ArticleSocial psychiatry and psychiatric epidemiology2018
Functional impairment among people with severe and enduring mental disorder in rural Ethiopia: a cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi.AIDS care · 2023Trial
- Role impairment of patients with mental disorders and physical diseases in China: Results from the China Mental Health Survey.Chinese medical journal · 2026Article
- The direct and indirect factors of health related quality of life of postpartum women using structural equation modelling.Scientific reports · 2025Article
- Article
- Understanding mental health stigma and discrimination in Ethiopia: A qualitative study.Global mental health (Cambridge, England) · 2024Article
- Impact of the COVID-19 pandemic on mental health care and people with mental health conditions in Ethiopia: the MASC mixed-methods study.International journal of mental health systems · 2023Article
- A structural equation modelling of the direct and indirect factors associated with functional status over time as measured by WHODAS-32 items among postpartum women in Northwest Ethiopia.Archives of public health = Archives belges de sante publique · 2023Article
- Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults.Scientific reports · 2022Article
- Occupational performance and satisfaction of individuals with mental disorders in Jordan: A cross-sectional study.The British journal of occupational therapy · 2022Article
- Mental health stigma and discrimination in Ethiopia: evidence synthesis to inform stigma reduction interventions.International journal of mental health systems · 2022Article
- Article
- Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling.BMJ global health · 2022Article
- Perceived quality of life and associated factors among patients with severe mental illness in Ethiopia: a cross-sectional study.BMC psychology · 2021Article
- Proxy WHO Disability Assessment Schedule 2.0 Is Clinically Useful for Assessing Psychosocial Functioning in Severe Mental Illness.Frontiers in psychiatry · 2020Article
- Perspectives on Disability and Non-Communicable Diseases in Low- and Middle-Income Countries, with a Focus on Stroke and Dementia.International journal of environmental research and public health · 2019Review
- Impact of integrated district level mental health care on clinical and social outcomes of people with severe mental illness in rural Ethiopia: an intervention cohort study.Epidemiology and psychiatric sciences · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
purposeEvidence regarding functional impairment in people with severe mental disorders (SMD) is sparse in low- and middle-income countries. The aim of this study was to identify factors associated with functional impairment in people with enduring SMD in a rural African setting.
methodsA cross-sectional study was conducted at the baseline of a health service intervention trial. A total of 324 participants were recruited from an existing community-ascertained cohort of people with SMD (n = 218), and attendees at the Butajira General Hospital psychiatric clinic (n = 106). Inclusion criteria defined people with SMD who had ongoing need for care: those who were on psychotropic medication, currently symptomatic or had a relapse in the preceding 2 years. The World Health Organization Disability Assessment schedule (WHODAS-2.0) and the Butajira Functioning Scale (BFS) were used to assess functional impairment. Multivariable negative binomial regression models were fitted to investigate the association between demographic, socio-economic and clinical characteristics, and functional impairment.
resultsIncreasing age, being unmarried, rural residence, poorer socio-economic status, symptom severity, continuous course of illness, medication side effects, and internalized stigma were associated with functional impairment across self-reported and caregiver responses for both the WHODAS and the BFS. Diagnosis per se was not associated consistently with functional impairment.
conclusionTo optimize functioning in people with chronic SMD in this setting, services need to target residual symptoms, poverty, medication side effects, and internalized stigma. Testing the impact of community interventions to promote recovery will be useful. Advocacy for more tolerable treatment options is warranted.
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