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 proce...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%) and 21 (58.3%) had definite symptoms of anxiety and depression. Multivariate analysis revealed a significant association between post-traumatic stress disorder and the following variables: total number of children ≤ 2 (p = 0.015), comorbidities such as arterial hypertension (p = 0.007), history of hepatitis (p = 0.017), work accidents (p = 0.016), alcohol dependence (p = 0.004), domestic violence (p = 0.004), psychological violence (p = 0.017) and anxiety disorders (p Conclusion: Defence and security personnel can also be prey to post-traumatic stress disorder (PTSD), which needs to be systematically taken into account when they are subjected to trauma in the course of their duties. Mental health should be an integral part of the periodic medical check-up objectives for defence and security forces throughout the country.展开更多
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 ...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 < 0.001), monogamous family (p = 0.023), good relationship with father (p = 0.020), organization of video game competitions (p = 0.001) and definite anxiety (p Conclusion: Substance-free addiction is struggling to attract the attention it deserves, as it did in its infancy everywhere else. This study complements existing data 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.展开更多
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 factor...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.展开更多
Introduction: Online gambling is becoming increasingly popular worldwide. With its well-crafted visual and audio marketing, it is attracting more and more young people in Africa, where problems linked to employment an...Introduction: Online gambling is becoming increasingly popular worldwide. With its well-crafted visual and audio marketing, it is attracting more and more young people in Africa, where problems linked to employment and poverty are undermining youth. The consequences of gaming-related practices for health in general, and mental health in particular, are not negligible. The aim of this study was to measure the extent of the phenomenon within an urban community in Benin. Methods: Descriptive cross-sectional study with analytical aim conducted in the general population of Parakou, northern Benin, from December 2021 to November 2022. A self-administered questionnaire incorporating DSM 5 criteria for pathological gambling was used to collect data. Results: A total of 576 subjects divided into 30 clusters of 19 to 20 individuals consented to participate in the study. The proportion of gamblers was 30.56%. The prevalence of pathological gambling calculated according to DSM 5 criteria was 24.65% [21.31% - 28.33%] in the general population. The prevalence of severe pathological gambling was estimated at 8.16% [5.96% - 10.44%] in the general population. The prevalence of anxiety was 28.30% ([24.62% - 31.98%]), compared with 15.10% ([12.18% - 18.02%]) for depression. Factors with a significant association with pathological gambling were: age, access to online gambling, access to video games, exposure to gambling advertisement, having gambling friends, debt accumulation. A statistically significant link was also found between pathological gambling and anxiety/depression. Conclusion: The reality of pathological gambling in northern Benin calls for effective preventive action among vulnerable groups at national level, involving various actors at different levels.展开更多
Introduction: The development of digital technology over the last few decades has facilitated access to websites and videos in the field of sexuality, eliminating many of the boundaries that were restrictive for some ...Introduction: The development of digital technology over the last few decades has facilitated access to websites and videos in the field of sexuality, eliminating many of the boundaries that were restrictive for some and protective for others. While this evolution has favored better information sharing, it has also precipitated the emergence of an entirely new phenomenon: cybersexuality. Objective: The aim of this study was to investigate addiction to cybersexuality in schools in the city of Parakou in 2023. Methods: Descriptive cross-sectional study conducted in general, technical and vocational secondary schools in Parakou, northern Benin, from December 2022 to September 2023. A self-administered questionnaire integrating the “short Internet sex Addiction Test” (s-IATsex) scale was used to assess cybersexuality. Results: A total of 482 students participated in the study. The prevalence of problematic use of cybersexuality in Parakou schools was 11.4% according to the s-IATsex (Short Internet sex Addiction Test) scale. The average age of the students was 16.99 ± 2.16 years, with extremes of 11 and 30 years. The majority were in secondary school (67.8%). Factors associated with addiction to cybersexuality were: place of residence (OR = 0.164;p = 0.017), external genitalia discharge (OR = 5.37;p = 0.049), sexual partner (OR = 2.53;p = 0.010), access to pornographic sites (OR = 7.96;p < 0.001), anxiety (OR = 3.86;p = 0.001) and depression (OR = 2.75;p = 0.018). Conclusion: Approximately one pupil in 10 is addicted to cybersexuality at school in the town of Parakou/Parakou city, Benin. The multiple consequences of this addiction call for effective preventive actions aimed at vulnerable groups of pupils.展开更多
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 f...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.展开更多
文摘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%) and 21 (58.3%) had definite symptoms of anxiety and depression. Multivariate analysis revealed a significant association between post-traumatic stress disorder and the following variables: total number of children ≤ 2 (p = 0.015), comorbidities such as arterial hypertension (p = 0.007), history of hepatitis (p = 0.017), work accidents (p = 0.016), alcohol dependence (p = 0.004), domestic violence (p = 0.004), psychological violence (p = 0.017) and anxiety disorders (p Conclusion: Defence and security personnel can also be prey to post-traumatic stress disorder (PTSD), which needs to be systematically taken into account when they are subjected to trauma in the course of their duties. Mental health should be an integral part of the periodic medical check-up objectives for defence and security forces throughout the country.
