic use of video games remains the most frequent due to its accessibility and social tolerance. Preventive action combined with curative measures remains the most effective means of combating the problem at national level.

关键词： Gaming Problem Video Games Benin 2023

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Maternal Burnout: Prevalence and Associated Factors in Northern Benin (2023)

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Open Journal of Psychiatry 2024年第1期14卷 29-44页

作者： ireti nethania elie ataigba Guy Gérard Aza Gnandji David Sinet Koivogui Owèrè Charlotte Dagan Coovi Ignace Tokpanoude Kwamé Abdias Adoufou Anselme Djidonou Francis Tognon Tchegnonsi Prosper Gandaho Institut de Formation en Soins Infirmiers et Obstétricaux Faculté de Médecine Université de Parakou Parakou Bénin Service de Psychiatrie Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Organisation Non Gouvernementale de Soutien Réhabilitation Insertion et Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin Service de Psychiatrie Centre National Hospitalier Universitaire Hubert Koutoucou Maga de Cotonou Cotonou Bénin Faculté des Sciences et Techniques de la Santé Université Gamal Abdel Nasser de Conakry Conakry Guinée

Introduction: Also known as maternal burnout syndrome, maternal burnout is a state of physical, emotional and mental exhaustion generated by prolonged stress in the family environment. It is experienced by women in their role as mothers. Those affected can develop psychological disorders, sleep disturbances, etc., all of which impair their day-to-day lives, and thus their maternal role. The repercussions affect both the child and other family members. Objective: The aim of the present study was to investigate maternal burnout among female users of public and private health facilities in the commune of Parakou in 2023. Methods: Descriptive cross-sectional study was conducted from December 2022 to July 2023 among all mothers using public and private health facilities in the commune of Parakou. All healthy mothers with at least one biological or adoptive child fully dependent on them and living at home, who came for a consultation in one of the health facilities or for an appointment at the Expanded Program on Immunization (EPI) and gave their free and informed consent. Sampling was done for non-exhaustive convenience were included in the study. Burnout was assessed using the Parental Burnout Assessment (PBA) scale. Results: A total of 888 mothers meeting the inclusion criteria were surveyed. The prevalence of burnout calculated using the Parental Burnout Assessment (PBA) scale was 6.19%. The risk factors for maternal burnout were poor relationships with family and friends (OR = 8.90;p = 0.045), moderate (OR = 11.71;p = 0.020) and severe depression (OR = 40.85;p = 0.001), followed by the presence of repeated nocturnal awakening (OR = 5.14;p = 0.014). Conclusion: This is a subject that is almost never discussed in African society, but whose reality is revealed by the present study, which provided statistical data on maternal burnout. From now on, the risk of burnout will no longer be discussed solely in the family context. It will also need to be explored within the fam

关键词： Burnout Maternal Benin 2023

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Eating Disorders among Students in Northern Benin (2023)

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Open Journal of Psychiatry 2024年第1期14卷 11-28页

作者： ireti nethania elie ataigba Guy Gérard Aza-Gnandji David Sinet Koïvogui Wifrieda Aguidissou Eurydice Elvire Djossou Anselme Djidonou Francis Tognon Tchegnonsi Prosper Gandaho Josiane Ezin Houngbe Institut de Formation en Soins Infirmiers et Obstétricaux Faculté de Médecine Université de Parakou Parakou Bénin Service de Psychiatrie Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Organisation Non Gouvernementale de Soutien Réhabilitation Insertion et Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin Service de Psychiatrie Centre National Hospitalier Universitaire Hubert Koutoucou Maga de Cotonou Cotonou Bénin Faculty of Health Sciences and Techniques Université Gamal Abdel Nasser de Conakry Conakry Guinée

Introduction: From their earliest hours, human beings are able to identify a source of food and to feed themselves. Feeding is therefore one of the most instinctive human functions. It is regulated by several factors (physiological, psycho-affective and environmental) whose disruption can lead to eating disorders. Objective: The aim of this study was to investigate eating disorders among students in the town of Parakou in 2023. Method: Descriptive cross-sectional study conducted from January to July 2023 in various universities in the city of Parakou, Benin. The study population consisted of all students in grades 1 to 7 at these universities. A two-stage non-proportional stratified sampling technique combined with a simple random draw was adopted. The Eating Attitude Test-26, Bulimia Inventory Test Edinburgh and a set of questions focusing on the diagnostic criteria for pica were used to screen for pica and other disorders such as anorexia, bulimia nervosa and binge eating disorder. Data were analyzed using SPSS (Statistical Package for Social Sciences) version 25. Results: A total of 607 students were surveyed, 323 of whom had eating disorders. A prevalence of 53.21% of students at risk of eating disorders was found. In relation to the total population, the prevalences of anorexia, bulimia nervosa, binge eating disorder and pica were 45.96%, 0.82%, 15.48% and 12.68% respectively. In multivariate analysis, seven factors explained the risk to develop at least one eating disorder among the students surveyed. These were: urban area of residence (OR (95% CI) = 5.059 (1.75 - 14.65);p = 0.003);year of study (OR (95% CI) = 0.47 (0.28 - 0.79);p = 0.035);type of university attended (private university: OR (95% CI) = 1.63 (1.08 - 2.44);p = 0.019);parents’ marital status (couple or not) (OR (95% CI) = 1.50 (1.01 - 2.24);p = 0.046);father’s level of education: secondary (OR (CI 95%) = 3.85 (1.96 - 7.54);p 0.001)/higher (OR (CI 95%) = 2.83 (1.36 - 5.86);p = 0.005);mother’s one:

