Hailesilassie, Hailemariam (2015) Functional Limitations among Outpatients with Severe Mental Disorders: The Case of Major Depression, Schizophrenia, and Bipolar Disorder. Masters thesis, Addis Ababa University.
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Abstract
This study was conducted with the general objective of assessing functional limitations and associated factors among Amanuel Specialized Mental Hospital outpatients with major depressive disorder (MDD), schizophrenia (SCH) and bipolar disorder (BPD. Participants were selected using stratified random sampling, mainly lottery method. Data was collected by six psychiatry nurse students using WHODAS-2.0 questionnaire. Data was analyzed by descriptive statistics, univariate one way ANOVA, and standard multiple regression. The WHODAS-2.0 total mean score of MDD, SCH and BP outpatients was M=42.42, SD=12.09; M=32.03, SD= 12; M=26.03, SD= 8.02, respectively. In Univariate one way ANOVA analysis, MDD outpatients had significantly higher functional limitations than SCH and BPD outpatients, at WHODAS-2.0 total score (Ρ<0.001). But the mean functional limitation difference between SCH and BPD outpatients was insignificant (p=0.06). SCH outpatients reported significantly higher functional problems in understanding and communication domain compared to MDD and BPD cases (Ρ=0.007). In domains of mobility, self-care, and getting along with people, MDD and SCH outpatients reported greater functional difficulties than BPD outpatient. But in life activities at work/school, the difference in functioning was insignificant (p=0.19). While variables of co-morbid psychiatry, gender, educational status had significantly contributed for the WHODAS-2.0 total scores of the study participants, the other factors (such as employment status, area of residence, and psychiatric diagnosis type) didn’t. That is 44.4% of the variance in WHODAS-2.0 total score was accounted by the linear combination of these independent variables. This study could conclude that outpatients with MDD, SCH and BPD had functional limitation in areas of understanding and communication, mobility, self-care, getting along with people or creating friends, life activities at home and work/school, and participation with society.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | B Philosophy. Psychology. Religion > B Philosophy (General) |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 21 Jun 2018 06:29 |
| Last Modified: | 21 Jun 2018 06:41 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5203 |
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