文摘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 < 0.001), monogamous family (p = 0.023), good relationship with father (p = 0.020), organization of video game competitions (p = 0.001) and definite anxiety (p Conclusion: Substance-free addiction is struggling to attract the attention it deserves, as it did in its infancy everywhere else. This study complements existing data 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.
文摘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.
文摘Introduction: Online gambling is becoming increasingly popular worldwide. With its well-crafted visual and audio marketing, it is attracting more and more young people in Africa, where problems linked to employment and poverty are undermining youth. The consequences of gaming-related practices for health in general, and mental health in particular, are not negligible. The aim of this study was to measure the extent of the phenomenon within an urban community in Benin. Methods: Descriptive cross-sectional study with analytical aim conducted in the general population of Parakou, northern Benin, from December 2021 to November 2022. A self-administered questionnaire incorporating DSM 5 criteria for pathological gambling was used to collect data. Results: A total of 576 subjects divided into 30 clusters of 19 to 20 individuals consented to participate in the study. The proportion of gamblers was 30.56%. The prevalence of pathological gambling calculated according to DSM 5 criteria was 24.65% [21.31% - 28.33%] in the general population. The prevalence of severe pathological gambling was estimated at 8.16% [5.96% - 10.44%] in the general population. The prevalence of anxiety was 28.30% ([24.62% - 31.98%]), compared with 15.10% ([12.18% - 18.02%]) for depression. Factors with a significant association with pathological gambling were: age, access to online gambling, access to video games, exposure to gambling advertisement, having gambling friends, debt accumulation. A statistically significant link was also found between pathological gambling and anxiety/depression. Conclusion: The reality of pathological gambling in northern Benin calls for effective preventive action among vulnerable groups at national level, involving various actors at different levels.
文摘Introduction: The development of digital technology over the last few decades has facilitated access to websites and videos in the field of sexuality, eliminating many of the boundaries that were restrictive for some and protective for others. While this evolution has favored better information sharing, it has also precipitated the emergence of an entirely new phenomenon: cybersexuality. Objective: The aim of this study was to investigate addiction to cybersexuality in schools in the city of Parakou in 2023. Methods: Descriptive cross-sectional study conducted in general, technical and vocational secondary schools in Parakou, northern Benin, from December 2022 to September 2023. A self-administered questionnaire integrating the “short Internet sex Addiction Test” (s-IATsex) scale was used to assess cybersexuality. Results: A total of 482 students participated in the study. The prevalence of problematic use of cybersexuality in Parakou schools was 11.4% according to the s-IATsex (Short Internet sex Addiction Test) scale. The average age of the students was 16.99 ± 2.16 years, with extremes of 11 and 30 years. The majority were in secondary school (67.8%). Factors associated with addiction to cybersexuality were: place of residence (OR = 0.164;p = 0.017), external genitalia discharge (OR = 5.37;p = 0.049), sexual partner (OR = 2.53;p = 0.010), access to pornographic sites (OR = 7.96;p < 0.001), anxiety (OR = 3.86;p = 0.001) and depression (OR = 2.75;p = 0.018). Conclusion: Approximately one pupil in 10 is addicted to cybersexuality at school in the town of Parakou/Parakou city, Benin. The multiple consequences of this addiction call for effective preventive actions aimed at vulnerable groups of pupils.
文摘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.