关键词： Eating Disorders Benin 2023

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Sexual Assault and Its Psychopathological Repercussions in the Life of Female Students in Northeastern Benin (2023)

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Open Journal of Psychiatry 2024年第3期14卷 163-178页

作者： ireti nethania elie ataigba Djibrilla Moussa Oumou Ousseyni Zika Fidélia Dotou Coovi Ignace Tokpanoude Anselme Djidonou Djibo Douma Maiga Francis Tognon Tchegnonsi Prosper Gandaho Josiane Ezin Houngbe Faculté de Médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Bénin Service de Psychiatrie Départemental du Borgou Alibori Centre Hospitalier Universitaire Parakou Bénin Organisation Non Gouvernementale de Soutien de Réhabilitation d’Insertion et de Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences de la Santé Université André Salifou de Zinder Zinder Niger Service de Psychiatrie H?pital National de Zinder Zinder Niger Faculté des Sciences de la Santé Université Abdou Moumouni de Niamey Niamey Niger Service de Psychiatrie H?pital National de Niamey Niamey Niger Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Abomey-Calavi Bénin Service de Psychiatrie Centre National Hospitalier Universitaire - Hubert Koutoucou Maga de Cotonou Cotonou Bénin

Objective: The aim of the present study was to investigate the psychic repercussions of sexual assault among female students in Parakou in 2023. Methods: Descriptive cross-sectional study conducted from December 2022 to July 2023 among all students at the University of Parakou. The sampling technique was stratified non-proportional at two levels. The dependent variable was self-reported sexual assault. The psychopathological repercussions linked to sexual assault and explored in these students were: post-traumatic stress disorder assessed with the Post Traumatic Stress Disorder Checklist-5 (PCL-5) scale;and current depression screened with the Patient Health Questionnaire-9 (PHQ-9) scale. Results: A total of 376 female students from the University of Parakou meeting the inclusion criteria were surveyed. The average age of the subjects surveyed was 20.56 ± 2.46 years, with extremes of 16 and 32 years. A predominance of subjects under 25 was observed. The prevalence of sexual assault among female students at the University of Parakou was 10.63%. The types of aggression suffered were mostly rape (18 people;45%) and sexual touching (16 people;40%), and the aggressors were mainly friends/boyfriends (13;32.5%), family members (12;30.0%) and people from the house/neighborhood (9;22.5%). Psychological repercussions included depression in 72.5% (29) of cases, with mild depression in 30% (12), moderate depression in 37.5% (15) and severe depression in 5% (2). Anxiety disorders were present in 27.50% (11) of victims. The risk factors associated with sexual assault in these students were gravidity (p = 0.014;OR = 15.32), unhappy life events (p = 0.01;OR = 17.24), and age of first sexual intercourse (p = 0.016;OR = 4.608). Conclusion: One in ten female students in Parakou has been sexually assaulted. Once again, preventive action through effective sex education is a means of fighting the problem that should be prioritized for every girl and boy from an early age. Psychological s

关键词： Sexual Assault Psychopathological Repercussions Benin 2023

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Post-Traumatic Stress Disorder among Defence and Security Forces in Northern Benin (2023)

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Open Journal of Psychiatry 2024年第2期14卷 142-161页

作者： ireti nethania elie ataigba Guy Gérard Aza Gnandji David Sinet Koivogui Dalmace Fauste Adjaho Eurydice Elvire Djossou Anselme Djidonou Francis Tognon Tchegnonsi Prosper Gandaho Josiane Ezin Houngbe Faculté de Médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Bénin Service de Psychiatrie Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Organisation Non Gouvernementale de Soutien Réhabilitation Insertion et Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin Centre Nationale Hospitalier Universitaire Hubert Koutoucou Maga de Cotonou Cotonou Bénin Faculté des Sciences et Techniques de Santé Université Gamal Abdel Nasser de Conakry Conakry Guinée

