Reducing Burnout among Building Construction and Mechanical Trade Artisans: The Role of Rational Emotive Behaviour Intervention

Journal of Rational-Emotive & Cognitive-Behavior Therapy - Personal, work and even client-related burnout are highly predominant among artisans and linked to their stress-related experiences....     

Illness coping behaviour of outpatients with depression or diabetes mellitus in two tertiary hospitals in Enugu state,southeast Nigeria

The study aims to compare the coping styles of patients with diabetes with those with depression. A total of 224 patients, 112 with depression and an equal number with diabetes were recruited. Sociodemographic variables were determined with the sociodemographic questionnaire, and coping styles with the Mental Adjustment to Cancer (MAC) adapted and Brief Religious Coping (Brief RCOPE) Scales. Fighting Spirit and MAC Summary Positive Adjustment were used more by participants with depression. Both groups of participants used the Brief RCOPE positive method to the same extent. Brief RCOPE negative was used more by participants with depression. Positive coping skills were used more by participants with depression than those with diabetes. This underscores the need for clinicians to explore the coping resources available to their patients, both religious and non-religious, and projecting them to their patients for enhancement and application as an adjunct for the purpose of a better clinical outcome.     

Missed post-hospitalisation clinic appointment in a psychiatric hospital in Southeast Nigeria

ABSTRACT

Patients who have been attended to at psychiatric institutions sometimes fail to keep their scheduled appointments. This study was designed to assess the extent and determinants of missed first clinic appointments among recently discharged patients with schizophrenia. A total of 311 inpatients with a diagnosis of schizophrenia were participated in the study. The diagnosis of schizophrenia was confirmed using Munich version of the Composite International Diagnostic Interview. Socio-demographic and clinical data were collected using the socio-demographic questionnaire while analysis was done using SPSS (version 16). The rate of missed first outpatient appointment was found to be 25.7%. Missed appointment was associated with male gender, state of origin outside the study site, long distance from hospital to place of abode, longer appointment duration and illness severity at discharge. The findings in this study support the need for the introduction of community psychiatric services to improve patient access to services in Nigeria.