Introduction: Post-traumatic stress disorder (PTSD) is defined as “actual exposure to death or the threat of death, serious injury or sexual violence”, either directly or indirectly, resulting in a symptomatic procession of repetition, avoidance, neurovegetative hyperactivity and individualized symptoms, with or without negative cognitive and mood changes. It therefore goes without saying that the defence and security forces constitute a high-risk population in need of attention. Objective: To study post-traumatic stress disorder in defence and security forces in the city of Parakou in 2023. Methods: Descriptive cross-sectional study conducted from December 2022 to July 2023. The study population consisted of active military, republican police and firefighters in the city of Parakou in 2023. Non-proportional stratified sampling was used, given the inaccessibility of the source population size for national security reasons. Post-traumatic stress disorder was assessed using the “post-traumatic stress disorder checklist-5 (PCLS-5) scale. Results: A total of 305 subjects participated in the survey. Males dominated 90.2%. The most represented corps was the Republican Police (41.6%), most of whom were non-commissioned officers (46.6%). The majority count between 11 and 20 years of service (48.9%), with 2 to 5 missions completed (67.5%). The calculated prevalence of post-traumatic stress disorder was 11.8%, based on the post-traumatic stress disorder checklist-5 (PCL-5). Of the 36 respondents with post-traumatic stress disorder, 20 (55.6%) had experienced an armed attack, 25 (69.4%) had witnessed a violent death, 18 (50.0%) had witnessed the agony of a colleague, 15 (41.7%) had been exposed to a fire or explosion, while 26 (72.2%) had been traumatized by physical and/or verbal aggression. 5 (13.9%) had consulted a specialist psychiatrist, while 6 (16.7%) were on medication and 26 (72.2%) used sport as a means of maintaining physical and mental health. Respectively 22 (61.1

关键词： Post-Traumatic Stress Disorder Forces Defence Security Benin 2023

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Games of Chance and Money of the Togolese National Lottery in Lomé

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Open Journal of Psychiatry 2023年第3期13卷 175-186页

作者： Damega Wenkourama Saliou Salifou ireti nethania elie ataigba Sonia Kanekatoua Essozimna Pita Gnargogna Bawi Mensah Kokou Soedje Kolou Simliwa Dassa Psychiatry Department Kara University Hospital Kara Togo Faculty of Health Sciences University of Kara Kara Togo Zébé Psychiatric Hospital in Aneho Aneho Togo Faculty of Health Sciences University of Lomé Lomé Togo Centre Hospitalier Universitaire Départemental du Borgou Alibor Parakou Bénin Faculty of Health Sciences University of Parakou Parakou Bénin University Hospital Center of the CHU Campus of Lomé Lomé Togo Department of Mental Health Tomdè Regional Hospital Center Kara Togo Medico-Psychological Clinic of Lomé Lomé Togo Department of Psychiatry Service CHU Sylvanus Olympio of Lomé Lomé Togo Department of Psychiatry Service Lomé Campus University Hospital Lomé Togo Department of Adult Psychiatry Faculty of Health Sciences University of Lomé Lomé Togo

Introduction: The addiction to games of chance and money is frequently encountered among some players. The general objective of this study was to describe the level of the gambling addiction among the players of the Togolese National Lottery (LONATO) in the city of Lomé. Method: This was a descriptive cross-sectional study through non-random sampling by convenience surveys, conducted on October 09, 2019 in 20 LONATO plying sites which affected 611 players. The screening was done using the South Oaks Gambling Screen (SOGS) questionnaire. Results: Of the 611 players surveyed, 55% were aged 18 to 35 years with an average age of 36 years and the extremes ranging from 14 to 78 years. The male gender was in the majority (84.26%). The prevalence of pathological gambling was 62.52%. Among the pathological gamblers, 16.89% had a family history of pathological gambling, 19.00% had a mood disorder, 28.50% had excessive alcoholism, and 17.15% consumed another psychoactive substance. Cannabis was the most consumed substance (6.87%) followed by tobacco (6.07%) and soporific (6.07%). More than half of players (62.03%) thought that pathological gambling is not a disease. Conclusion: The pathological gambling is a global phenomenon and a reality in Togo. Raising everyone’s awareness will reduce its negative impact on the players.

关键词： Pathological Gambling Addiction LONATO Lomé

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Attention Deficit Hyperactivity Disorder in the General Adult Population in Benin (Parakou 2022)

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Open Journal of Psychiatry 2023年第4期13卷 324-344页

作者： ataigba ireti nethania elie Soumaoro Kémo Kamdem Kamgaing Claudel Kévin Tokpanoude Coovi Nonwanou Ignace Djossou Sègnon Eurydice Elvire Koivogui David Sinet Moussa Djibrilla Tognon Tchegnonsi Francis Gandaho Prosper Faculté de Médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Bénin Centre Hospitalier Universitaire Départemental du Borgou Alibori: service de psychiatrie Parakou Bénin Organisation Non Gouvernementale de Soutien de Réhabilitation d’Insertion et de Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences et Techniques de Santé Université Gamal Abdel Nasser de Conakry Conakry Guinée Hô pital National Donka CHU de Conakry: service de psychiatrie Conakry Guinée Unité de Santé Publique Faculté des Sciences de la Santé Cotonou Bénin Faculté des Sciences de la Santé Université André Salifou de Zinder Zinder Niger Hô pital National de Zinder Service de Psychiatrie Zinder Niger

Introduction: Attention deficit hyperactivity disorder (ADHD) is a little-studied psychiatric pathology in our countries, and particularly here in Benin. Objectives: To calculate the prevalence and identify the factors associated with attention deficit hyperactivity disorder among adults in the commune of Parakou in 2022. Methods: Cross-sectional, descriptive, analytical study including subjects aged 18 and over. ADHD was assessed with the Adult ADHD Self Report Scale (ARSR-v1.1) and consequences with the Weiss functional impairment rating scale (WFIRS-S). Results: A total of 456 people were included in the study. The mean age of those surveyed was 25.9 ± 11.6 years. The prevalence of ADHD symptoms among the adults surveyed was 6.8%. The clinical form of ADHD with a predominance of inattention had a prevalence of 3.3%. After multivariate analysis, the factor associated with the presence of ADHD symptoms in adults in the commune of Parakou was: a poor relationship with the subject’s partner (p = 0.031, ORa = 6.5 [1.18-35.68]). Conclusion: ADHD is present in the community of Parakou and needs further attention.

关键词： Attention Deficit Disorder Couple Conflict Drop In Performance Benin-2022

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Factors Associated with Body Dysmorphic Disorder in Academia (Benin, 2021)

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Open Journal of Psychiatry 2023年第S2期13卷 461-478页

作者： ataigba ireti nethania elie Ousseyni Zika Oumou Moussa Djibrilla Kpehounton Ezéchiel Wadoudou Koivogui David Sinet Sourabie Oumar Djidonou Anselme Douma Maiga Djibo Tognon Tchegnonsi Francis Gandaho Proper Ezin Houngbe Josiane Faculté de Médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Benin Service de Psychiatrie Centre Hospitalier Universitaire Départemental Borgou Alibori Benin Organisation Non Gouvernementale de Soutien de Réhabilitation d’Insertion et de Réinsertion (SouRIR ONG) Parakou Benin Faculté des Sciences de la Santé Université Abdou Moumouni de Niamey Niamey Niger Service de Psychiatrie H&#244pital National de Niamey Niamey Niger Faculté des Sciences de la Santé Université André Salifou de Zinder Zinder Niger Service de Psychiatrie H&#244pital National de Zinder Zinder Niger Faculté des Sciences et Techniques de Santé Université Gamal Abdel Nasser de Conakry Conakry Guinea Service de Psychiatrie Centre Hospitalier Universitaire Sour&#244 Sanou Bobo-Dioulasso Burkina Faso Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Abomey-Calavi Benin Service de Psychiatrie Centre National Hospitalier Universitaire - Hubert Koutoucou Maga de Cotonou Cotonou Benin

Introduction: Body Dysmorphia Disorder (BDD) is a mental disorder characterized by an obsessive focus on a perceived defect in appearance. This disorder can be dangerous or life-threatening. Hence, there is the need for special attention. Objective: The aim of this study was to determine the prevalence of Body Dysmorphia Disorder (BDD) and to identify the factors associated with it. Methods: This was a descriptive and analytical cross-sectional study that took place from December 2020 to October 2021, with a census of all medical students enrolled at the University of Parakou for the 2020-2021 academic year and who volunteered to participate. DSM 5 diagnostic criteria were used to assess BDD, and the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) was used to assess its severity. Results: A total of 669 people were included in the study. The prevalence of probable cases of BDD was 10.31%. Gender (female) (OR = 2.49;IC 95%: [1.45 - 4.26];p < 0.001), trauma with cosmetic sequelae (OR = 2.95;IC 95%: [1.27 - 6.91];p = 0.012), depressive disorders (OR = 2.4;IC 95%: [1.12 - 5.15];p = 0.025), mockery/teasing or negative comments about physique (OR = 3.54;IC 95%: [2.06 - 6.12];p < 0.001), a succession of sentimental disappointments (OR = 2.89;IC 95%: [1.33 - 6.30];p = 0.008), and the importance attached to physical appearance (OR = 0.5;IC 95%: [0.31 - 0.82];p = 0.005) are associated with BDD. Its consequences are serious, with an altered quality of life that can lead to dropping out of school and suicidal ideation or behavior. Conclusion: Although little studied and little diagnosed, Body Dysmorphia Disorder (BDD) is a reality in the student environment of northern Benin. Further studies are needed to more define BDD in the Beninese socio-cultural context.

关键词： Body Dysmorphia Disorder Benin 2021

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